Men are at a disadvantage after a femoral neck fracture. One year after hospitalization, a third of them died compared to a fifth of the women.
A fall with serious consequences… Elderly people who have fractured the neck of the femur sometimes find it difficult to recover. This loss of autonomy has a serious but frequent consequence: one year after their admission to hospital, 23% of patients have died. This alarming statistic is advanced by the Directorate of Research, Studies, Evaluation and Statistics (DREES), which is based on data from the Health Insurance 2008-2009.
In this year alone, 95,000 people over the age of 54 were hospitalized for a fractured upper extremity of the femur. Women represented the vast majority. Indeed, it is a frequent complication of osteoporosis.
Yet it is the men who do the worst. A year after the incident, a third of them died against a fifth of their peers. This differential emerges from hospitalization and throughout the follow-up, up to three months: mortality is doubled compared to the female sex.
Age increases the risk
The region of care, and the type of establishment do not influence the long-term outcome. On the other hand, the older the patient is at the time of the fracture, the greater the risk of not being alive after one year. The trend is even more marked among men: the rate is less than 15% among those under 65 and exceeds 64% among the oldest. In women, it does not exceed 10% before the age of 70. For the oldest, the maximum mortality is 42.4%.
Regardless of gender, being in good general health during hospitalization is a better predictor. The death rate is similar according to the types of fractures, but the mode of management has an influence. Thus, the patients who have benefited from a total prosthesis are the ones who do the best – with only 16% of deaths at one year.
1 in 4 seniors die 1 year after a femoral neck fracture [Etude DREES] https://t.co/LKoDEY1zTG #health #France pic.twitter.com/z837Z9ywnj
– Pourquoidocteur (@Pourquoidocteur) January 29, 2016
.
