- Title
- Relative survival after hospitalisation for hip fracture in older people in New South Wales, Australia
- Creator
- Hindmarsh, Diane; Hayen, Andrew; Finch, Caroline; Close, Jacqueline
- Date
- 2008
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/40039
- Identifier
- vital:406
- Identifier
-
https://doi.org/10.1007/s00198-008-0641-z
- Identifier
- ISSN:0937-941X
- Abstract
- Summary: Survival after hospitalisation for hip fracture by age group and sex relative to survival in the general population was assessed in people aged 65+. Men had double the risk of death compared with women to 1 year, but age effects lasted only to 3 months. Clinical outcomes need to be improved. Introduction: We assessed the relative survival of hospitalised fall-related hip fracture patients aged 65+ years leaving hospital in New South Wales, Australia, between July 2000 and December 2003. Method: We carried out a population-based study of all hospital separations for NSW residents with a principal diagnosis of hip fracture (ICD-10-AM S72.0 to S72.2) and first external cause of fall (ICD-10-AM codes W00 to W19), linked to NSW death data. A total of 16,836 cases were included. Relative survival 3 to 36 months post-admission by 10-year age groups and sex was calculated, using NSW life tables for 2002-2004. Relative excess risk was modelled using a generalised linear model with Poisson error structure, using the life table data. Results: One-year cumulative relative survival in 65- to 74-year-olds was 82% (men), 90% (women); in 85+-year-olds 65% (men), 80% (women). Men have a relative excess risk of death of 2.2 (95% CI 2.03-2.38) times that of women. Only 21% of deaths mention the hip fracture as contributing to death. Conclusion: There is a need to reduce the number of hip fractures and improve clinical outcomes for older people hospitalised with hip fractures. © 2008 International Osteoporosis Foundation and National Osteoporosis Foundation.; C1
- Publisher
- Springer-Verlag
- Relation
- Osteoporosis International Vol. , no. (2008), p. 1-9
- Rights
- Copyright Springer
- Rights
- Open Access
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1103 Clinical Sciences; Hip fractures; Mortality; Older people; Relative survival
- Full Text
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