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Erschienen in: MUSCULOSKELETAL SURGERY 1/2012

01.06.2012 | Original Article

Epidemiology of hip fractures in northwestern Italy: a multicentric regional study on incidence of hip fractures and their outcome at 3-year follow-up

verfasst von: Federico Dettoni, Alberto Peveraro, Angelo Dettoni, Roberto Rossi, Filippo Castoldi, Ali Zareh, Fabrizio Amberti, Alessio Giai Via, Davide Bonasia

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 1/2012

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Abstract

Piedmont is a region in northwestern Italy counting 4.2 million inhabitants. The purpose of our study was to update data on incidence and outcomes of hip fractures (HF) in our region to present days. The data of all patients affected by HF in 2003 in Piedmont (total: 5,386 patients) were analyzed, determining the incidence of HF, mean age, sex, fracture pattern and treatment adopted. Additionally, 564 patients underwent a questionnaire on comorbidities, complications, functional outcome and survivorship. Overall incidence of HF was 126.13/100,000 inhabitants-year. Mean hospitalization was 13.67 days. Mean time to surgery was 2.67 days. Survivorship was 94% at 3-month, 71.32% at 1-year and 60.21% at 3-year follow-up. These up-to-date data on HF in our region are in accordance with the international literature and could prove useful for Orthopaedic and Trauma surgeons for giving information to patients and their relatives.
Literatur
1.
Zurück zum Zitat Braithwaite RS, Col NF, Wong JB (2003) Estimating hip fracture morbidity, mortality and costs. JAGS 51:364–370CrossRef Braithwaite RS, Col NF, Wong JB (2003) Estimating hip fracture morbidity, mortality and costs. JAGS 51:364–370CrossRef
2.
Zurück zum Zitat Johnell O (1997) The socioeconomic burden of fractures: today and in the 21st century. Am J Med 103:20S–25SPubMedCrossRef Johnell O (1997) The socioeconomic burden of fractures: today and in the 21st century. Am J Med 103:20S–25SPubMedCrossRef
3.
Zurück zum Zitat Autier P, Haentjens P, Bentin J et al (2000) Costs induced by hip fractures: a prospective controlled study in Belgium. Belgian Hip Fracture Study Group Osteoporos Int 11:373–380 Autier P, Haentjens P, Bentin J et al (2000) Costs induced by hip fractures: a prospective controlled study in Belgium. Belgian Hip Fracture Study Group Osteoporos Int 11:373–380
4.
Zurück zum Zitat Cummings SR, Rubin SM, Black D (1990) The future of hip fractures in the United States. Numbers, costs and potential effects of postmenopausal estrogen. Clin Orthop 252:163–166 Cummings SR, Rubin SM, Black D (1990) The future of hip fractures in the United States. Numbers, costs and potential effects of postmenopausal estrogen. Clin Orthop 252:163–166
5.
Zurück zum Zitat International Osteoporosis Foundation (2002) Osteoporosis in the European Community: a call for action. International Osteoporosis Foundation, Lyon International Osteoporosis Foundation (2002) Osteoporosis in the European Community: a call for action. International Osteoporosis Foundation, Lyon
6.
Zurück zum Zitat Van Balen R, Steyerberg EW, Polder J, Ribbers T, Habbema J, Cools H (2001) Hip fracture in elderly patients: outcomes for function, quality of life and type of residence. Clin Orthop 390:232–243PubMedCrossRef Van Balen R, Steyerberg EW, Polder J, Ribbers T, Habbema J, Cools H (2001) Hip fracture in elderly patients: outcomes for function, quality of life and type of residence. Clin Orthop 390:232–243PubMedCrossRef
7.
Zurück zum Zitat Kirkwood BR, Sterne JAC (2003) Essential medical statistics, 2nd edn. Blackwell, Oxford Kirkwood BR, Sterne JAC (2003) Essential medical statistics, 2nd edn. Blackwell, Oxford
8.
