Risk factors for contralateral hip fractures following femoral neck fractures in elderly: analysis of the Hungarian nationwide health insurance database
| Autor: | Krisztina Juhász, Andor Sebestyén, Imre Boncz, Tibor Mintál, Balázs Patczai |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Risk medicine.medical_specialty medicine.medical_treatment Population Comorbidity Kaplan-Meier Estimate Femoral Neck Fractures 03 medical and health sciences 0302 clinical medicine Recurrence Internal medicine medicine Humans Orthopedics and Sports Medicine education Aged Proportional Hazards Models Aged 80 and over Hungary 030222 orthopedics education.field_of_study Hip fracture Osteosynthesis business.industry Proportional hazards model Incidence (epidemiology) Rehabilitation Prognosis medicine.disease Arthroplasty Surgery Female 030211 gastroenterology & hepatology business |
| Zdroj: | Joint Diseases and Related Surgery. 27:146-152 |
| ISSN: | 1309-0313 1305-8282 |
| DOI: | 10.5606/ehc.2016.30 |
| Popis: | OBJECTIVES This study aims to investigate the significance of demographic and clinical factors on incidence of second (contralateral) hip fracture in elderly Hungarian population using the nationwide health insurance database in Hungary. PATIENTS AND METHODS The study included a total of 3,783 patients (917 males, 2,866 females) treated for primary monotraumatic femoral neck fractures caused by low-energy trauma in the year 2000. Cox regression and Kaplan-Meier survival analyses, and log-rank test were performed to evaluate the following prognostic factors: age, gender, place of living, type of primary fracture and surgical intervention, hospital providing treatment for primary fracture, and comorbidities. RESULTS A total of 312 patients (8.2%) suffered second hip fractures. The univariate Cox regression analysis showed a significantly higher risk for second hip fracture in patients having advanced age (p=0.001), female gender (p=0.022), living in capital (p=0.024), and having arthroplasty (p=0.001). Advanced age (p≤0.001) and having arthroplasty (p=0.004) were significant risk factors for second hip fractures according to multivariate analysis. Log-rank test showed significantly longer survival in females (p |
| Databáze: | OpenAIRE |
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