Do We Need Orthogeriatrics in Poland? Changes in the Age Structure and Location of Hip Fractures

Overview

Journal Aging Clin Exp Res

Publisher Springer

Specialty Geriatrics

Date 2016 Sep 8

PMID 27600284

Citations 2

Authors

Robert Wilk

Michal Skrzypek

Malgorzata Kowalska

Damian Kusz

Bogdan Koczy

Piotr Zagorski

Wojciech Pluskiewicz

Affiliations

Soon will be listed here.

Abstract

Background: Patients with hip fractures present a great challenge for surgeons due to multimorbidity, polypharmacy as well as difficulty in communicating. These could be attributed to a recent trend in the aging patient population (80 years and older) as compared to the past. The aim of this study is to analyze age structure and location in male and female patients' population with hip fracture over 50.

Materials And Methods: Hospital records between 2005 and 2014 with ICD-10 codes S72,0, S72,1 and S72,2 were included in the analysis. All fractures occurred in citizen aged 50 years and over living in the district of Tarnowskie Góry and the city of Piekary Śląskie in Poland.

Results: Within the study period, 1258 hip fractures were registered. The mean age of the patients was higher every year, starting from 77.27 ± 9.52 in 2005 to 80.80 ± 9.65 years in 2014 (p < 0.01). The average age also increased in both gender groups from 73.85 ± 8.30 to 77.89 ± 9.52 years in male and from 78.14 ± 9.66 to 81.98 ± 9.49 years in female, respectively. The median age value was changed from 78.00 to 83.00 years in the total population. We noted a significant increase in female with trochanteric fracture; however, the level of neck fracture was almost the same. In men, crude rates for both trochanteric and cervical fractures slightly increased.

Conclusions: As the age of patients increases, fractures were shown to be more complicated. Given the scale of the phenomenon and its determinants, we emphatically conclude orthogeriatrics is needed in Poland.

Citing Articles

One year of the COVID-19 pandemic in Poland-the incidence of osteoporotic forearm, arm, and hip fractures.

Wilk R, Adamczyk P, Pluskiewicz W, Skrzypek M, Hajzyk M, Koczy B Arch Osteoporos. 2022; 17(1):38.

PMID: 35239040 PMC: 8892106. DOI: 10.1007/s11657-022-01086-w.

The Increase of Osteoporotic Hip Fractures and Associated One-Year Mortality in Poland: 2008-2015.

Glinkowski W, Narloch J, Krasuski K, Sliwczynski A J Clin Med. 2019; 8(9).

PMID: 31540458 PMC: 6780214. DOI: 10.3390/jcm8091487.

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