Zurück zum Zitat Rossini M, Piscitelli P, Fitto F, Camboa P, Agneli A, Guida G, Adami S (2005) Incidenza e costi delle fratture di femore in Italia. Reumatismo 57(2):97–102PubMed Rossini M, Piscitelli P, Fitto F, Camboa P, Agneli A, Guida G, Adami S (2005) Incidenza e costi delle fratture di femore in Italia. Reumatismo 57(2):97–102PubMed
9.
Zurück zum Zitat Roder F, Schwab M, Aleker T et al (2003) Proximal femur fracture in older patients—rehabilitation and clinical outcome. Age Agein 32:74–80CrossRef Roder F, Schwab M, Aleker T et al (2003) Proximal femur fracture in older patients—rehabilitation and clinical outcome. Age Agein 32:74–80CrossRef
10.
Zurück zum Zitat Aharonoff GB, Koval KJ, Skovron ML (1997) Hip fractures in the elderly: predictors of one year mortality. J Orthop Trauma 11:162–165PubMedCrossRef Aharonoff GB, Koval KJ, Skovron ML (1997) Hip fractures in the elderly: predictors of one year mortality. J Orthop Trauma 11:162–165PubMedCrossRef
11.
Zurück zum Zitat Paksima N, Koval KJ, Aharanoff G, Walsh M, Kubiak EN, Zuckerman JD, Egol KA (2008) Predictors of mortality after hip fracture. A 10-years prospective study. Bull NYU Hosp Jt Dis 66(2):111–117 Paksima N, Koval KJ, Aharanoff G, Walsh M, Kubiak EN, Zuckerman JD, Egol KA (2008) Predictors of mortality after hip fracture. A 10-years prospective study. Bull NYU Hosp Jt Dis 66(2):111–117
12.
Zurück zum Zitat Bottle A, Aylin P (2006) Mortality associated with delay in operation after hip fracture: observational study. BMJ 332:947–950 Bottle A, Aylin P (2006) Mortality associated with delay in operation after hip fracture: observational study. BMJ 332:947–950
13.
Zurück zum Zitat Clague JE, Craddick E, Andrew G et al (2002) Predictors of outcome following hip fracture. Admission time predicts length of stay and in-hospital mortality. Injury 33:1–6PubMedCrossRef Clague JE, Craddick E, Andrew G et al (2002) Predictors of outcome following hip fracture. Admission time predicts length of stay and in-hospital mortality. Injury 33:1–6PubMedCrossRef
14.
Zurück zum Zitat Geiger F, Zimmerrmann-Stenzel M, Heisler C, Lehner B, Daecker W (2007) Trochanteric fractures in the elderly: the influence of primary hip arthroplasty on 1-year mortality. Arch Orthop Trauma Surg 127:959–966 Geiger F, Zimmerrmann-Stenzel M, Heisler C, Lehner B, Daecker W (2007) Trochanteric fractures in the elderly: the influence of primary hip arthroplasty on 1-year mortality. Arch Orthop Trauma Surg 127:959–966
15.
Zurück zum Zitat Press Y, Grinshpun Y, Berzak A, Friger M, Clarfield AM (2007) The effect of co-morbidity on the rehabilitation process in elderly patient after hip fracture. Arch Gerontol Geriatr 45(3):281–294 Press Y, Grinshpun Y, Berzak A, Friger M, Clarfield AM (2007) The effect of co-morbidity on the rehabilitation process in elderly patient after hip fracture. Arch Gerontol Geriatr 45(3):281–294
16.
Zurück zum Zitat Boonen S, Autier P, Barette M, Vanderschueren D, Lips P, Haentjens P (2004) Functional outcome and quality of life following hip fracture in elderly women: a prospective controlled study. Osteoporos Int 15(2):87–94 Boonen S, Autier P, Barette M, Vanderschueren D, Lips P, Haentjens P (2004) Functional outcome and quality of life following hip fracture in elderly women: a prospective controlled study. Osteoporos Int 15(2):87–94
17.
Zurück zum Zitat Spina M, Betelli G, Marinelli A, Stagni C, Giunti A (2004) Fattori prognostici e mortalità nelle fratture del collo del femore nell’anziano. OdV-Gli Ospedali della Vita anno XXI(1):1–8 Spina M, Betelli G, Marinelli A, Stagni C, Giunti A (2004) Fattori prognostici e mortalità nelle fratture del collo del femore nell’anziano. OdV-Gli Ospedali della Vita anno XXI(1):1–8
18.
