Abstract：
BACKGROUND:This study assessed the incidence and excess mortality of hip fractures among inpatients aged 20-40 years in a nationwide population database in Taiwan. METHODS:Subjects were selected from Taiwan's National Health Insurance Research Database for the period 2001-2008 and were followed up until the end of 2010. A total of 4,523 subjects were admitted for the first time with primary diagnosis of hip fracture and treated with operation. RESULTS:The overall annual incidence, mortality, and standardized mortality ratio (SMR) decreased from 7.68 to 7.23 per 100,000, from 1.37 % to 0.94 %, and from 9.06 to 6.71, respectively, from 2001 to 2008. The 1-year, 2-year, 3-year, 5-year, and 10-year mortality rates were 1.28 %, 2.44 %, 3.54 %, 5.32 %, and 10.50 %, respectively for the whole cohort. The 1-year, 2-year, 3-year, 5-year, and 10-year SMRs were 8.33, 7.59, 7.28, 6.39, and 5.82, respectively, for the whole cohort. Risk factors for overall death were male gender, trochanteric fracture, hemiarthroplasty, and higher Charlson comorbidity index (CCI) scores. CONCLUSIONS:The high SMRs found in the present study suggest that young adults with former hip fracture should be closely followed up to prevent early mortality.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Leu TH,Chang WC,Lin JC,Lo C,Liang WM,Chang YJ,Shih DP,Wu CC,Cheng CF,Wei SJdoi
10.1186/s12891-016-1166-9subject
Has Abstractpub_date
2016-08-05 00:00:00pages
326issn
1471-2474pii
10.1186/s12891-016-1166-9journal_volume
17pub_type
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