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Increased mortality after fracture of the surgical neck of the humerus: a case-control study of 253 patients with a 12-year follow-up.

Olsson, Christian LU ; Petersson, Claes and Nordquist, Anders (2003) In Acta Orthopaedica Scandinavica 74(6). p.714-717
Abstract
Background: Several studies have shown a higher mortality rate in patients with osteoporosis-related fractures of the hip and vertebrae. Method: In 1999, we did a long-term follow-up case-control mortality study of 253 patients, mean age 72 years, who had sustained a fracture of the surgical neck of the humerus in 1987. Results: We found a higher mortality in fracture patients giving at end point a cumulative survival difference of 16%. The median survival time was 8.9 years in patients and 12 years in controls (pÊ= 0.005). The mortality rate was higher in men during the first 3 years after fracture and fewer than half of the male patients survived this period. The median survival time was 6.5 years in male patients and 12 years in their... (More)
Background: Several studies have shown a higher mortality rate in patients with osteoporosis-related fractures of the hip and vertebrae. Method: In 1999, we did a long-term follow-up case-control mortality study of 253 patients, mean age 72 years, who had sustained a fracture of the surgical neck of the humerus in 1987. Results: We found a higher mortality in fracture patients giving at end point a cumulative survival difference of 16%. The median survival time was 8.9 years in patients and 12 years in controls (pÊ= 0.005). The mortality rate was higher in men during the first 3 years after fracture and fewer than half of the male patients survived this period. The median survival time was 6.5 years in male patients and 12 years in their male controls (pÊ= 0.02). The mortality was only slightly higher in women (pÊ= 0.06). Interpretation: Cardiovascular disease and malignancy were the commonest causes of death in both groups. We could not explain the higher mortality rate in patients with a fracture of the surgical neck of the humerus. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
keywords
Femoral Neck Fractures: mortality, 80 and over, Cardiovascular Diseases: mortality, Case-Control Studies, Cause of Death, Comorbidity, Female, Femoral Neck Fractures: surgery, Follow-Up Studies, Human, Male, Middle Aged, Neoplasms: mortality, Osteoporosis: complications, Adult, Aged
in
Acta Orthopaedica Scandinavica
volume
74
issue
6
pages
714 - 717
publisher
Taylor & Francis
external identifiers
  • wos:000187295200015
  • pmid:14763704
  • scopus:0346970712
ISSN
0001-6470
DOI
language
English
LU publication?
yes
id
b92e3fae-dfb5-4990-b50c-a3e96397a7ac (old id 120722)
date added to LUP
2007-07-27 14:16:14
date last changed
2018-05-29 11:53:06
@article{b92e3fae-dfb5-4990-b50c-a3e96397a7ac,
  abstract     = {Background: Several studies have shown a higher mortality rate in patients with osteoporosis-related fractures of the hip and vertebrae. Method: In 1999, we did a long-term follow-up case-control mortality study of 253 patients, mean age 72 years, who had sustained a fracture of the surgical neck of the humerus in 1987. Results: We found a higher mortality in fracture patients giving at end point a cumulative survival difference of 16%. The median survival time was 8.9 years in patients and 12 years in controls (pÊ= 0.005). The mortality rate was higher in men during the first 3 years after fracture and fewer than half of the male patients survived this period. The median survival time was 6.5 years in male patients and 12 years in their male controls (pÊ= 0.02). The mortality was only slightly higher in women (pÊ= 0.06). Interpretation: Cardiovascular disease and malignancy were the commonest causes of death in both groups. We could not explain the higher mortality rate in patients with a fracture of the surgical neck of the humerus.},
  author       = {Olsson, Christian and Petersson, Claes and Nordquist, Anders},
  issn         = {0001-6470},
  keyword      = {Femoral Neck Fractures: mortality,80 and over,Cardiovascular Diseases: mortality,Case-Control Studies,Cause of Death,Comorbidity,Female,Femoral Neck Fractures: surgery,Follow-Up Studies,Human,Male,Middle Aged,Neoplasms: mortality,Osteoporosis: complications,Adult,Aged},
  language     = {eng},
  number       = {6},
  pages        = {714--717},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica Scandinavica},
  title        = {Increased mortality after fracture of the surgical neck of the humerus: a case-control study of 253 patients with a 12-year follow-up.},
  url          = {http://dx.doi.org/},
  volume       = {74},
  year         = {2003},
}