title: Gender differences in epidemiology and outcome after hip fracture: evidence from the Scottish Hip Fracture Audit.
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.
authors: Department of Orthopaedic and Trauma Surgery, Hairmyres Hospital, Eaglesham Road, East Kilbride, UK. graemeholt@btinternet.com
authors: G
authors: G
authors: Holt
authors: R
authors: R
authors: Smith
authors: K
authors: K
authors: Duncan
authors: J D
authors: JD
authors: Hutchison
authors: A
authors: A
authors: Gregori
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D003953:Diagnosis-Related Groups; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000453:epidemiology / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology; D012606:Scotland / Q000453:epidemiology; D017678:Sex Distribution; D012737:Sex Factors; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome