Cervical hip fracture in a Finnish population: incidence and mortality.
OBJECTIVE
Our aim was to describe the incidence of cervical hip fractures and to describe the relationships between selected background variables and mortality at 30 days, 6 months, and 3 years postoperatively.


METHODS
The basic material consisted of population-based data set of patients aged 65 years or older who had sustained a hip fracture and were treated operatively between 1999 and 2000. Out of these, we identified 266 consecutive patients with cervical hip fracture.


RESULTS
The age-adjusted incidence of cervical hip fractures in women was 1.3-fold compared to men. In age-adjusted analysis, occurrence of chronic lung disease, cardiovascular disease or 2-5 comorbidities, male gender, the need for 2-person mobility assistance, and poor ambulation postoperatively were associated with excess mortality at least at one evaluation point.


CONCLUSIONS
Only chronic lung disease and male gender were independent predictors of increased mortality at each follow-up assessment in multivariate analysis.
Panula
J
J
Tampere University Central Hospital, Tampere, Finland. jorma.panula@pori.fi
Pihlajamäki
H
H
Sävelä
M
M
Jaatinen
P T
PT
Vahlberg
T
T
Aarnio
P
P
Kivelä
S L
SL
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D005387:Finland / Q000453:epidemiology; D006620:Hip Fractures / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D015994:Incidence; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D015996:Survival Rate; D016896:Treatment Outcome