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Rate of osteoporotic hip and femoral fractures on the rise
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PRAGUE — Due to demographic developments and the increasing number of older patients in the population overall, hip and femoral fracture rates are rising, according to study data presented at the 16th EFORT Congress.
The prevalence of osteoporotic hip fractures has risen two-thirds within the past 20 years, according to an investigation conducted by the Miguel Servet University Hospital of Saragossa. From 1989 to 1990, 98 of 100,000 patients had osteoporotic hip fractures; however, the number has now risen to 159 patients within 20 years, with an average patient meantime of 80.3 years from 1989 to 1990 compared with 82 years from 2009 to 2010, according to a press release from the Congress.
“We found not only a rise in the incidence and average age, but also a change in the structure of hip fractures,” researcher Marina Angulo Tabernero, MD, said in the release.
Additionally, Tabernero said, older patients have higher morbidity rates and likely need longer hospitalization periods.
Rates of proximal femoral fractures are also rising, and mortality rates correlated with fracture rates remain high, according to the results of a separate study in which researchers investigated factors associated with morality in 1,558 patients with proximal femoral fractures.
In a second Italian study, at 30 days, 6 months and 1 year after surgical fracture treatment, mortality rates were 4%, 14.1% and 18.8%, respectively, according to researcher, Federica Rosso, MD.
“An age under 74 years correlated with a lower 1-year mortality; this was also true for surgical interventions being performed within 48 hours after admission,” Russo said in the release. “A higher 6-month and 1-year mortality rate was determined in men, particularly those with more than two comorbidities, than in women.”
Reference:
Tabernero AM, et al. Changes in osteoporotic hip fractures within a 20-year period. Presented at: 16th EFORT Congress; May 27-29, 2015; Prague.
Rosso F, et al. Is operative delay really associated with increased mortality after hip intracapsular and extracapsular fracture? Presented at: 16th EFORT Congress; May 27-29, 2015; Prague.
Disclosures: Tabernero and Rosso report no relevant financial disclosures.