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Hip Fracture in Men Linked To High Morbidity and Mortality

Key mortality factors are old age, nursing home residence, comorbid diseases

FRIDAY, Dec. 16 (HealthDay News) -- Low trauma hip fractures in elderly men are associated with a significant increase in morbidity and mortality, according to a study in the January issue of Annals of the Rheumatic Diseases.

David L. Scott, M.D., of Kings College, London, UK, and colleagues, assessed morbidity and mortality in 100 men aged 50 and older who were admitted to the hospital from 1995 to 1997 with a low trauma hip fracture. The control group consisted of 100 men from a nearby general practice.

After two years of follow up, the researchers found a six- to sevenfold increased risk of death in male hip fracture cases, with 37% survival in the fracture group, compared with 88% of the controls. Forty-five patients died in the first year, compared to just one in the control group.

The main causes of death in the fracture group were bronchopneumonia, heart failure and ischemic heart disease. The key determinants of mortality after a fracture were older age, presence of comorbid diseases and impaired function or residence in a nursing home before the fracture.

"Low trauma hip fracture in men is associated with a significant increase in mortality and morbidity," the authors conclude. "After 24 months, of 100 fracture cases, 58 were dead, 12 were in institutional care, and only 30 remained in their own homes."

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