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Acta Orthopaedica Volume 92, 2021 - Issue 1
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Articles

How deadly is a fracture distal to the hip in the elderly? An observational cohort study of 11,799 femoral fractures in the Swedish Fracture Register

Olof Wolfa Department of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala; Correspondence[email protected]
,
Sebastian Mukkab Department of Surgical and Perioperative Sciences at Umeå University, Umeå;
,
Jan Ekelundc Centre of Registers Västra Götaland, Gothenburg;
,
Michael Möllerd Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
&
Nils P Hailera Department of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala;
Pages 40-46 | Published online: 26 Oct 2020

  • Adunsky A , Lerner-Geva L , Blumstein T , Boyko V , Mizrahi E , Arad M . Improved survival of hip fracture patients treated within a comprehensive geriatric hip fracture unit, compared with standard of care treatment. J Am Med Dir Assoc 2011; 12(6): 439–44.
  • Al-Ani A N , Samuelsson B , Tidermark J , Norling A , Ekstrom W , Cederholm T , Hedstrom M . Early operation on patients with a hip fracture improved the ability to return to independent living: a prospective study of 850 patients. J Bone Joint Surg Am 2008; 90(7): 1436–42.
  • Bartels S , Gjertsen J E , Frihagen F , Rogmark C , Utvag S E . High failure rate after internal fixation and beneficial outcome after arthroplasty in treatment of displaced femoral neck fractures in patients between 55 and 70 years. Acta Orthop 2018; 89(1): 53–8.
  • Beaupre L A , Khong H , Smith C , Kang S , Evens L , Jaiswal P K , Powell J N . The impact of time to surgery after hip fracture on mortality at 30- and 90-days: does a single benchmark apply to all? Injury 2019; 50(4): 950–5.
  • Delgado A , Cordero G G E , Marcos S , Cordero-Ampuero J . Influence of cognitive impairment on mortality, complications and functional outcome after hip fracture: dementia as a risk factor for sepsis and urinary infection. Injury 2020; 51Suppl1: S19–S24
  • Do L N , Kruke T M , Foss O A , Basso T . Reoperations and mortality in 383 patients operated with parallel screws for Garden I–II femoral neck fractures with up to ten years follow-up. Injury 2016; 47(12): 2739–42.
  • Dolatowski F C , Frihagen F , Bartels S , Opland V , Saltyte Benth J , Talsnes O , Hoelsbrekken S E , Utvag S E . Screw fixation versus hemiarthroplasty for nondisplaced femoral neck fractures in elderly patients: a multicenter randomized controlled trial. J Bone Joint Surg Am 2019; 101(2): 136–44.
  • Friedman S M , Menzies I B , Bukata S V , Mendelson D A , Kates S L . Dementia and hip fractures: development of a pathogenic framework for understanding and studying risk. Geriatr Orthop Surg Rehabil 2010; 1(2): 52–62.
  • Gdalevich M , Cohen D , Yosef D , Tauber C . Morbidity and mortality after hip fracture: the impact of operative delay. Arch Orthop Trauma Surg 2004; 124(5): 334–40.
  • Greve K , Modig K , Talback M , Bartha E , Hedstrom M . No association between waiting time to surgery and mortality for healthier patients with hip fracture: a nationwide Swedish cohort of 59,675 patients. Acta Orthop 2020; 91(4): 396–400.
  • Hansson S , Nemes S , Karrholm J , Rogmark C . Reduced risk of reoperation after treatment of femoral neck fractures with total hip arthroplasty. Acta Orthop 2017; 88(5): 500–4.
  • Haugan K , Johnsen L G , Basso T , Foss O A . Mortality and readmission following hip fracture surgery: a retrospective study comparing conventional and fast-track care. BMJ Open 2017; 7(8): e015574.
  • HIP ATTACK Investigators . Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial. Lancet 2020; 395(10225): 698–708.
  • Kammerlander C , Riedmuller P , Gosch M , Zegg M , Kammerlander-Knauer U , Schmid R , Roth T . Functional outcome and mortality in geriatric distal femoral fractures. Injury 2012; 43(7): 1096–101.
  • Khan S K , Kalra S , Khanna A , Thiruvengada M M , Parker M J . Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291,413 patients. Injury 2009; 40(7): 692–7.
  • Konda S R , Pean C A , Goch A M , Fields A C , Egol K A . Comparison of short-term outcomes of geriatric distal femur and femoral neck fractures: results from the NSQIP database. Geriatr Orthop Surg Rehabil 2015; 6(4): 311–15.
  • Krogseth M , Watne L O , Juliebo V , Skovlund E , Engedal K , Frihagen F , Wyller T B . Delirium is a risk factor for further cognitive decline in cognitively impaired hip fracture patients. Arch Gerontol Geriatr 2016; 64(38–44.
  • Larsen P , Ceccotti A A , Elsoe R . High mortality following distal femur fractures: a cohort study including three hundred and two distal femur fractures. Int Orthop 2020; 44(1): 173–7.
  • Larsson G , Stromberg U , Rogmark C , Nilsdotter A . Cognitive status following a hip fracture and its association with postoperative mortality and activities of daily living: a prospective comparative study of two prehospital emergency care procedures. Int J Orthop Trauma Nurs 2019; 35: 100705.
