DOS 2017

DOS Kongressen 2017 ·

207

Hip Fractures in Denmark: Incidence and Mortality

from 1996 to 2012

Axel Ceccotti, Henrik Larsen Jørgensen

Orthopedic surgery, AAUH; clinical laboratory, BBH

Background:

Hip fractures are a well-known cause of mortality, especially for

the older patients and in patients suffering osteoporosis.

Purpose / Aim of Study:

The aim of this study was to investigate the time-

trend in incidence of hip fractures and mortality after 30 days in the adult Dan-

ish population between 1996 and 2012.

Materials and Methods:

Participants were any patient aged 18 years or above

registered in the Danish National Patient Registry with a hip fracture in Denmark

during the period from the 1st of January 1996 to the 31st of December 2012.

Outcomes were defined as 1) diagnosis of hip fracture or 2) all-cause mortality

30 days after diagnosed hip fracture. The National Central Civil Register, which

contains information about death and migration, was used to analyse the mor-

tality rate.

Findings / Results:

The total number of hip fractures decreased 33% from

11.339 in 1996 to 7,665 in 2012. The mean age for first hip fracture during

the period 1996-2012 for women was 80 years for women and 74 years for

men. The incidence in hip fracture was 217 per 100,000 in 1996 and 137 per

100,000 in 2012, higher for female. The mean age for mortality 30 days after

hip fracture in the period 1996-2012 was 85 years for women and 82 years

for men.

Conclusions:

Our present study showed a continuously decrease in incidence

of hip fracture for women and a slight decrease in incidence for men. Expla-

nations could be interventions including ant-osteoporotic medication, an in-

creased attention paid to the fall phenomenon, increased use of glucocorticoids,

a remarkably increase in preventive health consultations. Male’s death rate were

higher than female’s. Variables which affect death rate after hip fractures are

sex, time to surgery and comorbidities. Interventions as orthopedic- geriatric

were made to decrease mortality. Further interventions are needed.

No conflicts of interest reported

159.