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Mohd Said Dawod,1 Mohammed S Alisi,2,3 Yaser O Saber,4 Qusai A Abdel-Hay,4 Basil M Al-Aktam,4 Yesar Alfaouri,4 Lama B Alfraihat,4 Ashraf A Albadaineh,4 Amr Z Abuqudiri,4 Rabea M Odeh,4 Anas AR Altamimi,5 Mutaz A Alrawashdeh,6 Mohanad M Alebbini,6 Omran A Abu-Dhaim,6 Ali A Al-Omari,6 Ihab Alaqrabawi,2 Mohammad N Alswerki,2 Abdelrahman Abuawad,2 Mohammad R Al Nawaiseh,2 Yazan Hammad,7 Jihad Al-Ajlouni2 1Department of Special Surgery, Division of Orthopaedics, School of Medicine, Mutah University, Al Karak, Jordan; 2Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan; 3Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine; 4Ministry of Health, Amman, Jordan; 5Department of General and Specialized Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan; 6Department of Special Surgery, Division of Orthopaedic Surgery, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan; 7Orthopedic Department, North Middlesex University Hospital, London, UKCorrespondence: Mohammed S Alisi, Division of Orthopaedics, Department of Special Surgery, School of Medicine, The University of Jordan, Queen Rania Al Abdullah St 266, Al Jubaiha, Amman, 11942, Jordan, Tel +962 790983284, Email m.elessi2007@hotmail.comBackground: Elderly hip fractures represent a global health care burden. Several reports expected a massive increase in the incidence of hip fractures by the next few decades. Knowing the epidemiology of hip fractures is crucial for planning health care policies. The purpose of this study is to provide a nationwide epidemiological overview of hip fractures in Jordan and to report the perioperative outcomes that may help to improve the delivered healthcare. .Methods: We conducted a retrospective study at 2 university hospitals and 2 major governmental hospitals in Jordan. We reviewed the records for all patients (age > 55 years) who were diagnosed with hip fractures over a 3 years duration (2019– 2021). We documented the patient’s characteristics and the perioperative data (including preoperative, intraoperative, and postoperative details including the 1-year mortality).Results: The total number of included patients was 1268; more than half (53.7%) were females. The mean age is 75 years (SD 9.7). The most common fracture type was trochanteric (66.2%). 7% of patients had a prior contralateral hip fracture. The average time from admission to surgery was 2.96 days (SD 2.63). The surgery was done within 48 hours for 56.7% of patients. Approximately, one-third of all patients (34.5%) received a blood transfusion. The average length of hospital stay is 7.44 days (SD 5). The overall rate of postoperative thromboembolic events, readmission within 1 month, and revision for the same surgery are 2.4%, 10.7%, and 3% respectively. The 1-month, 6-month, and 12-month mortality rates are 4.5%, 9.1%, and 12.8% respectively.Conclusion: The annual incidence of elderly hip fractures in Jordan is approximately 96 per 100,000 individuals. The 1-year mortality rate of hip fractures in Jordan is 12.8%. Both findings are in the lower range of nearby Arab countries.Keywords: hip fracture, elderly, epidemiology, incidence, mortality, Jordan |
