Fracture-related mortality in southern Sweden : A multiple cause of death analysis, 1998-2014
(2018) In Injury 49(2). p.236-242- Abstract
PURPOSE: To assess fracture-related mortality among adults (aged ≥20years) in southern Sweden using multiple causes of death approach.
METHODS: All death certificates (n=201 488) in adults recorded in the region of Skåne from 1998 to 2014 were examined. We identified fracture-related deaths and computed mortality rates by sex, age group, and fracture site. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age- and sex-adjusted observed/expected ratios.
RESULTS: Fractures were mentioned on 6 226 (3.1%) death certificates, with majority of these occurred among women (60%) and those aged≥80years (77%). While hip was the most common site overall (61% of all fracture-related... (More)
PURPOSE: To assess fracture-related mortality among adults (aged ≥20years) in southern Sweden using multiple causes of death approach.
METHODS: All death certificates (n=201 488) in adults recorded in the region of Skåne from 1998 to 2014 were examined. We identified fracture-related deaths and computed mortality rates by sex, age group, and fracture site. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age- and sex-adjusted observed/expected ratios.
RESULTS: Fractures were mentioned on 6 226 (3.1%) death certificates, with majority of these occurred among women (60%) and those aged≥80years (77%). While hip was the most common site overall (61% of all fracture-related deaths), skull was the most common site in people <60years (60% of all fracture-related deaths). Proportion of death certificates mentioning fracture was stable in women but increased by 0.4% (95% CI: 0.1 to 0.6) in men between 1998-2002 and 2010-2014. The mean age at death was higher in death certificates mentioning fracture than those without and this gap widened over time. The mean age-standardized fracture-related mortality rate was 18.8 (14.0) per 100 000 person-year in men (women) and declined by 1.5% (1.3%) per year during 1998-2014. Injuries (84.6%) and cardiovascular disorders (64.6%) were the most common comorbidities on death certificates mentioning fracture.
CONCLUSIONS: Fracture is a contributing cause of death in more than 3% of all deaths in southern Sweden with hip in lead among older and skull fracture among younger people. There was a slight increase in proportion of deaths associated with fracture in men but not women during the study period.
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- author
- Kiadaliri, Aliasghar A LU ; Rosengren, Björn E LU and Englund, Martin LU
- organization
- publishing date
- 2018-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Journal Article
- in
- Injury
- volume
- 49
- issue
- 2
- pages
- 236 - 242
- publisher
- Elsevier
- external identifiers
-
- scopus:85037585552
- pmid:29241996
- ISSN
- 1879-0267
- DOI
- 10.1016/j.injury.2017.12.005
- project
- Temporal trends in musculoskeletal disorders burden
- language
- English
- LU publication?
- yes
- id
- eb9178cc-05f7-4db5-a78c-e83bdd07d8b7
- date added to LUP
- 2017-12-17 16:45:29
- date last changed
- 2024-08-05 11:23:29
@article{eb9178cc-05f7-4db5-a78c-e83bdd07d8b7, abstract = {{<p>PURPOSE: To assess fracture-related mortality among adults (aged ≥20years) in southern Sweden using multiple causes of death approach.</p><p>METHODS: All death certificates (n=201 488) in adults recorded in the region of Skåne from 1998 to 2014 were examined. We identified fracture-related deaths and computed mortality rates by sex, age group, and fracture site. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age- and sex-adjusted observed/expected ratios.</p><p>RESULTS: Fractures were mentioned on 6 226 (3.1%) death certificates, with majority of these occurred among women (60%) and those aged≥80years (77%). While hip was the most common site overall (61% of all fracture-related deaths), skull was the most common site in people <60years (60% of all fracture-related deaths). Proportion of death certificates mentioning fracture was stable in women but increased by 0.4% (95% CI: 0.1 to 0.6) in men between 1998-2002 and 2010-2014. The mean age at death was higher in death certificates mentioning fracture than those without and this gap widened over time. The mean age-standardized fracture-related mortality rate was 18.8 (14.0) per 100 000 person-year in men (women) and declined by 1.5% (1.3%) per year during 1998-2014. Injuries (84.6%) and cardiovascular disorders (64.6%) were the most common comorbidities on death certificates mentioning fracture.</p><p>CONCLUSIONS: Fracture is a contributing cause of death in more than 3% of all deaths in southern Sweden with hip in lead among older and skull fracture among younger people. There was a slight increase in proportion of deaths associated with fracture in men but not women during the study period.</p>}}, author = {{Kiadaliri, Aliasghar A and Rosengren, Björn E and Englund, Martin}}, issn = {{1879-0267}}, keywords = {{Journal Article}}, language = {{eng}}, number = {{2}}, pages = {{236--242}}, publisher = {{Elsevier}}, series = {{Injury}}, title = {{Fracture-related mortality in southern Sweden : A multiple cause of death analysis, 1998-2014}}, url = {{http://dx.doi.org/10.1016/j.injury.2017.12.005}}, doi = {{10.1016/j.injury.2017.12.005}}, volume = {{49}}, year = {{2018}}, }