Risk Analysis for Second Hip Fracture in Patients After Hip Fracture Surgery: A Nationwide Population-Based Study

2014 ◽  
Vol 15 (10) ◽  
pp. 725-731 ◽  
Author(s):  
Shih-Hsun Shen ◽  
Kuo-Chin Huang ◽  
Yao-Hung Tsai ◽  
Tien-Yu Yang ◽  
Mel S. Lee ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Risk Analysis ◽  
Population Based ◽  
Population Based Study ◽  
Hip Fracture Surgery ◽  
Second Hip Fracture ◽  
Fracture Surgery

scholarly journals One-Year Readmission Risk and Mortality after Hip Fracture Surgery: A National Population-Based Study in Taiwan

2017 ◽  
Vol 8 (4) ◽  
pp. 402 ◽  
Author(s):  
Tien-Ching Lee ◽  
Pei-Shan Ho ◽  
Hui-Tzu Lin ◽  
Mei-Ling Ho ◽  
Hsuan-Ti Huang ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Population Based ◽  
Population Based Study ◽  
National Population ◽  
Hip Fracture Surgery ◽  
One Year ◽  
Fracture Surgery ◽  
Readmission Risk

scholarly journals Utilization, effectiveness, and safety of tranexamic acid use in hip fracture surgery: A population-based study

2020 ◽  
Vol 20 ◽  
pp. 167-172 ◽  
Author(s):  
Zoe B. Cheung ◽  
Shawn G. Anthony ◽  
David A. Forsh ◽  
Jeremy Podolnick ◽  
Nicole Zubizarreta ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Tranexamic Acid ◽  
Population Based ◽  
Population Based Study ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals The association between initial opioid type and long-term opioid use after hip fracture surgery in elderly opioid-naïve patients

2020 ◽  
Vol 20 (4) ◽  
pp. 755-764
Author(s):  
Amalie H. Simoni ◽  
Lone Nikolajsen ◽  
Anne E. Olesen ◽  
Christian F. Christiansen ◽  
Søren P. Johnsen ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Pain Treatment ◽  
Population Based ◽  
Opioid Use ◽  
Calendar Time ◽  
Opioid Prescription ◽  
Hip Fracture Surgery ◽  
Opioid Users ◽  
Fracture Surgery

AbstractObjectivesLong-term opioid use after hip fracture surgery has been demonstrated in previously opioid-naïve elderly patients. It is unknown if the opioid type redeemed after hip surgery is associated with long-term opioid use. The aim of this study was to examine the association between the opioid type redeemed within the first three months after hip fracture surgery and opioid use 3–12 months after the surgery.MethodsA nationwide population-based cohort study was conducted using data from Danish health registries (2005–2015). Previously opioid-naïve patients registered in the Danish Multidisciplinary Hip Fracture Registry, aged ≥65 years, who redeemed ≥1 opioid prescription within three months after the surgery, were included. Long-term opioid use was defined as ≥1 redeemed prescription within each of three three-month periods within the year after hip fracture surgery. The proportion with long-term opioid use after surgery, conditioned on nine-month survival, was calculated according to opioid types within three months after surgery. Adjusted odds ratios (aOR) for different opioid types were computed by logistic regression analyses with 95% confidence intervals (CI) using morphine as reference. Subgroup analyses were performed according to age, comorbidity and calendar time before and after 2010.ResultsThe study included 26,790 elderly, opioid-naïve patients with opioid use within three months after hip fracture surgery. Of these patients, 21% died within nine months after the surgery. Among the 21,255 patients alive nine months after surgery, 15% became long-term opioid users. Certain opioid types used within the first three months after surgery were associated with long-term opioid use compared to morphine (9%), including oxycodone (14%, aOR; 1.76, 95% CI 1.52–2.03), fentanyl (29%, aOR; 4.37, 95% CI 3.12–6.12), codeine (13%, aOR; 1.55, 95% CI 1.14–2.09), tramadol (13%, aOR; 1.56, 95% CI 1.35–1.80), buprenorphine (33%, aOR; 5.37, 95% CI 4.14–6.94), and >1 opioid type (27%, aOR; 3.83, 95% CI 3.31–4.44). The proportion of long-term opioid users decreased from 18% before 2010 to 13% after 2010.ConclusionsThe findings suggest that use of certain opioid types after hip fracture surgery is more associated with long-term opioid use than morphine and the proportion initiating long-term opioid use decreased after 2010. The findings suggest that some elderly, opioid-naïve patients appear to be presented with untreated pain conditions when seen in the hospital for a hip fracture surgery. Decisions regarding the opioid type prescribed after hospitalization for hip fracture surgery may be linked to different indication for pain treatment, emphasizing the likelihood of careful and conscientious opioid prescribing behavior.

scholarly journals Chronic NSAIDs Use Increases the Risk of a Second Hip Fracture in Patients After Hip Fracture Surgery

Medicine ◽  
2015 ◽  
Vol 94 (38) ◽  
pp. e1566 ◽  
Author(s):  
Kuo-Chin Huang ◽  
Tsan-Wen Huang ◽  
Tien-Yu Yang ◽  
Mel S. Lee
Keyword(s):  
Hip Fracture ◽  
Hip Fracture Surgery ◽  
Second Hip Fracture ◽  
Fracture Surgery

Incidence, timing and impact of comorbidity on second hip fracture: a population-based study

2018 ◽  
Vol 88 (6) ◽  
pp. 577-581 ◽  
Author(s):  
Lara Harvey ◽  
Barbara Toson ◽  
Rebecca Mitchell ◽  
Henry Brodaty ◽  
Brian Draper ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Population Based ◽  
Population Based Study ◽  
Second Hip Fracture
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