29.
Mortality in Young Hip Fracture Patients
Peter Max Jensen, Troels Riis, Susanne van der Mark, Benn Rønnow Duus,
Jes Bruun Lauritzen, Ole Birger Vesterager Pedersen
Orthopedic Surgery Bispebjerg; Orthopedic Surgery, Bispebjerg; Orthopedic
Surgery, Bispebjerg; Orthopedic Surgery, Bispebjerg; Orthopedic Surgery,
Bispebjerg; Clinical Immunology, Naestved Hospital
Background:
Hip fracture patients are mostly elderly and fragile. It is
generally known that patients with hip fractures have a severely increased
mortality in this population. Approximately 10 % of patients with hip fractures
are 65 years or below. However it is not known whether this group has the
same increased mortality and the same need for special attention as the elderly
group.
Purpose / Aim of Study:
To study if there is increased mortality in the hip
fracture patients aged 65 years or below.
Materials and Methods:
Medical data on all hip fracture patients admitted to
our department from September 2008 to December 2011 were collected and
registered in the hip fracture database at Bispebjerg Hospital. A total of 210
patients out of 1,645 were 65 years or below. Scrutiny of medical records was
performed to determine severity of trauma and cause of death.
Findings / Results:
Total number of deaths within the observation period was
19/210 (9%),
with a mean age of 57.6 years and a male/female ratio of 1:3. In-
hospital mortality was zero, mortality within the first month after the fracture
was 2.9 %, between one and three months it was 1.4 %, and between three and
nine months it was 0.5 %. Thus, it seemed that most deaths occurred close to
time of fracture. None of the deaths were related to trauma. In 2011, the yearly
mortality for men and women between 50 and 65 years of age in the general
Danish population was 0.5 %.
Conclusions:
Just as in older hip fracture patients, we found a substantial
increase in mortality in the months following the fracture among patients aged
65
years or below. Consequently, we recommend that this group of patients
receives special attention and that further studies be conducted to determine
the exact causes of death.
