Hip fracture outcomes in patients with COPD

Buss, Lewis; McKeever, Tricia M.; Nightingale, Jessica; Akyea, Ralph; Ollivere, Benjamin; Moppett, Iain; Bolton, Charlotte E.

Abstract

Hip fractures are common in patients with COPD and contemporary outcome data is needed. Patients admitted with a hip fracture to one acute trust (2010-2015) were assessed prospectively (UK National Hip Fracture Database audit) and mortality data collected. Of the 4020 patients, 16.2% had a recorded COPD diagnosis. Mortality was significantly greater in patients with COPD compared to non-COPD: 30-days (12.6% vs 7.8%) and 1-year (35.3% vs 25.3%), both p[less than] 0.001 and remained significant after adjustment (aOR at 1 year 1.44 95% CI1.18 -1.76). There is further excess mortality following a hip fracture in those with COPD.

Citation

Buss, L., McKeever, T. M., Nightingale, J., Akyea, R., Ollivere, B., Moppett, I., & Bolton, C. E. (2018). Hip fracture outcomes in patients with COPD. British Journal of Anaesthesia, 121(6), 1377-1379. https://doi.org/10.1016/j.bja.2018.09.008+hideArticle+Info

• Journal Article Type: Article
• Acceptance Date: Sep 6, 2018
• Online Publication Date: Oct 15, 2018
• Publication Date: Dec 1, 2018
• Deposit Date: Sep 10, 2018
• Publicly Available Date: Oct 16, 2019
• Journal: British Journal of Anaesthesia
• Print ISSN: 0007-0912
• Electronic ISSN: 1471-6771
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 121
• Issue: 6
• Pages: 1377-1379
• DOI: https://doi.org/10.1016/j.bja.2018.09.008+hideArticle+Info
• Keywords: Chronic Obstructive Pulmonary Disease; COPD; Hip fracture; Osteoporosis; Mortality
• Public URL: https://nottingham-repository.worktribe.com/output/1067642
• Publisher URL: https://bjanaesthesia.org/article/S0007-0912(18)30716-5/abstract
• Contract Date: Sep 10, 2018