Risk factors of mortality during the first year after low energy osteoporosis fracture: a retrospective case-control study
Identifieur interne : 001B72 ( Ncbi/Merge ); précédent : 001B71; suivant : 001B73Risk factors of mortality during the first year after low energy osteoporosis fracture: a retrospective case-control study
Auteurs : Aurore Lloret [France] ; Guillaume Coiffier [France] ; Tiffen Couchouron [France] ; Aleth Perdriger [France] ; Pascal Guggenbuhl [France]Source :
- Clinical Cases in Mineral and Bone Metabolism [ 1724-8914 ] ; 2016.
Abstract
Osteoporotic fractures are a major public health problem because of the morbidity and mortality of fracture complications. The objective of this study was to examine predictive factors of mortality during the first year after an osteoporotic fracture.
It is a retrospective case-control study using data of a group of 1081 patients aged over 50 years with severe osteoporotic fractures by the Rennes university hospital emergency department from August 2007 to September 2008. Patients (cases) who died during the year following the fracture were compared with others who had survived (controls) one year after the fracture, matched on age, sex and type of fracture. Pre-fracture comorbidities and complications after the fractures were studied.
Forty-two cases and 126 controls were analyzed without significant differences in age, sex or type of fracture. On univariate analysis, previous neoplasia, neurodegenerative disease, walking aids, thromboembolic complication, post fracture infection, post fracture heart failure, post fracture acute respiratory failure were associated with more mortality after osteoporotic fracture. After multivariate analysis, only previous neoplasia (OR = 4.63 [1.79 – 11.95]; p = 0.02) and acute respiratory failure after fracture (OR = 28.15 [5.75 – 137.9]; p<0.001) were retained as predictive factors during the year following the fracture.
Patients died more often from their co-morbidities than direct complications of their fractures. Osteoporotic fracture seems to be a marker of poor health status and a factor which may hasten the death.
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DOI: 10.11138/ccmbm/2016.13.2.123
PubMed: 27920808
PubMed Central: 5119709
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Introduction</title>
<p>Osteoporotic fractures are a major public health problem because of the morbidity and mortality of fracture complications. The objective of this study was to examine predictive factors of mortality during the first year after an osteoporotic fracture.</p>
</sec>
<sec><title>Methods</title>
<p>It is a retrospective case-control study using data of a group of 1081 patients aged over 50 years with severe osteoporotic fractures by the Rennes university hospital emergency department from August 2007 to September 2008. Patients (cases) who died during the year following the fracture were compared with others who had survived (controls) one year after the fracture, matched on age, sex and type of fracture. Pre-fracture comorbidities and complications after the fractures were studied.</p>
</sec>
<sec><title>Results</title>
<p>Forty-two cases and 126 controls were analyzed without significant differences in age, sex or type of fracture. On univariate analysis, previous neoplasia, neurodegenerative disease, walking aids, thromboembolic complication, post fracture infection, post fracture heart failure, post fracture acute respiratory failure were associated with more mortality after osteoporotic fracture. After multivariate analysis, only previous neoplasia (OR = 4.63 [1.79 – 11.95]; p = 0.02) and acute respiratory failure after fracture (OR = 28.15 [5.75 – 137.9]; p<0.001) were retained as predictive factors during the year following the fracture.</p>
</sec>
<sec><title>Conclusion</title>
<p>Patients died more often from their co-morbidities than direct complications of their fractures. Osteoporotic fracture seems to be a marker of poor health status and a factor which may hasten the death.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Cases Miner Bone Metab</journal-id>
<journal-id journal-id-type="iso-abbrev">Clin Cases Miner Bone Metab</journal-id>
<journal-id journal-id-type="publisher-id">22</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
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<title-group><article-title>Risk factors of mortality during the first year after low energy osteoporosis fracture: a retrospective case-control study</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Lloret</surname>
<given-names>Aurore</given-names>
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<xref ref-type="aff" rid="af1-123-126">1</xref>
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<contrib contrib-type="author"><name><surname>Coiffier</surname>
<given-names>Guillaume</given-names>
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<xref ref-type="corresp" rid="c1-123-126"></xref>
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<contrib contrib-type="author"><name><surname>Couchouron</surname>
<given-names>Tiffen</given-names>
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<xref ref-type="aff" rid="af1-123-126">1</xref>
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<contrib contrib-type="author"><name><surname>Perdriger</surname>
<given-names>Aleth</given-names>
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<xref ref-type="aff" rid="af1-123-126">1</xref>
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<contrib contrib-type="author"><name><surname>Guggenbuhl</surname>
<given-names>Pascal</given-names>
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<xref ref-type="aff" rid="af2-123-126">2</xref>
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Service de Rhumatologie, CHU de Rennes Hôpital Sud, Rennes, Cedex 2, France</aff>
<aff id="af2-123-126"><label>2</label>
INSERM UMR 991, Rennes, France</aff>
<author-notes><corresp id="c1-123-126">Address for correspondence: Guillaume Coiffier, Service de Rhumatologie, CHU de Rennes Hôpital Sud, 16 Boulevard de Bulgarie, BP90347, 35203 Rennes, Cedex 2, France, E-mail: <email>guillaume.coiffier@chu-rennes.fr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>May-Aug</season>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>05</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>13</volume>
<issue>2</issue>
<fpage>123</fpage>
<lpage>126</lpage>
<permissions><copyright-statement>Copyright © 2016, CIC Edizioni Internazionali</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><title>Summary</title>
<sec><title>Introduction</title>
<p>Osteoporotic fractures are a major public health problem because of the morbidity and mortality of fracture complications. The objective of this study was to examine predictive factors of mortality during the first year after an osteoporotic fracture.</p>
</sec>
<sec><title>Methods</title>
<p>It is a retrospective case-control study using data of a group of 1081 patients aged over 50 years with severe osteoporotic fractures by the Rennes university hospital emergency department from August 2007 to September 2008. Patients (cases) who died during the year following the fracture were compared with others who had survived (controls) one year after the fracture, matched on age, sex and type of fracture. Pre-fracture comorbidities and complications after the fractures were studied.</p>
</sec>
<sec><title>Results</title>
<p>Forty-two cases and 126 controls were analyzed without significant differences in age, sex or type of fracture. On univariate analysis, previous neoplasia, neurodegenerative disease, walking aids, thromboembolic complication, post fracture infection, post fracture heart failure, post fracture acute respiratory failure were associated with more mortality after osteoporotic fracture. After multivariate analysis, only previous neoplasia (OR = 4.63 [1.79 – 11.95]; p = 0.02) and acute respiratory failure after fracture (OR = 28.15 [5.75 – 137.9]; p<0.001) were retained as predictive factors during the year following the fracture.</p>
</sec>
<sec><title>Conclusion</title>
<p>Patients died more often from their co-morbidities than direct complications of their fractures. Osteoporotic fracture seems to be a marker of poor health status and a factor which may hasten the death.</p>
</sec>
</abstract>
<kwd-group><kwd>osteoporosis</kwd>
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<name sortKey="Perdriger, Aleth" sort="Perdriger, Aleth" uniqKey="Perdriger A" first="Aleth" last="Perdriger">Aleth Perdriger</name>
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