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Mortality after inpatient stay for proximal humeral fractures

Journal of Shoulder and Elbow Surgery Sep 03, 2019

Adam J, et al. - A total of 288 consecutive patients who were admitted after sustaining a proximal humeral fracture between January 2007 and January 2011 were recognized by the investigators to ascertain the impact of sustaining a proximal humeral fracture on mortality and to recognize the variables predictive of 5-year mortality. Out of the patients, 13, 28, 46, and 117 had died at 1 month, 3 months, 1 year, and 5 years, respectively. A Cox proportional hazards regression determined independent predictors of 5-year mortality as male gender, comorbidities, unemployment or retirement, and nonoperative management. Thus, old patients who need admission following sustaining a proximal humeral fracture are frail and obedient to a greater-than-average risk of mortality for their age. Moreover, for those of male gender who have comorbidities and a loss of physical and social independence, the risk of mortality is higher.
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