Abstract
We report gender differences in the epidemiology and outcome after hip fracture from the Scottish Hip Fracture Audit, with data on admission and at 120 days follow-up from 22 orthopaedic units across the country between 1998 and 2005. Outcome measures included early mortality, length of hospital stay, 120-day residence and mobility. A multivariate logistic regression model compared outcomes between genders. The study comprised 25 649 patients of whom 5674 (22%) were men and 19 975 (78%) were women. The men were in poorer pre-operative health, despite being younger at presentation (mean 77 years (60 to 101) vs 81 years (50 to 106)). Pre-fracture residence and mobility were similar between genders. Multivariate analysis indicated that the men were less likely to return to their home or mobilise independently at the 120-day follow-up. Mortality at 30 and 120 days was higher for men, even after differences in case-mix variables between genders were considered.
Original language | English |
---|---|
Pages (from-to) | 480-483 |
Number of pages | 4 |
Journal | The Journal of Bone and Joint Surgery - British volume |
Volume | 90 |
Issue number | 4 |
DOIs | |
Publication status | Published - Apr 2008 |
Keywords
- aged
- aged, 80 and over
- analysis of Variance
- diagnosis-related groups
- female
- follow-up studies
- hip fractures
- humans
- male
- middle aged
- osteoporosis
- outcome assessment (health care)
- patient discharge
- quality of life
- Scotland
- sex distribution
- sex factors
- survival rate
- treatment outcome
- mortality
- age
- women
- men