The incidence of hip fracture among people admitted to internal medicine units in Spain was analyzed. 1127 (0.057%) people received a diagnosis of hip fracture during hospitalisation, and the hospital mortality rate was 27.9%. (versus 9.4% for comparable non-fracture patients). Their mean length of stay was significantly longer (20.7 days versus 9.8 days) and costs were higher (€6927 per person versus €3730 in non fracture patients).
The risk factors related to fracture were found to be increasing age, female gender, admission from nursing homes, dementia, malnutrition, delirium and anaemia.
The authors propose that since in-hospital hip fractures increase hospital mortality, and double both the length of stay and the costs per admission, there are strong justifications for applying multi-disciplinary / multi-factorial approaches for reducing the incidence of falls and hip fractures in hospitalised patients.
Note: Readers may be interested in the recently published NICE Clinical Guideline CG161 “Falls Assessment and Prevention in Older People”.
Zapatero, A. Barba, R. [and] Canora, J. [et al] (2013). Hip fracture in hospitalized medical patients. BMC Musculoskeletal Disorders. January 8th 2013, 14: 15, pp.1-6. (Click here to view the PubMed abstract).
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 9, August 2013].