Do we need orthogeriatrics in Poland? Changes in the age structure and location of hip fractures.
BACKGROUND
Patients with hip fractures present a great challenge for surgeons due to multimorbidity, polypharmacy as well as difficulty in communicating. These could be attributed to a recent trend in the aging patient population (80 years and older) as compared to the past. The aim of this study is to analyze age structure and location in male and female patients' population with hip fracture over 50.


METHODS
Hospital records between 2005 and 2014 with ICD-10 codes S72,0, S72,1 and S72,2 were included in the analysis. All fractures occurred in citizen aged 50 years and over living in the district of Tarnowskie Góry and the city of Piekary Śląskie in Poland.


RESULTS
Within the study period, 1258 hip fractures were registered. The mean age of the patients was higher every year, starting from 77.27 ± 9.52 in 2005 to 80.80 ± 9.65 years in 2014 (p < 0.01). The average age also increased in both gender groups from 73.85 ± 8.30 to 77.89 ± 9.52 years in male and from 78.14 ± 9.66 to 81.98 ± 9.49 years in female, respectively. The median age value was changed from 78.00 to 83.00 years in the total population. We noted a significant increase in female with trochanteric fracture; however, the level of neck fracture was almost the same. In men, crude rates for both trochanteric and cervical fractures slightly increased.


CONCLUSIONS
As the age of patients increases, fractures were shown to be more complicated. Given the scale of the phenomenon and its determinants, we emphatically conclude orthogeriatrics is needed in Poland.
Department of Orthopedics and Traumatology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Ziołowa 45/47 Street, 40-635, Katowice, Poland. drrobertwilk@gmail.com.
Robert
R
Wilk
Department of Biostatistics, School of Public Health in Bytom, Medical University of Silesia in Katowice, Bytom, Poland.
Michał
M
Skrzypek
Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Katowice, Poland.
Małgorzata
M
Kowalska
Department of Orthopedics and Traumatology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Ziołowa 45/47 Street, 40-635, Katowice, Poland.
Damian
D
Kusz
Department of Trauma and Orthopedics, District Hospital of Orthopedics and Trauma Surgery, Piekary Śląskie, Poland.
Bogdan
B
Koczy
Department of Orthopedics and Traumatology, Sport-Clinic, Żory, Poland.
Piotr
P
Zagórski
Metabolic Bone Diseases Unit, Department and Clinic of Internal Diseases, Diabetology and Nephrology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland.
Wojciech
W
Pluskiewicz
D000058:Accidental Falls / Q000517:prevention & control; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology; D003430:Cross-Sectional Studies; D005260:Female; D006620:Hip Fractures / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications; D011044:Poland / Q000453:epidemiology; D017678:Sex Distribution; D016103:Spinal Fractures / Q000453:epidemiology; D018709:Statistics, Nonparametric
Age; Crude and standardized ratio; Hip fracture; Osteoporosis