Gender differences in epidemiology and outcome after hip fracture: Evidence from the Scottish hip fracture audit

G Holt, R Smith, K Duncan, J D Hutchison, A Gregori

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Abstract

We report gender differences in the epidemiology and outcome after hip fracture from the Scottish Hip Fracture Audit, with data on admission and at 120 days follow-up from 22 orthopaedic units across the country between 1998 and 2005. Outcome measures included early mortality, length of hospital stay, 120-day residence and mobility. A multivariate logistic regression model compared outcomes between genders. The study comprised 25 649 patients of whom 5674 (22%) were men and 19 975 (78%) were women. The men were in poorer pre-operative health, despite being younger at presentation (mean 77 years (60 to 101) vs 81 years (50 to 106)). Pre-fracture residence and mobility were similar between genders. Multivariate analysis indicated that the men were less likely to return to their home or mobilise independently at the 120-day follow-up. Mortality at 30 and 120 days was higher for men, even after differences in case-mix variables between genders were considered.
Original languageEnglish
Pages (from-to)480-483
Number of pages4
JournalThe Journal of Bone and Joint Surgery - British volume
Volume90
Issue number4
DOIs
Publication statusPublished - Apr 2008

Keywords

  • aged
  • aged, 80 and over
  • analysis of Variance
  • diagnosis-related groups
  • female
  • follow-up studies
  • hip fractures
  • humans
  • male
  • middle aged
  • osteoporosis
  • outcome assessment (health care)
  • patient discharge
  • quality of life
  • Scotland
  • sex distribution
  • sex factors
  • survival rate
  • treatment outcome
  • mortality
  • age
  • women
  • men

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