Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010
Objectives: The aim of the study is was to determine the incidence and mortality of second hip fracture using a nationwide database. Patients and methods: A nationwide epidemiological study was conducted using the Taiwan National Health Insurance Research Database from 2001 to 2011. Patients older t...
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| Format: | Article |
| Language: | English |
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AVES
2016-08-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X16300116 |
| _version_ | 1797919863029628928 |
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| author | Sheng-Hsun Lee I-Jung Chen Ya-Hsin Li Chih-Yun Fan Chiang Chih-Hsiang Chang Pang-Hsin Hsieh |
| author_facet | Sheng-Hsun Lee I-Jung Chen Ya-Hsin Li Chih-Yun Fan Chiang Chih-Hsiang Chang Pang-Hsin Hsieh |
| author_sort | Sheng-Hsun Lee |
| collection | DOAJ |
| description | Objectives: The aim of the study is was to determine the incidence and mortality of second hip fracture using a nationwide database. Patients and methods: A nationwide epidemiological study was conducted using the Taiwan National Health Insurance Research Database from 2001 to 2011. Patients older than 50 years with hip fractures from 2006 to 2011 were included in the study. A total of 95,484 hip fractures were identified, with subsequent second hip fracture occurred in 4102 of them. Results: The incidence rate ratio of second hip fracture showed a 7.13 fold of risk of further hip fracture in 3 months, 5.21 fold in one year, and remained more than 2 fold in the end of 6th year when compared with the general population. The 6-year cumulative incidence of a second hip fracture was higher in female (8.0%) than in male (6.2%). A significantly higher 1-year mortality rate was seen after a second hip fracture (18.8%) compared to the first hip fracture (14.1%) (p < 0.05). Men had higher 1- and 5-year mortality rates after second hip fractures (12.1% and 41.2%, respectively) than women (17.4% and 47.3%, respectively). Conclusions: Patients with hip fractures would have a 2–7 fold of risk of a second fracture within 6 years. Women were more prone to a second hip fracture than men but men had a higher mortality rate. Keywords: Second hip fracture, Osteoporosis, Mortality, Geriatrics |
| first_indexed | 2024-04-10T13:52:10Z |
| format | Article |
| id | doaj.art-711ac4498d0d45b4878ad85d67e16439 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T13:52:10Z |
| publishDate | 2016-08-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-711ac4498d0d45b4878ad85d67e164392023-02-15T16:10:38ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2016-08-01504437442Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010Sheng-Hsun Lee0I-Jung Chen1Ya-Hsin Li2Chih-Yun Fan Chiang3Chih-Hsiang Chang4Pang-Hsin Hsieh5Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, TaiwanDepartment of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, TaiwanDepartment of Health Policy and Management, Chung Shan Medical University, No. 110, Section 1, Chien-Kuo N. Road, Taichung, TaiwanDepartment of Orthopaedic Surgery, Da Chien General Hospital, No. 36, Gongjing Road, Miaoli, TaiwanDepartment of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, TaiwanDepartment of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; College of Medicine, Chang Gung University, No. 259, Wenhua 1st Road, Kuei-Shan, Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Taiwan; Corresponding author. Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Kuei-Shan, 333, Taoyuan, Taiwan. Fax: +886 3 3284564.Objectives: The aim of the study is was to determine the incidence and mortality of second hip fracture using a nationwide database. Patients and methods: A nationwide epidemiological study was conducted using the Taiwan National Health Insurance Research Database from 2001 to 2011. Patients older than 50 years with hip fractures from 2006 to 2011 were included in the study. A total of 95,484 hip fractures were identified, with subsequent second hip fracture occurred in 4102 of them. Results: The incidence rate ratio of second hip fracture showed a 7.13 fold of risk of further hip fracture in 3 months, 5.21 fold in one year, and remained more than 2 fold in the end of 6th year when compared with the general population. The 6-year cumulative incidence of a second hip fracture was higher in female (8.0%) than in male (6.2%). A significantly higher 1-year mortality rate was seen after a second hip fracture (18.8%) compared to the first hip fracture (14.1%) (p < 0.05). Men had higher 1- and 5-year mortality rates after second hip fractures (12.1% and 41.2%, respectively) than women (17.4% and 47.3%, respectively). Conclusions: Patients with hip fractures would have a 2–7 fold of risk of a second fracture within 6 years. Women were more prone to a second hip fracture than men but men had a higher mortality rate. Keywords: Second hip fracture, Osteoporosis, Mortality, Geriatricshttp://www.sciencedirect.com/science/article/pii/S1017995X16300116 |
| spellingShingle | Sheng-Hsun Lee I-Jung Chen Ya-Hsin Li Chih-Yun Fan Chiang Chih-Hsiang Chang Pang-Hsin Hsieh Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010 Acta Orthopaedica et Traumatologica Turcica |
| title | Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010 |
| title_full | Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010 |
| title_fullStr | Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010 |
| title_full_unstemmed | Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010 |
| title_short | Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006–2010 |
| title_sort | incidence of second hip fractures and associated mortality in taiwan a nationwide population based study of 95 484 patients during 2006 2010 |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X16300116 |
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