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Fractures Up 10-Year Mortality Risk

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Fractures Up 10-Year Mortality Risk

Study shows risk level varies by type of fracture

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A nationwide study of adults over age 5 from Denmark found that following a fragility fracture, 10-year mortality risk was increased, especially in the first year after the fracture.

The study of approximately 30,000 women and men followed for at least 10 years after an incident fragility fracture indicated excess mortality following all proximal and lower leg fractures, most of which occurred in the first year, with the risk declining thereafter.

Hip fractures had the highest excess mortality (33% higher in men and 20% higher in women) at 1 year post-fracture. One-year excess mortality was 20%-25% after fractures in the femur or pelvis; 10% following vertebral fractures; 5%-10% following humerus, rib, or clavicle fractures; and 3% following lower leg fractures.

The mortality risk was not limited to just hip fractures, the researchers said, noting that it was previously thought that mortality risk following fracture was primarily related to age, hip fractures, or developing immobilization complications (e.g., pneumonia, thromboses) associated with surgery or hospitalization.

Thus a wide variety of fragility fractures may contribute to long-term excess mortality, the authors concluded.

Jack Cush, MD, is the director of clinical rheumatology at the Baylor Research Institute and a professor of medicine and rheumatology at Baylor University Medical Center in Dallas. He is the executive editor of RheumNow.com. A version of this article first appeared on RheumNow, a news, information and commentary site dedicated to the field of rheumatology. Register to receive their free rheumatology newsletter.

2018-08-18T10:00:00-0400
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Medpage Today

Fractures Up 10-Year Mortality Risk

Study shows risk level varies by type of fracture

MedpageToday

  • by

A nationwide study of adults over age 5 from Denmark found that following a fragility fracture, 10-year mortality risk was increased, especially in the first year after the fracture.

The study of approximately 30,000 women and men followed for at least 10 years after an incident fragility fracture indicated excess mortality following all proximal and lower leg fractures, most of which occurred in the first year, with the risk declining thereafter.

Hip fractures had the highest excess mortality (33% higher in men and 20% higher in women) at 1 year post-fracture. One-year excess mortality was 20%-25% after fractures in the femur or pelvis; 10% following vertebral fractures; 5%-10% following humerus, rib, or clavicle fractures; and 3% following lower leg fractures.

The mortality risk was not limited to just hip fractures, the researchers said, noting that it was previously thought that mortality risk following fracture was primarily related to age, hip fractures, or developing immobilization complications (e.g., pneumonia, thromboses) associated with surgery or hospitalization.

Thus a wide variety of fragility fractures may contribute to long-term excess mortality, the authors concluded.

Jack Cush, MD, is the director of clinical rheumatology at the Baylor Research Institute and a professor of medicine and rheumatology at Baylor University Medical Center in Dallas. He is the executive editor of RheumNow.com. A version of this article first appeared on RheumNow, a news, information and commentary site dedicated to the field of rheumatology. Register to receive their free rheumatology newsletter.

2018-08-18T10:00:00-0400
Comments

Accessibility Statement

At MedPage Today, we are committed to ensuring that individuals with disabilities can access all of the content offered by MedPage Today through our website and other properties. If you are having trouble accessing www.medpagetoday.com, MedPageToday's mobile apps, please email legal@ziffdavis.com for assistance. Please put "ADA Inquiry" in the subject line of your email.



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