Higher Mortality in Men Compared with Women following Distal Radius Fracture in Population Aged 50 Years or Above: Are Common Distal Radius Fracture Classifications Useful in Predicting Mortality?
Joint Authors
Głodzik, Jacek
Marchewka, Wojciech
Golec, Edward
Marchewka, Jakub
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-23
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Distal radius fractures (DRF) are one of the most common fractures with growing incidence in developed countries and are a reliable predictor of another osteoporotic fracture.
Data concerning DRF mortality are conflicting and vague.
Usefulness of common DRF classification systems in predicting mortality is unexplored.
Methods.
We identified all patients hospitalized between January 1 s t 2008 and May 3 0 t h 2015 with isolated distal radius fracture, aged 50 y/o or above, in a 1 s t level trauma center in Poland.
Fractures were evaluated according to AO, Frykman, and Fernandez classifications.
Mortality ratios and long-term survival analysis with Kaplan-Meier estimator and log-rank tests with univariate and multivariate Cox proportional hazards model were used.
Results.
We enrolled 1308 consecutive patients.
The average age of the entire cohort was 72.5 ± 12 years.
The study group consisted of 256 men (19.6%) with mean age 66 ± 12 y/o and 1052 women (80.4%) with mean age 74 ± 12 y/o.
Men were statistically younger at the time of the fracture than women (p<0.0001).
After 1-year follow-up the overall study group mortality ratio was 4.5%, being 2.2-fold higher in men compared to women.
In long-term survival analysis, excess men mortality remained significant.
Factors associated with higher mortality at any point of the study were age (HR: 1.08, 95%CI: 1.07-1.10, p<0.000001), male sex (HR: 1.92, 95%CI: 1.34-2.77; p<0.001), AO type A (HR: 1.64 95%CI 1.19-2.25, p<0.01), and Frykman type I (HR: 2.12 95%CI: 1.36-3.29, p<0.001).
Conclusion.
Distal radius fractures are connected with premature mortality.
Men have higher mortality compared with women following distal radius fracture in population aged 50 years or above.
Simple extra articular fractures classified as AO type A or Frykman type I may be predictors of higher mortality in DRF cohort.
American Psychological Association (APA)
Marchewka, Jakub& Głodzik, Jacek& Marchewka, Wojciech& Golec, Edward. 2019. Higher Mortality in Men Compared with Women following Distal Radius Fracture in Population Aged 50 Years or Above: Are Common Distal Radius Fracture Classifications Useful in Predicting Mortality?. BioMed Research International،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1125981
Modern Language Association (MLA)
Marchewka, Jakub…[et al.]. Higher Mortality in Men Compared with Women following Distal Radius Fracture in Population Aged 50 Years or Above: Are Common Distal Radius Fracture Classifications Useful in Predicting Mortality?. BioMed Research International No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1125981
American Medical Association (AMA)
Marchewka, Jakub& Głodzik, Jacek& Marchewka, Wojciech& Golec, Edward. Higher Mortality in Men Compared with Women following Distal Radius Fracture in Population Aged 50 Years or Above: Are Common Distal Radius Fracture Classifications Useful in Predicting Mortality?. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1125981
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125981