30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations

30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations

Background and purpose — Few studies have reported the mortality rate after skeletal fractures involving different locations, within the same population. We analyzed the 30-day and 1-year mortality rates following different fractures. Patients and methods — We included 295,713 fractures encountered...

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Autores principales: Camilla Bergh, Michael Möller, Jan Ekelund, Helena Brisby
Formato: article
Lenguaje:EN
Publicado: Taylor & Francis Group 2021
Materias:
Orthopedic surgery
RD701-811
Acceso en línea:https://doaj.org/article/39ef4c5ee72946f582f831fc81bfdec5
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spelling oai:doaj.org-article:39ef4c5ee72946f582f831fc81bfdec52021-11-26T11:19:48Z30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations1745-36741745-368210.1080/17453674.2021.1959003https://doaj.org/article/39ef4c5ee72946f582f831fc81bfdec52021-10-01T00:00:00Zhttp://dx.doi.org/10.1080/17453674.2021.1959003https://doaj.org/toc/1745-3674https://doaj.org/toc/1745-3682Background and purpose — Few studies have reported the mortality rate after skeletal fractures involving different locations, within the same population. We analyzed the 30-day and 1-year mortality rates following different fractures. Patients and methods — We included 295,713 fractures encountered in patients 16–108 years of age, registered in the Swedish Fracture Register (SFR) from 2012 to 2018. Mortality rates were obtained by linkage of the SFR to the Swedish Tax Agency population register. The standardized mortality ratios (SMR) at 30 days and 1 year were calculated for fractures in any location and for each of 27 fracture locations, using age- and sex-life tables from Statistics Sweden (www.scb.se). Results — The overall SMR at 30 days was 6.8 (95% CI 6.7–7.0) and at 1 year 2.2 (CI 2.2–2.2). The SMR was > 2 for 19/27 and 13/27 of the fracture locations at 30 days and 1 year, respectively. Humerus, femur, and tibial diaphysis fractures were all associated with high SMR, at both 30 days and 1 year. Interpretation — Patients sustaining a fracture had approximately a 7-fold increased mortality at 30 days and over 2-fold increased mortality at 1 year as compared with what would be expected in the general population. High mortality rates were seen for patients with axial skeletal and proximal extremity fractures, indicating frailty in these patient groups.Camilla BerghMichael MöllerJan EkelundHelena BrisbyTaylor & Francis GrouparticleOrthopedic surgeryRD701-811ENActa Orthopaedica, Vol 92, Iss 6, Pp 739-745 (2021)
institution DOAJ
collection DOAJ
language EN
topic Orthopedic surgery
RD701-811
spellingShingle Orthopedic surgery
RD701-811
Camilla Bergh
Michael Möller
Jan Ekelund
Helena Brisby
30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations
description Background and purpose — Few studies have reported the mortality rate after skeletal fractures involving different locations, within the same population. We analyzed the 30-day and 1-year mortality rates following different fractures. Patients and methods — We included 295,713 fractures encountered in patients 16–108 years of age, registered in the Swedish Fracture Register (SFR) from 2012 to 2018. Mortality rates were obtained by linkage of the SFR to the Swedish Tax Agency population register. The standardized mortality ratios (SMR) at 30 days and 1 year were calculated for fractures in any location and for each of 27 fracture locations, using age- and sex-life tables from Statistics Sweden (www.scb.se). Results — The overall SMR at 30 days was 6.8 (95% CI 6.7–7.0) and at 1 year 2.2 (CI 2.2–2.2). The SMR was > 2 for 19/27 and 13/27 of the fracture locations at 30 days and 1 year, respectively. Humerus, femur, and tibial diaphysis fractures were all associated with high SMR, at both 30 days and 1 year. Interpretation — Patients sustaining a fracture had approximately a 7-fold increased mortality at 30 days and over 2-fold increased mortality at 1 year as compared with what would be expected in the general population. High mortality rates were seen for patients with axial skeletal and proximal extremity fractures, indicating frailty in these patient groups.
format article
author Camilla Bergh
Michael Möller
Jan Ekelund
Helena Brisby
author_facet Camilla Bergh
Michael Möller
Jan Ekelund
Helena Brisby
author_sort Camilla Bergh
title 30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations
title_short 30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations
title_full 30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations
title_fullStr 30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations
title_full_unstemmed 30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations
title_sort 30-day and 1-year mortality after skeletal fractures: a register study of 295,713 fractures at different locations
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/39ef4c5ee72946f582f831fc81bfdec5
work_keys_str_mv AT camillabergh 30dayand1yearmortalityafterskeletalfracturesaregisterstudyof295713fracturesatdifferentlocations
AT michaelmoller 30dayand1yearmortalityafterskeletalfracturesaregisterstudyof295713fracturesatdifferentlocations
AT janekelund 30dayand1yearmortalityafterskeletalfracturesaregisterstudyof295713fracturesatdifferentlocations
AT helenabrisby 30dayand1yearmortalityafterskeletalfracturesaregisterstudyof295713fracturesatdifferentlocations
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