University of Oulu

Lahtinen, A., Leppilahti, J., Vähänikkilä, H., Kujala, S., Ristiniemi, J., & Jalovaara, P. (2019). No Major Differences In Recovery After Hip Fracture Between Home-Dwelling Female and Male Patients. Scandinavian Journal of Surgery. https://doi.org/10.1177/1457496919847932

No major differences in recovery after hip fracture between home-dwelling female and male patients

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Author: Lahtinen, A.1; Leppilahti, J.1; Vähänikkilä, H.2;
Organizations: 1Department of Orthopaedic and Trauma Surgery, Faculty of Medicine, University of Oulu, Oulu, Finland
2Institute of Dentistry, Faculty of Medicine, University of Oulu, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2019100831698
Language: English
Published: SAGE Publications, 2019
Publish Date: 2019-10-08
Description:

Abstract

Background: Studies comparing recovery of men and women after hip fracture have reported conflicting results, some reporting worse recovery in male patients, while others found no differences between genders.

Methods: Recovery was compared in 105 male and 433 female patients with hip fractures and in age-matched groups of patients 50 years or older, who were home-dwelling and received similar rehabilitation. Residential status, walking ability, hip pain and activities of daily living function were recorded at admission and 4 and 12 months postoperatively, along with mortality and re-operations.

Results: No differences were observed between men and women 4 and 12 months postoperatively regarding residential status (p = 0.181 vs p = 0.883), mortality rates (p = 0.232 vs p = 0.880) or total activities of daily living scores (p = 0.546 vs p = 0.435). Walking ability was better among male patients prefracture (p < 0.001) and 4 and 12 months after fracture (p < 0.001, p = 0.031, respectively). In age-matched pair analysis, no differences were found regarding mortality, residential status, walking ability, or ADL score. Cox regression analysis identified mortality risk factors as being age, prefracture ADL score, American Society of Anesthesiologists score 4–5 and place of rehabilitation. Sex was not mortality risk factor.

Interpretation: Home-dwelling male and female patients had similar courses of recovery from hip fracture, although there were singular differences in specific activities of daily living functions and postoperative pain. There were no differences in mortality, even when prefracture characteristics were considered. Mortality was higher among older patients and who had high American Society of Anesthesiologists scores and low prefracture activities of daily living scores.

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Series: Scandinavian journal of surgery
ISSN: 1457-4969
ISSN-E: 1799-7267
ISSN-L: 1457-4969
Volume: Online first
Issue: Online first
Pages: 1 - 15
DOI: 10.1177/1457496919847932
OADOI: https://oadoi.org/10.1177/1457496919847932
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Subjects:
Funding: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was financially supported by the Finnish Office for Health Technology Assessment (Finohta), a public assessment agency working as a part of national Institute for Health and Welfare.
Copyright information: © The Finnish Surgical Society 2019. Reprinted by permission of SAGE Publications. The Definitive Version of Record can be found online at: https://doi.org/10.1177/1457496919847932.