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. 2019 Sep 18;8(9):1487.
doi: 10.3390/jcm8091487.

The Increase of Osteoporotic Hip Fractures and Associated One-Year Mortality in Poland: 2008-2015

Wojciech Glinkowski  1   2 , Jerzy Narloch  3 , Krzysztof Krasuski  4 , Andrzej Śliwczyński  5   6
Affiliations

The Increase of Osteoporotic Hip Fractures and Associated One-Year Mortality in Poland: 2008-2015

Wojciech Glinkowski et al. J Clin Med. .

Abstract

Introduction: Hip fractures are a worldwide public health issue associated with significant mortality. Previous Polish studies reported an increasing trend in the number of hip fractures for both men and women, although lower than most other European countries.

Materials and methods: The Polish National Database was analyzed to examine osteoporotic hip fractures in the population aged 50 and over. Hip fracture incidence, rate, one-year mortality, and postoperative length of hospitalization were analyzed using the national health system data. Hospital discharge registry ICD-10 codes were reviewed from 2008 to 2015.

Results: The incidence of hip fractures increased in both women and men by 19.4% and 14.2%, respectively. The female to male fracture ratio was 2.46. Mean postoperative hospitalization decreased from 13.6 to 11.2 days. The one-year mortality ranged between 30.45% to 32.8% for men and 26.2% to 28% for women. Of note, women aged 80-89 had the highest one-year mortality, 50.7%-55.4% after femoral neck fracture and 53%-58.5% after a pertrochanteric fracture.

Conclusions: Hip fractures in Poland are increasingly more prevalent in the aging population. The unfavorable trends observed in this study indicate higher annual mortality after hip fracture, compared with other European countries.

Keywords: hip; hip fracture; hospitalization; mortality; national; osteoporosis.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Incidence of the femoral neck (FN) and pertrochanteric (PT) fracture in different age groups, compared between men and women, in the years 2008 and 2015.
Figure 2
Figure 2
Percentage of the femoral neck (FN) and pertrochanteric (PT) fractures in age groups 50–79 years vs. ≥80 years.
Figure 3
Figure 3
Percentage of the femoral neck (FN) and pertrochanteric (PT) fractures in all age groups (number of patients placed in bars).
Figure 4
Figure 4
The incidence of the femoral neck (S72.0) and pertrochanteric fracture (S72.1) in men and women during the study period (2008–2015).
Figure 5
Figure 5
Mean hospitalization time due to HF (hip fracture) in men and women during the study period.
Figure 6
Figure 6
Comparison between hospitalization time due to HF (hip fracture) in different age groups at the beginning and end of the study period.
Figure 7
Figure 7
Mean hospitalization time due to the femoral neck (S72.0) and pertrochanteric fracture (S72.1) in men and women during the study period (2008–2015).
Figure 8
Figure 8
Comparison between hospitalization time due to the femoral neck (S72.0) and pertrochanteric fracture (S72.1) in different age groups at the beginning and end of the study period.
Figure 9
Figure 9
Number of deaths within one year after femoral neck (S72.0) and pertrochanteric fracture (S72.1) during the study period.
Figure 10
Figure 10
Number of deaths after one year following femoral neck (S72.0) and pertrochanteric fracture (S72.1) during the study period.
Figure 11
Figure 11
Regression models comparing hospitalization time and the number of deaths within and after one year following HF (hip fracture) during the study period.
Figure 12
Figure 12
Percentage of population aged 50 years or older in Poland during the study period.
Figure 13
Figure 13
1-year mortality percentage after hip fracture—comparison between selected European countries. Calculations for Poland were made based on our data.
See this image and copyright information in PMC

References

    1. Papadimitriou N., Tsilidis K.K., Orfanos P., Benetou V., E Ntzani E., Soerjomataram I., Künn-Nelen A., Pettersson-Kymmer U., Eriksson S., Brenner H., et al. Burden of hip fracture using disability-adjusted life-years: A pooled analysis of prospective cohorts in the CHANCES consortium. Lancet Public Health. 2017;2:e239–e246. doi: 10.1016/S2468-2667(17)30046-4. - DOI - PubMed
    1. Klop C., Welsing P.M., Cooper C., Harvey N.C., Elders P.J., Bijlsma J.W., Leufkens H.G., De Vries F. Mortality in British hip fracture patients, 2000–2010: A population-based retrospective cohort study. Bone. 2014;66:171–177. doi: 10.1016/j.bone.2014.06.011. - DOI - PubMed
    1. Liu Y., Wang Z., Xiao W. Risk factors for mortality in elderly patients with hip fractures: A meta-analysis of 18 studies. Aging Clin. Exp. Res. 2018;30:323–330. doi: 10.1007/s40520-017-0789-5. - DOI - PubMed
    1. Wilk R., Skrzypek M., Kowalska M., Kusz D., Koczy B., Zagorski P., Pluskiewicz W. The 13-year observation of hip fracture in Poland-worrying trend and prognosis for the future. Aging Clin. Exp. Res. 2018;30:61–69. doi: 10.1007/s40520-017-0747-2. - DOI - PMC - PubMed
    1. Czerwinski E., Kanis J.A., Trybulec B., Johansson H., Borowy P., Osieleniec J. The incidence and risk of hip fracture in Poland. Osteoporos. Int. 2009;20:1363–1367. doi: 10.1007/s00198-008-0787-8. - DOI - PubMed

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