ANALYSIS OF MORTALITY IN PATIENTS WITH A FRACTURE OF THE PROXIMAL FEMUR

• Published in: Osteoporoz i osteopatii Vol. 18; no. 3; pp. 3 - 8
• Main Authors: Ershova, O B, Belova, K Yu, Degtyarev, A A, Ganert, O A, Romanova, M A, Sinitsyna, O S, Belov, M V, Abissova, I Yu
• Format: Journal Article
• Language: English
• Published: Endocrinology Research Centre 15.12.2015
• Subjects: летальность; остеопороз; перелом проксимального отдела бедренной кости; таблицы дожития; цензурированные» случаи
• ISSN: 2072-2680; 2311-0716; 2311-0716
• DOI: 10.14341/osteo201533-8

Introduction. Hip fracture (HF) are the most serious complication of osteoporosis and a serious public health problem, causing significant economic damage. They are characterized by a high level of mortality as an inpatient and outpatient stages. Rate of severe outcome depends on the organization of medical care of these patients. Goal. To evaluate the frequency of lethality in patients undergoing HF. Subjects and methods. A longitudinal observational cohort study among residents of the city of Yaroslavl at the age of 50 years and older who received HF for the period from 01.09.2010 to 31.08.2011 years, with follow-up of 24 months (up visits 3, 6, 12 and 24 month after the date of fracture). The analysis of lethality was performed by using of life tables and the analysis of the «censored» cases. Results. Overall lethality in hospital was 9.66%, in 3 months - 21,75%, after 6 months - 26,46%, 12 months -29,82%, 24 months - 34,53%. The next characteristics of the lethality were analyzed at every stage of observation: a density of probability, function of the intensity and immediate risk of the death, the expected median of lifetime. Conclusion. The analysis allowed to obtain the most accurate and complete data on the lethality in patients with HF and to evaluate several additional features of this indicator.