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Title: Twelve-month mortality and functional outcomes in hip fracture patients under 65 years of age.
Epworth Authors: de Steiger, Richard
Oppy, Andrew
Other Authors: Ekegren, Christina
Edwards, Elton
Page, Richard
Hau, Raphael
Bucknill, Andrew
Liew, Susan
Gabbe, Belinda
Keywords: Rehabilitation
Hip Fracture
Orthopaedic Injury
Functional Outcomes`
Predictors of Outcome
Activities of Daily Living
Age Factors
Outcome Assessment (Health Care)
Patient Discharge
Statistics & Numerical Data
Quality of Health Care
Survival Rate
Extended Glasgow Outcome Scale
Victorian Orthopaedic Trauma Outcomes Registry
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Oct-2016
Publisher: Elsevier
Citation: Injury. 2016 Oct;47(10):2182-2188
Abstract: INTRODUCTION: There has been a recent call for improved functional outcome reporting in younger hip fracture patients. Younger hip fracture patients represent a different population with different functional goals to their older counterparts. Therefore, previous research on mortality and functional outcomes in hip fracture patients may not be generalisable to the younger population. The aims of this study were to report 12-month survival and functional outcomes in hip fracture patients aged <65 years and predictors of functional outcome. METHODS: Hip fracture patients aged <65years (range 17-64) registered by the Victorian Orthopaedic Trauma Outcomes Registry over four years were included and their 12-month survival and functional outcomes (Extended Glasgow Outcome Scale) reported. Ordered multivariable logistic regression was used to identify predictors of higher function. RESULTS: There were 507 patients enrolled in the study and of the 447 patients (88%) with 12-month outcomes, 24 (5%) had died. The majority of patients had no comorbidities or pre-injury disability and were injured via road trauma or low falls. 40% of patients sustained additional injuries to their hip fracture. 23% of patients had fully recovered at 12 months and 39% reported ongoing moderate disability. After adjusting for all key variables, odds of better function 12-months post-fracture were reduced for patients with co-morbidities, previous disability or additional injuries, those receiving compensation or injured via low falls. CONCLUSIONS: While 12-month survival rates were satisfactory in hip fracture patients aged under 65 years, their functional outcomes were poor, with less than one quarter having fully recovered 12 months following injury. This study provides new information about which patients may have difficulty returning to their pre-injury level of function. These patients may require additional or more intensive post-discharge care in order to fulfil their functional goals and continue to contribute productively to society.
DOI: 10.1016/j.injury.2016.05.033
PubMed URL:
ISSN: 0020-1383
Journal Title: Injury
Type: Journal Article
Affiliated Organisations: Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Department of Orthopaedic Surgery, Alfred Hospital, Melbourne, Australia.
Department of Orthopaedics, University Hospital Geelong, Geelong, Australia
Department of Orthopaedic Surgery, Northern Hospital, Epping, Australia.
Department of Orthopaedic Surgery, Royal Melbourne Hospital, Parkville, Australia.
Department of Surgery, Monash University, Melbourne, Australia.
University of Melbourne, Parkville, Australia.
School of Medicine, Deakin University, Geelong, Australia.
Type of Clinical Study or Trial: Prospective Cohort Study
Appears in Collections:Musculoskeletal

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