Second hip fracture in Hong Kong – Incidence, demographics, and mortality
Objectives: The aim of this study is to investigate the incidence of second hip fractures after a previous hip fracture and subsequent mortality in Chinese men and women. Methods: Data of patients aged 65 years or above with operatively treated hip fracture in the years 2000–2011 in Hong Kong were r...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | Osteoporosis and Sarcopenia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405525520300510 |
| _version_ | 1818037042375819264 |
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| author | Angela Wing Hang Ho Sze Hung Wong |
| author_facet | Angela Wing Hang Ho Sze Hung Wong |
| author_sort | Angela Wing Hang Ho |
| collection | DOAJ |
| description | Objectives: The aim of this study is to investigate the incidence of second hip fractures after a previous hip fracture and subsequent mortality in Chinese men and women. Methods: Data of patients aged 65 years or above with operatively treated hip fracture in the years 2000–2011 in Hong Kong were retrieved from Hospital Authority clinical database. During the follow-up period, second contralateral operatively treated hip fractures were identified. The incidence of a second fracture was determined using survival analysis. Results: A total of 2399 second hip fractures were identified. The cumulative incidence of a second fracture was 1.24% at 1 year and 4.42% at 5 years with 60% of second fractures occurring within 4 years after the initial fracture. In cox regression model, a higher incidence was observed as age increased (hazard ratio [HR], 1.08; P < 0.001). The cumulative mortality at 1 and 5 years after a second fracture was 16.9% and 54.8%, respectively. The median survival after single fracture was 4.9 years, while after a second fracture it was 3.8 years (P < 0.05). Lower survival was observed after the second fracture (HR, 5.44; P < 0.05), in men (HR, 1.91; P < 0.05) and older patients (HR, 1.061; P < 0.05). Conclusions: Patients with history of hip fracture are at high risk to develop a second fracture. Initiation of treatment and fragility fracture prevention program after primary hip fracture should be started in order to reduce second fracture incidence and related mortality. |
| first_indexed | 2024-12-10T07:20:33Z |
| format | Article |
| id | doaj.art-a07029ba5b8b4831a873bfd10187aa60 |
| institution | Directory Open Access Journal |
| issn | 2405-5255 |
| language | English |
| last_indexed | 2024-12-10T07:20:33Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoporosis and Sarcopenia |
| spelling | doaj.art-a07029ba5b8b4831a873bfd10187aa602022-12-22T01:57:50ZengElsevierOsteoporosis and Sarcopenia2405-52552020-06-01627174Second hip fracture in Hong Kong – Incidence, demographics, and mortalityAngela Wing Hang Ho0Sze Hung Wong1Corresponding author. Department of Orthopaedics and Traumatology, Caritas Medical Centre, 111 Wing Hong Street, Shum Shui Po, Kowloon, Hong Kong.; Department of Orthopaedics and Traumatology, Caritas Medical Centre, Hong KongDepartment of Orthopaedics and Traumatology, Caritas Medical Centre, Hong KongObjectives: The aim of this study is to investigate the incidence of second hip fractures after a previous hip fracture and subsequent mortality in Chinese men and women. Methods: Data of patients aged 65 years or above with operatively treated hip fracture in the years 2000–2011 in Hong Kong were retrieved from Hospital Authority clinical database. During the follow-up period, second contralateral operatively treated hip fractures were identified. The incidence of a second fracture was determined using survival analysis. Results: A total of 2399 second hip fractures were identified. The cumulative incidence of a second fracture was 1.24% at 1 year and 4.42% at 5 years with 60% of second fractures occurring within 4 years after the initial fracture. In cox regression model, a higher incidence was observed as age increased (hazard ratio [HR], 1.08; P < 0.001). The cumulative mortality at 1 and 5 years after a second fracture was 16.9% and 54.8%, respectively. The median survival after single fracture was 4.9 years, while after a second fracture it was 3.8 years (P < 0.05). Lower survival was observed after the second fracture (HR, 5.44; P < 0.05), in men (HR, 1.91; P < 0.05) and older patients (HR, 1.061; P < 0.05). Conclusions: Patients with history of hip fracture are at high risk to develop a second fracture. Initiation of treatment and fragility fracture prevention program after primary hip fracture should be started in order to reduce second fracture incidence and related mortality.http://www.sciencedirect.com/science/article/pii/S2405525520300510Hip fractureHong KongIncidenceMortalitySecond hip fracture |
| spellingShingle | Angela Wing Hang Ho Sze Hung Wong Second hip fracture in Hong Kong – Incidence, demographics, and mortality Osteoporosis and Sarcopenia Hip fracture Hong Kong Incidence Mortality Second hip fracture |
| title | Second hip fracture in Hong Kong – Incidence, demographics, and mortality |
| title_full | Second hip fracture in Hong Kong – Incidence, demographics, and mortality |
| title_fullStr | Second hip fracture in Hong Kong – Incidence, demographics, and mortality |
| title_full_unstemmed | Second hip fracture in Hong Kong – Incidence, demographics, and mortality |
| title_short | Second hip fracture in Hong Kong – Incidence, demographics, and mortality |
| title_sort | second hip fracture in hong kong incidence demographics and mortality |
| topic | Hip fracture Hong Kong Incidence Mortality Second hip fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2405525520300510 |
| work_keys_str_mv | AT angelawinghangho secondhipfractureinhongkongincidencedemographicsandmortality AT szehungwong secondhipfractureinhongkongincidencedemographicsandmortality |