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Modifiable Hip Fracture Complications Contribute To Mortality
"Prevention strategies to reduce pressure ulcers and pneumonia may help reduce mortality in this frail population," says lead author Sarah D. Berry, M.D., M.P.H., a research fellow at the Institute and a staff geriatrician at Hebrew Rehabilitation Center.
Published online by the Journal of Gerontology: Medical Sciences, the study found that pneumonia and pressure ulcers, also called bed sores, contributed to a 70 percent increase in mortality within six months of a hip fracture among nursing home residents. Compared to other studies, says Dr. Berry, "we found an even greater prevalence of the post-fracture complications of pneumonia and pressure ulcer, which is likely a reflection of our frail, institutionalized population."
The study followed 195 long-term care residents with a hip fracture from 1999 to 2006, measuring pre-fracture characteristics such as age, sex, cognition and functional status; hospital complications such as heart attack and congestive heart failure; and six-month complications, including delirium, pneumonia and urinary tract infection. Consistent with studies of community dwellers, the Institute for Aging Research investigators found that male nursing home residents with a hip fracture were more likely to die than female residents with a hip fracture. The prevalence of delirium, an acute confusional state, in men after hip fracture may be responsible, at least in part, for the marked gender difference in survival. Fifty-four percent of male nursing home residents died within a year of their hip fracture, compared to 36 percent of female residents. Nationwide, about one of five hip fracture patients dies within a year of their injury, according to the Centers for Disease Control and Prevention.
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More News on: Fracture, Fracture of Knee Cap , Waist to Hip Ratio, Colles Fracture, Fracture Neck of Femur, Screening for Osteoporosis
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