title: One-year mortality among elderly people after hospitalization due to fall-related fractures: comparison with a control group of matched elderly.
abstract: Fall-related fractures among the elderly represent an important public health problem. Severe fractures have been related to increased risk of death. In order to investigate the mortality profile of elderly individuals with severe fractures, 250 patients aged 60 years and over, hospitalized due to fall-related fractures and 250 elderly without fractures living in the local community were followed-up for one year. They were matched according to sex, age, time of hospitalization and neighborhood. Deaths were identified using probabilistic linkage of the research dataset and the local mortality registry. The one-year cumulative mortality was 25.2% in the case of individuals with severe fractures and 4% for those individuals without. The mortality distribution was not homogeneous across the follow-up period. Two-thirds of deaths among the elderly individuals hospitalized due to fracture occurred within the first 3 months, whereas mortality among those individuals without fractures took place later. Heart disease, pneumonia, GI bleeding, sepsis, and pulmonary embolism, diabetes and stroke were important causes of one-year mortality.
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. esfcoutinho@ensp.fiocruz.br
authors.forename: Evandro Silva Freire
authors.initials: ES
authors.lastname: Coutinho
authors.forename: Katia Vergetti
authors.initials: KV
authors.lastname: Bloch
authors.forename: Claudia Medina
authors.initials: CM
authors.lastname: Coeli
mesh_terms: D000058:Accidental Falls / Q000401:mortality*; D017677:Age Distribution; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000401:mortality*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012737:Sex Factors; D016019:Survival Analysis