title: Is there a difference in timing and cause of death after fractures in the elderly?
abstract: BACKGROUND
  Patients who sustain osteoporotic fractures have excessive mortality compared to age-matched controls, which is most pronounced within the first 6 months postfracture. However, the timing and cause of death in the first 3 months after sustaining a fracture are unclear.
  
  
  OBJECTIVE
  We therefore evaluated and compared the timing and cause of death in patients who sustained a pelvic, proximal femoral, spinal, or proximal humeral fracture 30 and 90 days after fracture.
  
  
  METHODS
  From medical records, we recorded age at time of fracture, sex, fracture site, comorbidities, date of death, and cause of death of 1630 patients with 1630 fractures admitted to our department between 2001 and 2007. The median age at the time of fracture was 83 years and 89% of the patients were women.
  
  
  RESULTS
  Fifty-eight patients died within 30 days after fracture (3.6%), and 122 patients (7.5%) died within 90 days after fracture. Cardiovascular causes of death were most frequent in all fracture groups. Patients who suffered from spinal fractures died earlier within 30 days after fracture than patients who suffered from other types of fractures.
  
  
  CONCLUSIONS
  This shows the severity and impact of a spinal injury compared to other typical fragility fractures.
authors: Department for Trauma Surgery and Sports Medicine, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
authors: Inge S
authors: IS
authors: Liem
authors: Christian
authors: C
authors: Kammerlander
authors: Christoph
authors: C
authors: Raas
authors: Markus
authors: M
authors: Gosch
authors: Michael
authors: M
authors: Blauth
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D005260:Female; D050723:Fractures, Bone / Q000401:mortality*; D006801:Humans; D015601:Injury Severity Score; D008297:Male