Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 May;26(4):365-70.
doi: 10.1007/s00590-016-1744-4. Epub 2016 Mar 4.

Thirty-day mortality after hip fractures: has anything changed?

Dionysios Giannoulis  1 , Giorgio M Calori  2 , Peter V Giannoudis  3   4
Affiliations
Review

Thirty-day mortality after hip fractures: has anything changed?

Dionysios Giannoulis et al. Eur J Orthop Surg Traumatol. 2016 May.

Abstract

Bone density insufficiency is the main cause for significant musculoskeletal trauma in the elderly population following low-energy falls. Hip fractures, in particular, represent an important public health concern taking into account the complicated needs of the patients due to their medical comorbidities as well as their rehabilitation and social demands. The annual cost for the care of these patients is estimated at around 2 billion pounds (£) in the UK and is ever growing. An increased early and late mortality rate is also recognised in these injuries together with significant adversities for the patients. Lately, in order to improve the outcomes of this special cohort of patients, fast-track care pathways and government initiatives have been implemented. It appears that these measures have contributed in a steady year-by-year reduction of the 30-day mortality rates. Whether we have currently reached a plateau or whether an ongoing reduction in mortality rates will continue to be observed is yet to be seen.

Keywords: Complications; Early surgery; Fast-track pathways; Hip fracture; Mortality.

PubMed Disclaimer

References

    1. Tosounidis TH, Castillo R, Kanakaris NK, Giannoudis PV. Common complications in hip fracture surgery: tips/tricks and solutions to avoid them. Injury. 2015;46(Suppl 5):S3–S11. doi: 10.1016/j.injury.2015.08.006. - DOI - PubMed
    1. Tosounidis TH, Sheikh H, Stone MH, Giannoudis PV. Pain relief management following proximal femoral fractures: options, issues and controversies. Injury. 2015;46(Suppl 5):S52–S58. doi: 10.1016/j.injury.2015.08.014. - DOI - PubMed
    1. White SM, Griffiths R. Projected incidence of proximal femoral fracture in England: a report from the NHS hip fracture anaesthesia network (HIPFAN) Injury. 2011;42(11):1230–1233. doi: 10.1016/j.injury.2010.11.010. - DOI - PubMed
    1. Edwards TC (2009) Bureau reports: world’s older population projected to triple by 2050. 2009(1). CB09-97. http://www.census.gov/Press-Release/www/releases/archives/international_...
    1. British Orthopaedic Association Standards for Trauma (BOAST 1) Guideline (2008). Available online at http://www.boa.ac.uk/LIB/LIBPUB/Documents/BOAST1-HipFractureintheOlderPe.... Last Accessed 20 Dec 2012