Risk of Mortality in Individuals with Hip Fracture and Traumatic Brain Injury.

Abstract:

OBJECTIVES:To estimate the prevalence of diagnosed traumatic brain injury (TBI) in individuals hospitalized with hip fracture and examine its association with all-cause mortality. DESIGN:Nested cohort study. SETTING:National sample of Medicare beneficiaries from 2006 to 2010. PARTICIPANTS:Beneficiaries aged 65 and older hospitalized with hip fracture. MEASUREMENTS:TBI at the time of hip fracture was defined using International Classification of Diseases, Ninth Revision, Clinical Modification codes. The main outcome was all-cause mortality during follow-up. RESULTS:Prevalence of TBI in individuals with hip fracture was 2.7%. Absolute risk of mortality attributable to TBI in individuals with hip fracture was 15/100 person-years. TBI was significantly associated with risk of death in multivariable analysis (hazard ratio=1.24, 95% confidence interval=1.14-1.35). CONCLUSION:TBI was associated with greater risk of mortality in individuals with hip fracture. Practitioners should consider evaluating for presence of TBI in this vulnerable population. J Am Geriatr Soc 67:124-127, 2019.

journal_name

J Am Geriatr Soc

authors

Albrecht JS,Al Kibria G,Gruber-Baldini A,Magaziner J

doi

10.1111/jgs.15661

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

124-127

issue

1

eissn

0002-8614

issn

1532-5415

journal_volume

67

pub_type

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