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Incidence, surgical procedures, and outcomes of hip fracture among elderly type 2 diabetic and non-diabetic patients in Spain (2004-2013).
- Source :
-
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA [Osteoporos Int] 2016 Feb; Vol. 27 (2), pp. 605-16. Date of Electronic Publication: 2015 Aug 29. - Publication Year :
- 2016
-
Abstract
- Unlabelled: Hip fracture is a serious public health problem. We used Spanish hospital discharge data to examine trends in 2004-2013 in the incidence of hip fracture among elderly patients. We found that hip fracture incidence is higher in subjects with than without diabetes and is much higher among women than men.<br />Introduction: This study aimed to describe trends in the incidence of hip fracture hospitalizations, use of surgical procedures, and hospital outcomes among elderly patients with and without type 2 diabetes mellitus (T2DM) in Spain, 2004-2013.<br />Methods: We selected all patients with a discharge primary diagnosis of hip fracture using the Spanish national hospital discharge database. Discharges were grouped by diabetes status: Incidences were calculated overall and stratified by diabetes status and year. We analyzed surgical procedures, length of hospital stay (LOHS), and in-hospital mortality (IHM). Multivariate analysis was adjusted by age, year, comorbidity, and in-hospital complications (IHC).<br />Results: From 2004 to 2013, 432,760 discharges with hip fracture were identified (21.3 % suffered T2DM). Incidence among diabetic men and women increased until year 2010 and then remained stable. Diabetic women have three times higher incidence than diabetic men. Incidences and IHC were higher among patients with diabetes beside sex. The proportion of patients that underwent internal fixation increased for all groups of patients and the arthroplasty repair decreased. After multivariate analysis, IHM has improved over the study period for all patients. Suffering diabetes was associated to higher IHM in women (odds ratio (OR) 1.12; 95 % confidence interval (CI) 1.07-1.17).<br />Conclusions: Hip fracture incidence is higher in subjects with than without diabetes and is much higher among women than men. In diabetic patients, incidence rates increased initially but have leveled from 2010 onwards. For all groups, the use of internal fixation has increased overtime and IHM and LOHS have decreased from 2004 to 2013.
- Subjects :
- Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip statistics & numerical data
Arthroplasty, Replacement, Hip trends
Databases, Factual
Diabetes Mellitus, Type 2 complications
Female
Fracture Fixation, Internal statistics & numerical data
Fracture Fixation, Internal trends
Hip Fractures complications
Hip Fractures surgery
Hospital Mortality trends
Hospitalization statistics & numerical data
Hospitalization trends
Humans
Incidence
Male
Retrospective Studies
Sex Factors
Spain epidemiology
Diabetes Mellitus, Type 2 epidemiology
Hip Fractures epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1433-2965
- Volume :
- 27
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
- Publication Type :
- Academic Journal
- Accession number :
- 26318760
- Full Text :
- https://doi.org/10.1007/s00198-015-3305-9