Treatment of osteoporosis after hip fracture is associated with lower all-cause mortality: A nationwide population study

Ta Wei Tai, Chia Chun Li, Chun Feng Huang, Wing P. Chan, Chih Hsing Wu

研究成果: 雜誌貢獻文章同行評審

21 引文 斯高帕斯(Scopus)

摘要

Purpose: Mortality after osteoporotic hip fractures is high. Postoperative care is as important as surgery itself to prevent a second fracture and improve outcomes, and the effect of anti-osteoporosis treatment after hip fractures on overall mortality is controversial. This nationwide population study aimed to determine whether anti-osteoporosis treatment might reduce overall mortality after hip fracture surgery. Methods: We conducted this cohort study using the National Health Insurance Research Database (NHIRD) of Taiwan to identify patients admitted for surgery due to hip fractures from 2008 to 2018. The subsequent use and duration of anti-osteoporotic medication and other parameters were analyzed, and national death registration records were retrieved to investigate mortality. Results: A total of 59,943 patients admitted for hip fracture surgery were identified. The 22,494 patients (37.5%) who received anti-osteoporotic medication showed a lower all-cause mortality rate compared with the 37,449 patients (62.5%) who did not receive further treatment (hazard ratio (HR): 0.69, 95% confidence interval (CI): 0.67–0.70, p < 0.0001). Patients who received anti-osteoporotic medication for more than 1, 2, and 3 years exhibited propotional reductions in all-cause mortality (HR & 95%CI: 0.57 (0.54–0.60), 0.42 (0.38–0.46), and 0.29 (0.26–0.33) respectively). Conclusion: Anti-osteoporosis treatment was associated with lower all-cause mortality after hip fracture surgery. A longer duration of treatment was also associated with lower mortality. Postoperative treatment for osteoporosis is crucial for patients with hip fracture.
原文英語
文章編號116216
期刊Bone
154
DOIs
出版狀態已發佈 - 1月 2022

ASJC Scopus subject areas

  • 內分泌學、糖尿病和代謝
  • 組織學
  • 生理學

指紋

深入研究「Treatment of osteoporosis after hip fracture is associated with lower all-cause mortality: A nationwide population study」主題。共同形成了獨特的指紋。

引用此