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dc.contributor.authorPadron-Monedero, Alicia 
dc.contributor.authorGalán, Iñaki 
dc.contributor.authorLopez-Cuadrado, Teresa 
dc.contributor.authorMartinez-Sanchez, Elena Vanesa 
dc.contributor.authorMartin, P
dc.contributor.authorFernandez-Cuenca, Rafael 
dc.date.accessioned2021-01-12T12:42:32Z
dc.date.available2021-01-12T12:42:32Z
dc.date.issued2017
dc.identifier.citationOsteoporos Int . 2017 May;28(5):1559-1568.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/11598
dc.description.abstractThe relation between age and mortality after hip fracture was analyzed in elderly patients. 5.5% of the 31,884 patients died. Compared to those 65-74 years old, the multivariate OR for mortality for those 75-84 and ≥85 were 2.11 (95% CI: 1.61-2.77) and 4.10 (95% CI: 3.14-5.35). To analyze the impact of Elixhauser comorbidities on the relation between age and mortality after hip fracture in elderly patients. Cross-sectional study of the population ≥65 years old hospitalized in Spain in 2013 with a diagnosis of fall-related hip fracture in the Basic Minimum Set Data (BMSD). The impact of Elixhauser comorbidities on the association between mortality and age groups (65-74, 75-84, ≥85) was analyzed by logistic regression models with progressive adjustment for demographic variables and comorbidities introduced individually. We identified 31,884 patients, 5.5% of which died during hospitalization. Compared with those 65-74 years old, the multivariate OR of mortality for those 75-84 and ≥85 years old decreased from 2.23 (95% CI: 1.71-2.90) and 4.57 (95% CI: 3.54-5.90) to 2.11 (95% CI: 1.61-2.77) and 4.10 (95% CI: 3.14-5.35), respectively after adjustment for comorbidities. The OR of mortality for men was 1.77 (95% CI: 1.58-1.98) compared to women. The comorbidities with higher OR for mortality were congestive heart failure (OR: 3.88; 95% CI: 3.42-4.41), metastasis (OR: 3.44; 95% CI: 2.27-5.20), fluid and electrolyte disorders (OR: 2.95; 95% CI: 2.47-3.52), coagulation deficiencies (OR: 2.87; 95% CI: 2.08-3.96), and liver disease (OR: 2.40; 95% CI: 1.82-3.17). The association between age and mortality after hip fracture remains after adjusting for numerous comorbidities. However, some potentially controllable disorders are associated with an increased risk for mortality, thus, improving their management could benefit survival.es_ES
dc.language.isoenges_ES
dc.publisherSpringeres_ES
dc.relation.isversionofPostprintes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectElderlyes_ES
dc.subjectfallses_ES
dc.subjectmortalityes_ES
dc.subjectcomorbiditieses_ES
dc.subject.meshAccidental Falls es_ES
dc.subject.meshAge Factors es_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshComorbidity es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHip Fractures es_ES
dc.subject.meshHospital Mortality es_ES
dc.subject.meshHospitalization es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshOsteoporotic Fractures es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshSpain es_ES
dc.titleEffect of comorbidities on the association between age and hospital mortality after fall-related hip fracture in elderly patients.es_ES
dc.typeArtículoes_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.identifier.pubmedID28160037es_ES
dc.format.volume28es_ES
dc.format.number5es_ES
dc.format.page1559-1568es_ES
dc.identifier.doi10.1007/s00198-017-3926-2es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1433-2965
dc.relation.publisherversionhttps://doi.org/10.1007/s00198-017-3926-2es_ES
dc.identifier.journalOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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Atribución-NoComercial-CompartirIgual 4.0 Internacional
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