Purpose: To compare demographics, length of stay, and short and long-term mortality in men and women with hip fracture in California 1991-2001.
Methods: Using inpatient discharge abstracts from the California Office of Statewide Planning and Development (OSHPD)'s inpatient discharge database (PDD), all patients hospitalized in California with acute hip fracture and repair were identified between 1991 and 2001. Out of hospital death was ascertained by linkage to the state death registry through 2001.
Results: There were fewer hip fractures in men than women (67,680 vs 183,311). Men with hip fractures were younger (mean age 74 vs 81, median age 74 vs 81). Men were more likely minority (17% vs 13% non-Caucasian). Men were sicker (mean Charlson index 1.2 vs 1.0) The percent admitted from SNF were similar (9% of men and 10% of women); however, men stayed longer in hospital (7.3 vs 6.5 days); were more likely to be discharged to home (17% vs 9.5%); and less likely to be discharged to SNF (61% vs 72%). Men were more likely to die in hospital (3.4% vs 1.9%) and more likely to have pulmonary embolism or other cardiovascular complication. Mortality was greater in men at 30 days (9.9% vs 5.6%); 60 days (13.6% vs 8.2%); 180 days (21.2% vs 13.7%) and 365 days (27.6% vs 19.0%).
Conclusions: Men with hip fractures in the last decade in California were younger, sicker and more likely to die in hospital and long-term. Men with hip fracture should be identified as being at high risk for increased morbidity and mortality.
Disclosure Information:
Faculty Member's Name: Stuart L. Silverman, MD, FACP, FACR
Grants/Research Support: SW Osteoporosis Council of the Alliance for Better Bone Health
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