Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
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Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012. / Jantzen, Christopher; Madsen, Christian M; Lauritzen, Jes B; Jørgensen, Henrik L.
In: Acta Orthopaedica, Vol. 89, No. 2, 2018, p. 170-176.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Temporal trends in hip fracture incidence, mortality, and morbidity in Denmark from 1999 to 2012
AU - Jantzen, Christopher
AU - Madsen, Christian M
AU - Lauritzen, Jes B
AU - Jørgensen, Henrik L
PY - 2018
Y1 - 2018
N2 - Background and purpose - While development in hip fracture incidence and mortality is well examined, none has yet looked at the temporal trends regarding prevalence of co-morbidities. Therefore we investigated changes in incidence of first hip fracture, co-morbidity prevalence, 30 day- and 1-year mortality in hip fracture patients in the Danish population during the period 1999 to 2012. Patients and methods - Patients >18 years admitted with a fractured hip in Denmark between 1996 and 2012 were identified with data for the period 1999-2012 being analyzed regarding prevalence of co-morbidities, incidence, and mortality. Results - 122,923 patients were identified. Incidence in the whole population declined but sex-specific analysis showed no changes for men. For the whole study population, 30-day and 1-year mortality remained unchanged. Age at time of first hip fracture also remained unchanged. Of the included co-morbidities a decrease in prevalence of malignancy and dementia in women was found while there was an increase in the prevalence of all remaining co-morbidities, except hemi- or paraplegia for both sexes, rheumatic diseases for women, and for men diabetes with complications, myocardial infarction, AIDS/HIV, and malignancy. Interpretation - While hip fracture incidence declined for women it was unchanged for men; likewise, 30-day and 1-year mortality rates together with age at first fracture remained unchanged. When these results are compared with the relatively large increase in the prevalence of co-morbidities, it does not seem likely that the increased disease burden is affecting either the incidence or the mortality.
AB - Background and purpose - While development in hip fracture incidence and mortality is well examined, none has yet looked at the temporal trends regarding prevalence of co-morbidities. Therefore we investigated changes in incidence of first hip fracture, co-morbidity prevalence, 30 day- and 1-year mortality in hip fracture patients in the Danish population during the period 1999 to 2012. Patients and methods - Patients >18 years admitted with a fractured hip in Denmark between 1996 and 2012 were identified with data for the period 1999-2012 being analyzed regarding prevalence of co-morbidities, incidence, and mortality. Results - 122,923 patients were identified. Incidence in the whole population declined but sex-specific analysis showed no changes for men. For the whole study population, 30-day and 1-year mortality remained unchanged. Age at time of first hip fracture also remained unchanged. Of the included co-morbidities a decrease in prevalence of malignancy and dementia in women was found while there was an increase in the prevalence of all remaining co-morbidities, except hemi- or paraplegia for both sexes, rheumatic diseases for women, and for men diabetes with complications, myocardial infarction, AIDS/HIV, and malignancy. Interpretation - While hip fracture incidence declined for women it was unchanged for men; likewise, 30-day and 1-year mortality rates together with age at first fracture remained unchanged. When these results are compared with the relatively large increase in the prevalence of co-morbidities, it does not seem likely that the increased disease burden is affecting either the incidence or the mortality.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Denmark/epidemiology
KW - Female
KW - Hip Fractures/complications
KW - Humans
KW - Incidence
KW - Male
KW - Middle Aged
KW - Prevalence
KW - Registries
KW - Retrospective Studies
KW - Sex Distribution
KW - Survival Rate
KW - Young Adult
U2 - 10.1080/17453674.2018.1428436
DO - 10.1080/17453674.2018.1428436
M3 - Journal article
C2 - 29388458
VL - 89
SP - 170
EP - 176
JO - Acta Orthopaedica
JF - Acta Orthopaedica
SN - 1745-3674
IS - 2
ER -
ID: 218431405