Centenarian hip fracture patients: a nationwide population-based cohort study of 507 patients.

Authors:
Mathias Mosfeldt
Mathias Mosfeldt
Bispebjerg University Hospital
Denmark
Jes B Lauritzen
Jes B Lauritzen
University of Copenhagen
Denmark

Acta Orthop 2019 Apr 18:1-10. Epub 2019 Apr 18.

d Department of Clinical Biochemistry , Hvidovre Hospital, University of Copenhagen , Hvidovre , Denmark.

Background and purpose - Several studies suggest a global increase of centenarians during the 21st century. We describe temporal trends of hip fracture incidence and mortality in this group and compare these patients with a group of younger hip fracture patients with regards to comorbidities and mortality. Patients and methods - The full study population included all hip fractures that occurred in Denmark (n = 154,047) between 1996 and 2012. Patients aged 100 or above were identified (n = 507) and hip fracture patients between the ages of 70 to 99 years (n = 124,007) were used for comparison. Data were accessed from national registries. Trends in incidence over time were analyzed using a log-linear regression model, mortality was analyzed using the Kaplan-Meier estimator and trends in mortality over time were analyzed using a log-binomial regression model to obtain relative risk estimates. Results and interpretation - The centenarian patients had fewer comorbidities than the younger comparison group, but mortality was higher at all timepoints. There was no statistically significant change in mortality over time but the incidence of hip fracture among centenarians decreased during the same time period. Our findings describe the characteristics of an emerging group of hip fracture patients and could be of use in the planning of healthcare in the years to come.

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Source
https://www.tandfonline.com/doi/full/10.1080/17453674.2019.1
Publisher Site
http://dx.doi.org/10.1080/17453674.2019.1602386DOI Listing
April 2019
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References

(Supplied by CrossRef)
Article in Nature
Dong X et al.
Nature 2016

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