By a News Reporter-Staff News Editor at Blood Weekly -- Investigators discuss new findings in Hip Fracture. According to news reporting originating from Madrid, Spain, by NewsRx correspondents, research stated, “The aim of this study was to determine the patient characteristics that predict 1-year mortality after a hip fracture (HF). All patients admitted consecutively with fragility HF during 1 year in a co-managed orthogeriatric unit of a university hospital (FONDA cohort) were assesed.”
Our news editors obtained a quote from the research from University Hospital, “Baseline and admission demographic, clinical, functional, analytical and body-composition variables were collected in the first 72 h after admission. A protocol designed to minimize the consequences of the HF was applied. One year after the fracture patients or their carers were contacted by telephone to ascertain their vital status. A total of 509 patients with a mean age of 85.6 years were included. One-year mortality was 23.2%. The final multivariate model included 8 independent mortality risk factors: age >85 years, baseline functional impairment in basic activities of daily living, low body mass index, cognitive impairment, heart disease, low hand-grip strength, anaemia at admission, and secondary hyperparathyroidism associated with vitamin D deficiency. The association of several of these factors greatly increased mortality risk, with an OR (95% confidence interval [CI]) of 5.372 (3.227-8.806) in patients with 4 to 5 factors, and an OR (95% CI) of 11.097 (6.432-19.144) in those with 6 or more factors.”
According to the news editors, the research concluded: “In addition to previously known factors (such as age, impairment in basic activities of daily living, cognitive impairment, malnutrition and anaemia at admission), other factors, such as muscle strength and hyperparathyroidism associated with vitamin D deficiency, are associated with greater 1-year mortality after a HF.”
For more information on this research see: Baseline and pre-operative 1-year mortality risk factors in a cohort of 509 hip fracture patients consecutively admitted to a co-managed orthogeriatric unit (FONDA Cohort). Injury-International Journal of the Care of the Injured , 2018;49(3):656-661. Injury-International Journal of the Care of the Injured can be contacted at: Elsevier Sci Ltd, The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, Oxon, England.
The news editors report that additional information may be obtained by contacting R. Menendez-Colino, Hosp Univ La Paz IdiPAZ, Inst Invest Biomed, Madrid 28046, Spain. Additional authors for this research include T. Alarcon, P. Gotor, R. Queipo, R. Ramirez-Martin, A. Otero and J.I. Gonzalez-Montalvo.
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CITATION: (2018-05-03), Findings on Hip Fracture Reported by Investigators at University Hospital [Baseline and pre-operative 1-year mortality risk factors in a cohort of 509 hip fracture patients consecutively admitted to a co-managed orthogeriatric unit (FONDA ...], Blood Weekly, 113, ISSN: 1532-4559, BUTTER® ID: 015568277
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