Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden?
Objectives: Hip fragility fractures were regarded as one of the most severe, but recent papers report on the underestimated burden of vertebral compression fractures. This study aims to compare morbidity and mortality of hip and vertebral fragility fractures in patients treated in the same setting....
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Osteoporosis and Sarcopenia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S240552552030073X |
| _version_ | 1818135301002887168 |
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| author | Maroun Rizkallah Falah Bachour Mirvat el Khoury Amer Sebaaly Boutros Finianos Rawad el Hage Ghassan Maalouf |
| author_facet | Maroun Rizkallah Falah Bachour Mirvat el Khoury Amer Sebaaly Boutros Finianos Rawad el Hage Ghassan Maalouf |
| author_sort | Maroun Rizkallah |
| collection | DOAJ |
| description | Objectives: Hip fragility fractures were regarded as one of the most severe, but recent papers report on the underestimated burden of vertebral compression fractures. This study aims to compare morbidity and mortality of hip and vertebral fragility fractures in patients treated in the same setting. Methods: Patients aged ≥50 years with hip fracture, and those with vertebral fracture presenting to our hospital between January 2014 and January 2017 were included. Patients were evaluated 1 year after their index fracture. SF-36 scores, mortality, and institutionalization are then recorded. Patients were divided into 2 groups: hip fractures and vertebral fractures. Results: There were 106 and 90 patients respectively evaluated in hip and vertebral fracture groups at 1 year. Patients in both groups were comparable for age, sex, comorbidities and neuropsychiatric condition (P > 0.05). At 1 year follow-up, SF-36 showed better averages in all 8 scales in hip fracture group compared to vertebral fracture group. Mortality in the hip fracture group reached 32.1% compared to 10% for the vertebral fracture group (P < 0.01). Fifteen patients were institutionalized in the hip fracture group compared to 18 patients in the vertebral fracture group (P > 0.05). Conclusions: When comparing patients treated in the same setting, hip fracture is associated with significantly increased mortality than vertebral fracture; however, the latter is associated with more morbidity. |
| first_indexed | 2024-12-11T09:22:20Z |
| format | Article |
| id | doaj.art-2846a9ba6f4d45a5b4e0aab3e9f22db2 |
| institution | Directory Open Access Journal |
| issn | 2405-5255 |
| language | English |
| last_indexed | 2024-12-11T09:22:20Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoporosis and Sarcopenia |
| spelling | doaj.art-2846a9ba6f4d45a5b4e0aab3e9f22db22022-12-22T01:13:14ZengElsevierOsteoporosis and Sarcopenia2405-52552020-09-0163146150Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden?Maroun Rizkallah0Falah Bachour1Mirvat el Khoury2Amer Sebaaly3Boutros Finianos4Rawad el Hage5Ghassan Maalouf6Department of Orthopedic Surgery, Bellevue Medical Center, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon; Corresponding author.Department of Orthopedic Surgery, Bellevue Medical Center, Faculty of Medicine, Saint Joseph University, Beirut, LebanonDepartment of Musculoskeletal Health, Bellevue Medical Center, Saint Joseph University, Beirut, LebanonDepartment of Orthopedic Surgery, Bellevue Medical Center, Faculty of Medicine, Saint Joseph University, Beirut, LebanonDepartment of Physical Education, Balamand University, El Koura, LebanonDepartment of Physical Education, Balamand University, El Koura, LebanonDepartment of Orthopedic Surgery, Bellevue Medical Center, Faculty of Medicine, Saint Joseph University, Beirut, LebanonObjectives: Hip fragility fractures were regarded as one of the most severe, but recent papers report on the underestimated burden of vertebral compression fractures. This study aims to compare morbidity and mortality of hip and vertebral fragility fractures in patients treated in the same setting. Methods: Patients aged ≥50 years with hip fracture, and those with vertebral fracture presenting to our hospital between January 2014 and January 2017 were included. Patients were evaluated 1 year after their index fracture. SF-36 scores, mortality, and institutionalization are then recorded. Patients were divided into 2 groups: hip fractures and vertebral fractures. Results: There were 106 and 90 patients respectively evaluated in hip and vertebral fracture groups at 1 year. Patients in both groups were comparable for age, sex, comorbidities and neuropsychiatric condition (P > 0.05). At 1 year follow-up, SF-36 showed better averages in all 8 scales in hip fracture group compared to vertebral fracture group. Mortality in the hip fracture group reached 32.1% compared to 10% for the vertebral fracture group (P < 0.01). Fifteen patients were institutionalized in the hip fracture group compared to 18 patients in the vertebral fracture group (P > 0.05). Conclusions: When comparing patients treated in the same setting, hip fracture is associated with significantly increased mortality than vertebral fracture; however, the latter is associated with more morbidity.http://www.sciencedirect.com/science/article/pii/S240552552030073XOsteoporosisMorbidityMortalityVertebral fractureHip fracture |
| spellingShingle | Maroun Rizkallah Falah Bachour Mirvat el Khoury Amer Sebaaly Boutros Finianos Rawad el Hage Ghassan Maalouf Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden? Osteoporosis and Sarcopenia Osteoporosis Morbidity Mortality Vertebral fracture Hip fracture |
| title | Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden? |
| title_full | Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden? |
| title_fullStr | Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden? |
| title_full_unstemmed | Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden? |
| title_short | Comparison of morbidity and mortality of hip and vertebral fragility fractures: Which one has the highest burden? |
| title_sort | comparison of morbidity and mortality of hip and vertebral fragility fractures which one has the highest burden |
| topic | Osteoporosis Morbidity Mortality Vertebral fracture Hip fracture |
| url | http://www.sciencedirect.com/science/article/pii/S240552552030073X |
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