• Peggy E Miller, Evelyn Patricia Murphy, Robert Murphy, Charlotte Doran, Daniel McKenna, Ben Murphy, Rachael Doyle, and Conor Hurson.
• St. Vincent's University Hospital, Elm Park, Dublin, 4, Ireland. peggy.miller@hse.com.
• Ir J Med Sci. 2023 Oct 1; 192 (5): 224322492243-2249.

BackgroundFragility fractures are described as fractures resulting from low-energy trauma and are considered diagnostic of reduced bone mineral density or osteoporosis. They often present as hip fractures with hip fractures remaining a common but devastating injury among older patients. Many factors influence a patient's risk of hip fracture and their subsequent risk of death.AimIn this study, we examined if previous fragility fracture impacts upon mortality after hip fracture.MethodsThis was a retrospective single-center cohort study of patients included in the Irish Hip Fracture registry over a 5-year time period. Epidemiological data including gender, age, type of fracture, type of surgery, bone protection medication, American Society of Anesthetics (ASA) grade, and post-fracture outcomes including death at 30 days and death at 1 year were recorded. The presence or absence of a previous fragility fracture was examined to explore if a previous fragility fracture was an independent predictor of mortality.ResultsThere were 964 patients included, and 290 of whom had sustained a previous fragility fracture; 289 patients were males and 675 females, 33 patients had died in the 30 days following their surgery, and 180 patients had died within 1 year. We found statistically significant results for gender and age but not for previous fragility fracture influencing mortality (p value 0.230).ConclusionWe found that previous fragility fracture does not impact upon mortality in a hip fracture cohort. However, gender and age did impact upon mortality in this study.© 2023. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

17 keywords...

hide…