Population Health Research Center, Department of Medicine, Faculty of Medicine, Galle, Sri Lanka.
Teaching Hospital, Karapitiya, Galle, Sri Lanka.
Arch Osteoporos. 2019 Sep 6;14(1):97. doi: 10.1007/s11657-019-0649-3.
This study based on 306 hip fracture patients admitted to a tertiary care center in Sri Lanka showed higher inpatient (6.1% vs 2.8%) and post-discharge (26% vs 20% at 24 months) mortality among men compared with women. Furthermore, 58% had impaired activities of daily living at 12 months.
Data related to the outcome of patients admitted following fragility hip fracture are not found in Sri Lanka. We assessed the mortality and physical dependence of hip fracture survivors in our region.
All patients admitted with new hip fracture to Teaching Hospital, Karapitiya, Galle, Sri Lanka, during June 2014 to Feb 2015 were followed up for 24 months. Readmissions and old fractures were excluded and patients were followed up during the hospital stay and subsequently for 24 months.
The registry included 309 patients (women = 211) and mean (SD) age of men and women were 75.1 (11.3) and 76.8 (8.9) years, respectively. Majority (n = 285, 92%) had been physically independent and were able to walk indoors unaided prior to fracture. Based on the 10-item Barthel Index, only 37.6% were physically independent (score of 100) at 3 months after discharge. This number increased to 40% at 6 months but 58% had impaired activities of daily living at 12 months, post-fracture. Mortality rates, both inpatient hospital (6.1% vs 2.8%) and post-discharge from hospital (26% vs 20% at 24 months) were higher in men compared with women. Most deaths (66.6% in men and 73.1% in women) occurred within the first 12 months. When compared with age- and sex-matched national mortality rates, at 24 months, the relative risks of death in men and women were 3.4 and 3.7, respectively.
There is an increased risk of death following hip fracture and the risk was higher in the first 12 months compared with the next 12 months. Men had higher crude mortality compared with women and 58% patients had limitations in daily activities at 12 months, post-fracture.
本研究基于在斯里兰卡一家三级护理中心收治的 306 例髋部骨折患者，结果显示男性患者的住院（6.1%比 2.8%）和出院后（26%比 20%，24 个月）死亡率均高于女性。此外，12 个月时 58%的患者日常生活活动能力受损。
在斯里兰卡，目前尚无与髋部骨折患者住院结局相关的数据。我们评估了本地区髋部骨折存活患者的死亡率和身体依赖情况。
2014 年 6 月至 2015 年 2 月期间，所有在加勒教学医院（卡拉皮蒂亚，斯里兰卡）新诊断为髋部骨折的患者均被纳入该研究，对其进行为期 24 个月的随访。排除再入院和陈旧性骨折患者，并在住院期间和随后的 24 个月内对患者进行随访。
该登记处共纳入 309 例患者（女性 211 例），男性和女性的平均（标准差）年龄分别为 75.1（11.3）岁和 76.8（8.9）岁。大多数（n=285，92%）在骨折前生活能够自理，能够在室内不借助辅助工具行走。根据巴氏指数的 10 项内容，出院后 3 个月仅有 37.6%（评分 100）的患者身体能够完全自理。这一数字在 6 个月时增加到 40%，但 12 个月时仍有 58%的患者日常生活活动能力受损。与女性相比，男性患者的住院期间（6.1%比 2.8%）和出院后（26%比 20%，24 个月）死亡率均更高。大多数死亡（男性 66.6%，女性 73.1%）发生在 12 个月内。与年龄和性别匹配的全国死亡率相比，24 个月时，男性和女性的死亡相对风险分别为 3.4 和 3.7。
髋部骨折后死亡风险增加，且在最初 12 个月内的风险高于接下来的 12 个月。与女性相比，男性的死亡率更高，且骨折后 12 个月时，58%的患者日常生活活动受限。
