title: Mortality after femoral neck fractures: a two-year follow-up.
abstract: OBJECTIVE
  To identify the survival and standardized mortality ratio with respect to gender, age, and treatment method of patients treated for femoral neck fractures.
  
  
  METHODS
  A retrospective review of medical records of 736 patients treated for femoral neck fractures at Vilnius University Emergency Hospital during 2004-2006 was carried out.
  
  
  RESULTS
  The overall 1- and 2-year survival rates were 77.4% and 67.1%, respectively. Lower survival rates were observed in the internal fixation group than in the primary and secondary total hip arthroplasty groups (63.2% vs. 72.0% and 75.1%). Cox proportional hazards model analysis showed patient age to be a significant risk factor for survival (hazard ratio, 1.05; 95% CI, 1.04-1.07; P<0.001). The overall standardized mortality ratio was 2.50. The standardized mortality ratios for men and women were 3.07 and 2.27, respectively, but the difference between these groups was not significant.
  
  
  CONCLUSIONS
  Standardized mortality and survival rates decreased with increasing patients' age. Significantly lower survival rates were documented in the internal fixation group as compared with primary and secondary total hip arthroplasty groups. There was a trend toward a higher standardized mortality ratio in men than women, but the difference was not significant.
authors.affiliation: Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Medical Faculty, Vilnius University, 2nd Department of Orthopaedic Surgery, Vilnius University Emergency Hospital, Šiltnamių 29, 04130 Vilnius, Lithuania. jauniusk1@yahoo.com
authors.forename: Jaunius
authors.initials: J
authors.lastname: Kurtinaitis
authors.forename: Jolanta
authors.initials: J
authors.lastname: Dadonienė
authors.forename: Giedrius
authors.initials: G
authors.lastname: Kvederas
authors.forename: Narūnas
authors.initials: N
authors.lastname: Porvaneckas
authors.forename: Tomas
authors.initials: T
authors.lastname: Butėnas
mesh_terms: D000368:Aged; D005260:Female; D005265:Femoral Neck Fractures / Q000401:mortality* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008097:Lithuania / Q000453:epidemiology; D008297:Male; D008875:Middle Aged