Background The Mediko-social importance of an osteoporosis is defined by its consequences – crises of vertebras and bones of the peripheral skeleton, causing high indicators of a lethality among persons of the senior age group.
Objectives To examine outcomes in low-traumatic fractures of the proximal femur in older age groups in Kemerovo during the observation periods: 0-6, 7-12, 13-24 months.
Methods Mortality among 432 residents of Kemerovo at the age of 50 and older who were seen at trauma departments from 01 January 2004 to December 31, 2008 has been analyzed. The information about fractures and their outcome was obtained according to the medical records of specialized trauma departments (medical history, dropped out patients’ maps of the hospital), the telephone survey, registration data of registry offices.
Results Analysis of women mortality with the following results: for 6 months 73 (22,25%) of 328 women died, during the period 7-12 months - 31 (12,15%) of 255 patients, between 13-24 months - 36 (16,07%) of the 224 remaining under the supervision. It is noted that mortality with women was significantly higher during the first 6 months after injury than after 7-12 months (χ2=6,3; p<0.001) and after 13-24 months (χ2=2,21; p=0,04). No significant differences in the comparative analysis of mortality rates with women during periods of 7-12 months and 13-24 months (p=0,21).
Men’s mortality in the study period of observation was as follows: for the first 6 months 22 patients died (21,15%) of 104 ones, during the period 7-12 months mortality increase was 11 (13,41%) of 82 patients, during the period 13-24 months - 11 of 71 (15,49%) patients. No significant differences in all the periods of observation have been received: for 0-6 months and 7-12 months (χ2=1,2; p=0,17) for 7-12 months and 13-24 months (χ2=0,46; p=0.7) for 0-6 months and 13-24 months (χ2=0,9; p=0,3).
Conclusions Thus, these results indicate significantly higher mortality during the first 6 months after hip fracture with women. No statistically significant differences in mortality among men are revealed.
Disclosure of Interest None Declared
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