Zurück zum Zitat Grimes JP, Gregory PM, Noveck H, Butler MS, Carson JL (2002) The effects of time to-surgery on mortality and morbidity in patients following hip fracture. Am J Med 112:702–709PubMedCrossRef Grimes JP, Gregory PM, Noveck H, Butler MS, Carson JL (2002) The effects of time to-surgery on mortality and morbidity in patients following hip fracture. Am J Med 112:702–709PubMedCrossRef
19.
Zurück zum Zitat Amer N, Samuelsson B, Tidermark J, Norling A, Ekstrom W, Cederholm T, Hedstrom M (2008) Early operation on patient with a hip fracture improved the ability to return to independent living. JBJS (American) 90:1436–1442 Amer N, Samuelsson B, Tidermark J, Norling A, Ekstrom W, Cederholm T, Hedstrom M (2008) Early operation on patient with a hip fracture improved the ability to return to independent living. JBJS (American) 90:1436–1442
20.
Zurück zum Zitat Rogers FB, Shackford SR, Keller MS (1995) Early fixation reduces morbidity and mortality in elderly patients with hip fractures from low-impact falls. J Trauma 39:261–265PubMedCrossRef Rogers FB, Shackford SR, Keller MS (1995) Early fixation reduces morbidity and mortality in elderly patients with hip fractures from low-impact falls. J Trauma 39:261–265PubMedCrossRef
21.
Zurück zum Zitat Christopher P, Moran G, Wenn RT, Sikand M, Taylor M (2005) Early mortality after hip fracture: is delay surgery important? J Bone Joint Surg Am 87:483–489 Christopher P, Moran G, Wenn RT, Sikand M, Taylor M (2005) Early mortality after hip fracture: is delay surgery important? J Bone Joint Surg Am 87:483–489
22.
Zurück zum Zitat Shiga T, Wajima Z, Ohe Y (2008) Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis and meta-regression. Can J Anaesth 55(3):146–154PubMedCrossRef Shiga T, Wajima Z, Ohe Y (2008) Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis and meta-regression. Can J Anaesth 55(3):146–154PubMedCrossRef
23.
Zurück zum Zitat Bansal R, Watson DK (2005) Surgical delay in acute admission on warfarin: are we doing enough? Department of Orthopaedics, Wrexham Maelor Hospital, UK. Int J Clin Pract 59(11):1283–1288 Bansal R, Watson DK (2005) Surgical delay in acute admission on warfarin: are we doing enough? Department of Orthopaedics, Wrexham Maelor Hospital, UK. Int J Clin Pract 59(11):1283–1288
24.
Zurück zum Zitat Kearon C, Hirsh J (1997) Management of anticoagulation before and after elective surgery. N Engl J Med 336:1506–1511PubMedCrossRef Kearon C, Hirsh J (1997) Management of anticoagulation before and after elective surgery. N Engl J Med 336:1506–1511PubMedCrossRef
25.
Zurück zum Zitat Kuisma R (2002) A randomized, controlled comparison of home versus institutional rehabilitation of patients with hip fracture. Clin Rehabil 16:553–561PubMedCrossRef Kuisma R (2002) A randomized, controlled comparison of home versus institutional rehabilitation of patients with hip fracture. Clin Rehabil 16:553–561PubMedCrossRef
26.
Zurück zum Zitat Huusko TM, Karpp P, Avikainen V et al (2000) Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: Subgroup analysis of patients with dementia. BMJ 321:1107–1111PubMedCrossRef Huusko TM, Karpp P, Avikainen V et al (2000) Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: Subgroup analysis of patients with dementia. BMJ 321:1107–1111PubMedCrossRef
Metadaten
Titel
Epidemiology of hip fractures in northwestern Italy: a multicentric regional study on incidence of hip fractures and their outcome at 3-year follow-up
verfasst von
Federico Dettoni
Alberto Peveraro
Angelo Dettoni
Roberto Rossi
Filippo Castoldi
Ali Zareh
Fabrizio Amberti
Alessio Giai Via
Davide Bonasia
Publikationsdatum
01.06.2012
Verlag
Springer Milan
Erschienen in
MUSCULOSKELETAL SURGERY / Ausgabe 1/2012
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-011-0159-y

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