Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture

Hip fractures are almost always the result of a fall. Causes and circumstances of falls may differ between frail and vigorous patients. To describe the circumstances of falls causing hip fractures, number of falls during the previous year, and their association with long-term mortality. The study is...

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Autores: Barceló Trias, Montserrat|||0000-0002-5297-8823, Casademont i Pou, Jordi|||0000-0002-8100-1827, Mascaró, Jordi|||0000-0001-8865-9544, Gich, Ignasi|||0000-0003-3975-6588, Torres Bonafonte, Olga H|||0000-0002-0305-8211
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:284561
Acceso en línea:https://ddd.uab.cat/record/284561
https://dx.doi.org/urn:doi:10.1007/s40520-023-02551-3
Access Level:acceso abierto
Palabra clave:Falls
Hip fracture
Mortality
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spelling Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fractureBarceló Trias, Montserrat|||0000-0002-5297-8823Casademont i Pou, Jordi|||0000-0002-8100-1827Mascaró, Jordi|||0000-0001-8865-9544Gich, Ignasi|||0000-0003-3975-6588Torres Bonafonte, Olga H|||0000-0002-0305-8211FallsHip fractureMortalityHip fractures are almost always the result of a fall. Causes and circumstances of falls may differ between frail and vigorous patients. To describe the circumstances of falls causing hip fractures, number of falls during the previous year, and their association with long-term mortality. The study is a retrospective review conducted in a tertiary university hospital serving a population of 425,000 inhabitants in Barcelona. All patients admitted with hip fractures with medical records describing the circumstances and number of previous falls were included. The number of falls in the previous 12 months was recorded, including the one causing the fracture. The circumstances of the index fall were dichotomized according to whether it was from the patient's own height or above; day or night; indoors or outdoors, due to intrinsic or extrinsic causes. Cumulative mortality was recorded for almost 5 years after hip fracture. Indoor falls were strongly associated with shorter survival. Falling more than once in the previous year was also a risk factor for long-term mortality (hazard ratio 1.461, p < 0.001 and hazard ratio 1.035, p = 0.008 respectively). Indoor falls and falling more than once in the previous year are long-term risk factors for mortality after hip fractures. It is always essential to take a careful patient history on admission to determine the number of falls and their circumstances, and special care should be taken to reduce mortality in patients at high risk.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/284561https://dx.doi.org/urn:doi:10.1007/s40520-023-02551-3reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2845612026-06-06T12:50:31Z
dc.title.none.fl_str_mv Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
spellingShingle Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
Barceló Trias, Montserrat|||0000-0002-5297-8823
Falls
Hip fracture
Mortality
title_short Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_full Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_fullStr Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_full_unstemmed Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
title_sort Indoor falls and number of previous falls are independent risk factors for long-term mortality after a hip fracture
dc.creator.none.fl_str_mv Barceló Trias, Montserrat|||0000-0002-5297-8823
Casademont i Pou, Jordi|||0000-0002-8100-1827
Mascaró, Jordi|||0000-0001-8865-9544
Gich, Ignasi|||0000-0003-3975-6588
Torres Bonafonte, Olga H|||0000-0002-0305-8211
author Barceló Trias, Montserrat|||0000-0002-5297-8823
author_facet Barceló Trias, Montserrat|||0000-0002-5297-8823
Casademont i Pou, Jordi|||0000-0002-8100-1827
Mascaró, Jordi|||0000-0001-8865-9544
Gich, Ignasi|||0000-0003-3975-6588
Torres Bonafonte, Olga H|||0000-0002-0305-8211
author_role author
author2 Casademont i Pou, Jordi|||0000-0002-8100-1827
Mascaró, Jordi|||0000-0001-8865-9544
Gich, Ignasi|||0000-0003-3975-6588
Torres Bonafonte, Olga H|||0000-0002-0305-8211
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Falls
Hip fracture
Mortality
topic Falls
Hip fracture
Mortality
description Hip fractures are almost always the result of a fall. Causes and circumstances of falls may differ between frail and vigorous patients. To describe the circumstances of falls causing hip fractures, number of falls during the previous year, and their association with long-term mortality. The study is a retrospective review conducted in a tertiary university hospital serving a population of 425,000 inhabitants in Barcelona. All patients admitted with hip fractures with medical records describing the circumstances and number of previous falls were included. The number of falls in the previous 12 months was recorded, including the one causing the fracture. The circumstances of the index fall were dichotomized according to whether it was from the patient's own height or above; day or night; indoors or outdoors, due to intrinsic or extrinsic causes. Cumulative mortality was recorded for almost 5 years after hip fracture. Indoor falls were strongly associated with shorter survival. Falling more than once in the previous year was also a risk factor for long-term mortality (hazard ratio 1.461, p < 0.001 and hazard ratio 1.035, p = 0.008 respectively). Indoor falls and falling more than once in the previous year are long-term risk factors for mortality after hip fractures. It is always essential to take a careful patient history on admission to determine the number of falls and their circumstances, and special care should be taken to reduce mortality in patients at high risk.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/284561
https://dx.doi.org/urn:doi:10.1007/s40520-023-02551-3
url https://ddd.uab.cat/record/284561
https://dx.doi.org/urn:doi:10.1007/s40520-023-02551-3
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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