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Increased mortality after anterior shoulder dislocation - 255 patients aged 12-40 years followed for 25 years

Hovelius, Lennart; Nilsson, Jan-Åke LU and Nordqvist, Anders LU (2007) In Acta Orthopaedica 78(6). p.822-826
Abstract
Background No data exist regarding mortality rate in young patients with a first-time anterior shoulder dislocation. A cohort of 255 patients aged 1240 years had a primary anterior shoulder dislocation during the years 1978 and 1979. After 10 years, 9 of the patients had died-which is a high figure for this cohort of patients. The question thus arose as to whether these patients had an increased mortality rate. In this study we have examined the mortality rate in these patients 25 years after the primary dislocation, relative to that of the Swedish population in general. Patients and methods In 1978 and 1979, 255 patients aged 1240 years (257 shoulders) with first-time anterior shoulder dislocation were treated with or without... (More)
Background No data exist regarding mortality rate in young patients with a first-time anterior shoulder dislocation. A cohort of 255 patients aged 1240 years had a primary anterior shoulder dislocation during the years 1978 and 1979. After 10 years, 9 of the patients had died-which is a high figure for this cohort of patients. The question thus arose as to whether these patients had an increased mortality rate. In this study we have examined the mortality rate in these patients 25 years after the primary dislocation, relative to that of the Swedish population in general. Patients and methods In 1978 and 1979, 255 patients aged 1240 years (257 shoulders) with first-time anterior shoulder dislocation were treated with or without immobilization. During 2003 and 2004, a follow-up of all patients who were alive was undertaken and the certificates of causes of death of 27 deceased patients were also analyzed. Results The mortality rate (SMR) for the patients in this study was more than double that of the general Swedish population (p < 0.001). A higher proportion of the deceased patients had etiology other than sports-related activity as a cause of their initial dislocation (p = 0.04). 11 of the 27 who were deceased had died from injury or intoxication (S00-T98, ICD10), which was more than expected relative to the causes of death for the general Swedish population in 2003 and 2004 (p < 0.001). Interpretation The doubled mortality rate in our cohort of patients is most probably explained by the inclusion of a disproportionate number of patients with alcoholic behavior, which may affect the long-term outcome in trauma series. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
78
issue
6
pages
822 - 826
publisher
Taylor & Francis
external identifiers
  • wos:000252849000015
  • scopus:38749145911
ISSN
1745-3682
DOI
10.1080/17453670710014617
language
English
LU publication?
yes
id
0251aca1-6a18-42b3-9faa-6855f642d06c (old id 1407658)
date added to LUP
2009-05-29 14:03:58
date last changed
2017-08-20 04:30:38
@article{0251aca1-6a18-42b3-9faa-6855f642d06c,
  abstract     = {Background No data exist regarding mortality rate in young patients with a first-time anterior shoulder dislocation. A cohort of 255 patients aged 1240 years had a primary anterior shoulder dislocation during the years 1978 and 1979. After 10 years, 9 of the patients had died-which is a high figure for this cohort of patients. The question thus arose as to whether these patients had an increased mortality rate. In this study we have examined the mortality rate in these patients 25 years after the primary dislocation, relative to that of the Swedish population in general. Patients and methods In 1978 and 1979, 255 patients aged 1240 years (257 shoulders) with first-time anterior shoulder dislocation were treated with or without immobilization. During 2003 and 2004, a follow-up of all patients who were alive was undertaken and the certificates of causes of death of 27 deceased patients were also analyzed. Results The mortality rate (SMR) for the patients in this study was more than double that of the general Swedish population (p &lt; 0.001). A higher proportion of the deceased patients had etiology other than sports-related activity as a cause of their initial dislocation (p = 0.04). 11 of the 27 who were deceased had died from injury or intoxication (S00-T98, ICD10), which was more than expected relative to the causes of death for the general Swedish population in 2003 and 2004 (p &lt; 0.001). Interpretation The doubled mortality rate in our cohort of patients is most probably explained by the inclusion of a disproportionate number of patients with alcoholic behavior, which may affect the long-term outcome in trauma series.},
  author       = {Hovelius, Lennart and Nilsson, Jan-Åke and Nordqvist, Anders},
  issn         = {1745-3682},
  language     = {eng},
  number       = {6},
  pages        = {822--826},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica},
  title        = {Increased mortality after anterior shoulder dislocation - 255 patients aged 12-40 years followed for 25 years},
  url          = {http://dx.doi.org/10.1080/17453670710014617},
  volume       = {78},
  year         = {2007},
}