  • Leer-Salvesen S , Engesaeter L B , Dybvik E , Furnes O , Kristensen T B , Gjertsen J E . Does time from fracture to surgery affect mortality and intraoperative medical complications for hip fracture patients? An observational study of 73 557 patients reported to the Norwegian Hip Fracture Register. Bone Joint J 2019; 101-B(9): 1129–37.
  • Leung A H , Lam T P , Cheung W H , Chan T , Sze P C , Lau T , Leung K S . An orthogeriatric collaborative intervention program for fragility fractures: a retrospective cohort study. J Trauma 2011; 71(5): 1390–4.
  • Lindahl H , Malchau H , Herberts P , Garellick G . Periprosthetic femoral fractures: classification and demographics of 1049 periprosthetic femoral fractures from the Swedish National Hip Arthroplasty Register. J Arthroplasty 2005; 20(7): 857–65.
  • Ludvigsson J F , Otterblad-Olausson P , Pettersson B U , Ekbom A . The Swedish personal identity number: possibilities and pitfalls in healthcare and medical research. Eur J Epidemiol 2009; 24(11): 659–67.
  • Ludvigsson J F , Andersson E , Ekbom A , Feychting M , Kim J L , Reuterwall C , Heurgren M , Olausson P O . External review and validation of the Swedish national inpatient register. BMC Public Health 2011; 11:450.
  • Marsland D , Mears S C . A review of periprosthetic femoral fractures associated with total hip arthroplasty. Geriatr Orthop Surg Rehabil 2012; 3(3): 107–20.
  • Mattisson L , Bojan A , Enocson A . Epidemiology, treatment and mortality of trochanteric and subtrochanteric hip fractures: data from the Swedish fracture register. BMC Musculoskelet Disord 2018; 19(1): 369.
  • Mukherjee K , Brooks S E , Barraco R D , Como J J , Hwang F , Robinson B R H , Crandall M L . Elderly adults with isolated hip fractures—orthogeriatric care versus standard care: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2020; 88(2): 266–78.
  • Myers P , Laboe P , Johnson K J , Fredericks P D , Crichlow R J , Maar D C , Weber T G . Patient mortality in geriatric distal femur fractures. J Orthop Trauma 2018; 32(3): 111–15.
  • National Institute for Health and Care Excellence (2011, May 2017). Hip fracture: management (Clinical guideline [CG124]). Available from https://www.nice.org.uk/guidance/cg124 (retrieved April 1, 2020).
  • Nyholm A M , Gromov K , Palm H , Brix M , Kallemose T , Troelsen A , Danish Fracture Database C. Time to surgery is associated with thirty-day and ninety-day mortality after proximal femoral fracture: a retrospective observational study on prospectively collected data from the Danish Fracture Database Collaborators. J Bone Joint Surg Am 2015; 97(16): 1333–9.
  • Nyholm A M , Palm H , Kallemose T , Troelsen A , Gromov K , collaborators D . No association between surgical delay and mortality following distal femoral fractures: a study from the Danish Fracture Database Collaborators. Injury 2017; 48(12): 2833–7.
  • Pedersen S J , Borgbjerg F M , Schousboe B , Pedersen B D , Jorgensen H L , Duus B R , Lauritzen J B . A comprehensive hip fracture program reduces complication rates and mortality. J Am Geriatr Soc 2008; 56(10): 1831–8.
  • Prestmo A , Hagen G , Sletvold O , Helbostad J L , Thingstad P , Taraldsen K , Lydersen S , Halsteinli V , Saltnes T , Lamb S E , Johnsen L G , Saltvedt I . Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. Lancet 2015; 385(9978): 1623–33.
  • Quan H , Li B , Couris C M , Fushimi K , Graham P , Hider P , Januel J M , Sundararajan V . Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries. Am J Epidemiol 2011; 173(6): 676–82.
  • R Development Core Team . R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2017.
  • Sircar P , Godkar D , Mahgerefteh S , Chambers K , Niranjan S , Cucco R . Morbidity and mortality among patients with hip fractures surgically repaired within and after 48 hours. Am J Ther 2007; 14(6): 508–13.
  • Smith J R , Halliday R , Aquilina A L , Morrison R J , Yip G C , McArthur J , Hull P , Gray A , Kelly M B , Collaborative—Orthopaedic Trauma S . Distal femoral fractures: the need to review the standard of care. Injury 2015; 46(6): 1084–8.
  • Streubel P N , Ricci W M , Wong A , Gardner M J . Mortality after distal femur fractures in elderly patients. Clin Orthop Relat Res 2011; 469(4): 1188–96.
  • Svenoy S , Watne L O , Hestnes I , Westberg M , Madsen J E , Frihagen F . Results after introduction of a hip fracture care pathway: comparison with usual care. Acta Orthop 2020; 91(2): 139–45.
  • Watne L O , Torbergsen A C , Conroy S , Engedal K , Frihagen F , Hjorthaug G A , Juliebo V , Raeder J , Saltvedt I , Skovlund E , Wyller T B . The effect of a pre- and postoperative orthogeriatric service on cognitive function in patients with hip fracture: randomized controlled trial (Oslo Orthogeriatric Trial). BMC Med 2014; 12: 63.
  • Wennergren D , Ekholm C , Sandelin A , Moller M . The Swedish Fracture Register: 103,000 fractures registered. BMC Musculoskelet Disord 2015; 16; 338.

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