Twelve month mortality rates and independent living in people aged 65 years or older after isolated hip fracture: A prospective registry-based study
Injury Nov 29, 2019
Melita JG, Christina E, Jennifer G, et al. - Researchers sought for the patient and injury characteristics that are linked with 12-month mortality rates and living independently after isolated hip fracture. They included 4,912 older adults aged ≥ 65 years with an isolated hip fracture from the Victorian Orthopaedic Trauma Outcomes Registry. Of these, 28% died, 46% had a moderate-severe disability, and 26% were living independently 12 months postinjury. They identified lower mortality rates in women, and in people injured in a high fall vs low fall. The mortality rates were higher in people in the older age groups, living in areas with the highest level of socioeconomic disadvantage, with a Charlson Comorbidity Index weightings of one or more than one, whose injury occurred in a residential institution vs at home, resulted in intensive care unit admission, and did not have surgery vs internal fixation. They observed independent living to be inversely associated with most of the same characteristics; however, lower odds of living independently were observed among people if they were from metropolitan residential areas vs rural areas, or had mild-moderate or marked-severe preinjury disability vs no preinjury disability.
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