1 year mortality after hip fracture in an Irish urban trauma centre
Abstract Background Hip fracture accounts for a considerable burden of disease in older adults, yet there is a paucity of data pertaining to longer-term outcomes in the Irish Hip Fracture population. Understanding the factors that influence longer-term survival would allow care pathways to be refine...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06605-5 |
| _version_ | 1797801617913806848 |
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| author | Helena Ferris Georgia Merron Tara Coughlan |
| author_facet | Helena Ferris Georgia Merron Tara Coughlan |
| author_sort | Helena Ferris |
| collection | DOAJ |
| description | Abstract Background Hip fracture accounts for a considerable burden of disease in older adults, yet there is a paucity of data pertaining to longer-term outcomes in the Irish Hip Fracture population. Understanding the factors that influence longer-term survival would allow care pathways to be refined to optimise patient outcomes. In Ireland, there is no linkage to death registration at a national or regional level, nor are longer-term outcomes captured by the Irish Hip Fracture Database. This study aimed to quantify 1-year mortality in an Irish hip fracture cohort and identify factors that influence survival at 1 year. Methods A retrospective review of hip fracture cases in an Irish urban trauma centre over a 5-year period was conducted. Mortality status was obtained via the Inpatient Management System and correlated with the Irish Death Events Register. A range of routinely collected patient and care process variables were analysed using logistic regression. Results A total of 833 patients were included. Within 1 year of sustaining a hip fracture, 20.5% (171/833) had died. On multivariate analysis, female gender (OR 0.36, p < 0.001, 95% CI 0.23–0.57), independent mobility pre-fracture (OR 0.24, p < 0.001, 95% CI 0.14–0.41) and early mobilisation on the day of or after surgery (OR 0.48, p < 0.001, 95% CI 0.30–0.77) reduced the likelihood of dying within 1 year (AUC 0.78). Conclusion Of the variables examined, early postoperative mobilisation was the only modifiable factor identified that conferred a longer-term survival benefit. This underscores the importance of adhering to international best practice standards for early postoperative mobilisation. |
| first_indexed | 2024-03-13T04:53:12Z |
| format | Article |
| id | doaj.art-1140222a990c40ed8c1c68ebbf8cda5c |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-13T04:53:12Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-1140222a990c40ed8c1c68ebbf8cda5c2023-06-18T11:03:44ZengBMCBMC Musculoskeletal Disorders1471-24742023-06-012411810.1186/s12891-023-06605-51 year mortality after hip fracture in an Irish urban trauma centreHelena Ferris0Georgia Merron1Tara Coughlan2Department of Public Health, Health Service Executive - SouthDepartment of Age-Related Health Care, Tallaght University HospitalDiscipline of Medical Gerontology, Trinity College DublinAbstract Background Hip fracture accounts for a considerable burden of disease in older adults, yet there is a paucity of data pertaining to longer-term outcomes in the Irish Hip Fracture population. Understanding the factors that influence longer-term survival would allow care pathways to be refined to optimise patient outcomes. In Ireland, there is no linkage to death registration at a national or regional level, nor are longer-term outcomes captured by the Irish Hip Fracture Database. This study aimed to quantify 1-year mortality in an Irish hip fracture cohort and identify factors that influence survival at 1 year. Methods A retrospective review of hip fracture cases in an Irish urban trauma centre over a 5-year period was conducted. Mortality status was obtained via the Inpatient Management System and correlated with the Irish Death Events Register. A range of routinely collected patient and care process variables were analysed using logistic regression. Results A total of 833 patients were included. Within 1 year of sustaining a hip fracture, 20.5% (171/833) had died. On multivariate analysis, female gender (OR 0.36, p < 0.001, 95% CI 0.23–0.57), independent mobility pre-fracture (OR 0.24, p < 0.001, 95% CI 0.14–0.41) and early mobilisation on the day of or after surgery (OR 0.48, p < 0.001, 95% CI 0.30–0.77) reduced the likelihood of dying within 1 year (AUC 0.78). Conclusion Of the variables examined, early postoperative mobilisation was the only modifiable factor identified that conferred a longer-term survival benefit. This underscores the importance of adhering to international best practice standards for early postoperative mobilisation.https://doi.org/10.1186/s12891-023-06605-5Hip fracture1-year mortality1-year survivalLong-term outcomesIrish hip fracture standards |
| spellingShingle | Helena Ferris Georgia Merron Tara Coughlan 1 year mortality after hip fracture in an Irish urban trauma centre BMC Musculoskeletal Disorders Hip fracture 1-year mortality 1-year survival Long-term outcomes Irish hip fracture standards |
| title | 1 year mortality after hip fracture in an Irish urban trauma centre |
| title_full | 1 year mortality after hip fracture in an Irish urban trauma centre |
| title_fullStr | 1 year mortality after hip fracture in an Irish urban trauma centre |
| title_full_unstemmed | 1 year mortality after hip fracture in an Irish urban trauma centre |
| title_short | 1 year mortality after hip fracture in an Irish urban trauma centre |
| title_sort | 1 year mortality after hip fracture in an irish urban trauma centre |
| topic | Hip fracture 1-year mortality 1-year survival Long-term outcomes Irish hip fracture standards |
| url | https://doi.org/10.1186/s12891-023-06605-5 |
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