Demographic factors in hip fracture incidence and mortality rates in California, 2000–2011
| Autor: | Lisa Husak, Kristynn J. Sullivan, Maria Altebarmakian, W. Timothy Brox |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Gerontology Population 030209 endocrinology & metabolism Race/ethnicity California 03 medical and health sciences symbols.namesake Age Distribution Age 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Poisson regression Mortality Sex Distribution education Aged Aged 80 and over education.field_of_study Hip fracture Asian Hip Fractures business.industry Incidence Incidence (epidemiology) Mortality rate Gender Hispanic or Latino Odds ratio Middle Aged medicine.disease Confidence interval Black or African American Hospitalization Master file symbols Female Demographics Surgery business Research Article Demography |
| Zdroj: | Journal of Orthopaedic Surgery and Research |
| ISSN: | 1749-799X |
| Popis: | Background Hip fractures result in both health and cost burdens from a public health perspective and have a major impact on the health care system in the USA. The purpose was to examine whether there were systematic differences in hip fracture incidence and 30-, 90-, and 365-day mortality after hip fracture in the California population as a function of age, gender, and race/ethnicity from 2000–2011. Methods This was a population-based study from 2000 to 2011 using data from the California Office of Statewide Health and Planning and Development (OSHPD, N = 317,677), California State Death Statistical Master File records (N = 224,899), and the US Census 2000 and 2010. There were a total of 317,677 hospital admissions for hip fractures over the 12-year span and 24,899 deaths following hip fractures. All participants without linkage (substituted for social security) numbers were excluded from mortality rate calculations. Variation in incidence and mortality rates across time, gender, race/ethnicity, and age were assessed using Poisson regression models. Odds ratio and 95 % confidence intervals are provided. Results The incidence rate of hip fractures decreased between 2000 and 2011 (odds ratio (OR) = 0.98, 95 % confidence interval (CI) 0.98, 0.98). Mortality rates also decreased over time. There were gender, race/ethnicity, and age group differences in both incidence and mortality rates. Conclusions Males were half as likely to sustain a hip fracture, but their mortality within a year of the procedure is almost twice the rate than women. As age increased, the prevalence of hip fracture increased dramatically, but mortality did not increase as steeply. Caucasians were more likely to sustain a hip fracture and to die within 1 year after a hip fracture. The disparities in subpopulations will allow for targeted population interventions and opportunities for further research. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|