Increased mortality after lower extremity fractures in patients <65 years of age

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Somersalo , A , Paloneva , J , Kautiainen , H , Lonnroos , E , Heinanen , M & Kiviranta , I 2016 , ' Increased mortality after lower extremity fractures in patients <65 years of age ' , Acta Orthopaedica , vol. 87 , no. 6 , pp. 622-625 .

Title: Increased mortality after lower extremity fractures in patients <65 years of age
Author: Somersalo, Axel; Paloneva, Juha; Kautiainen, Hannu; Lonnroos, Eija; Heinanen, Mikko; Kiviranta, Ilkka
Contributor organization: Clinicum
I kirurgian klinikka (Töölö)
Department of Surgery
Department of General Practice and Primary Health Care
Date: 2016-12
Language: eng
Number of pages: 4
Belongs to series: Acta Orthopaedica
ISSN: 1745-3674
Abstract: Background and purpose The association between mortality and lower extremity fractures (other than hip fractures in older individuals) is unclear. We therefore investigated mortality in adults of all ages after lower extremity fractures that required inpatient care.Patients and methods Diagnosis code (ICD10), procedure code (NOMESCO), and 7 additional characteristics of patients admitted to the trauma ward at Central Finland Hospital were collected between 2002 and 2008 (n = 3,567). Patients were followed up until the end of 2012. Mortality rates were calculated for patients with all types of lower extremity fractures using data from the population at risk.Results During the study, 2,081 women and 1,486 men sustained a lower extremity fracture. By the end of follow-up (mean duration 5 years), 42% of the women and 32% of the men had died. For all lower extremity fractures, the standardized mortality ratio (SMR) was 1.9 (95% CI: 1.8-2.0) for women and 2.6 (CI: 2.4-2.9) for men. In patients aged 65 years, mortality was increased and of similar magnitude after fractures of the hip, femoral diaphysis, and knee (distal femur, patella, and proximal tibia). In patients aged
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: cc_by_nc
Usage restriction: openAccess
Self-archived version: publishedVersion

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