Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jan;67(1):124-127.
doi: 10.1111/jgs.15661. Epub 2018 Nov 24.

Risk of Mortality in Individuals with Hip Fracture and Traumatic Brain Injury

Jennifer S Albrecht  1 , Gulam Al Kibria  1 , Ann Gruber-Baldini  1 , Jay Magaziner  1
Affiliations

Risk of Mortality in Individuals with Hip Fracture and Traumatic Brain Injury

Jennifer S Albrecht et al. J Am Geriatr Soc. 2019 Jan.

Abstract

Objectives: To estimate the prevalence of diagnosed traumatic brain injury (TBI) in individuals hospitalized with hip fracture and examine its association with all-cause mortality.

Design: Nested cohort study.

Setting: National sample of Medicare beneficiaries from 2006 to 2010.

Participants: Beneficiaries aged 65 and older hospitalized with hip fracture.

Measurements: TBI at the time of hip fracture was defined using International Classification of Diseases, Ninth Revision, Clinical Modification codes. The main outcome was all-cause mortality during follow-up.

Results: Prevalence of TBI in individuals with hip fracture was 2.7%. Absolute risk of mortality attributable to TBI in individuals with hip fracture was 15/100 person-years. TBI was significantly associated with risk of death in multivariable analysis (hazard ratio=1.24, 95% confidence interval=1.14-1.35).

Conclusion: TBI was associated with greater risk of mortality in individuals with hip fracture. Practitioners should consider evaluating for presence of TBI in this vulnerable population. J Am Geriatr Soc 67:124-127, 2019.

Keywords: Medicare; hip fracture; mortality; traumatic brain injury.

PubMed Disclaimer

Figures

Figure.
Figure.
Mortality Rate/100 Person-Years among Hip Fracture Patients with and without Traumatic Brain Injury
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. HCUPnet. Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality;2012. - PubMed
    1. Johnell O, Kanis J. Epidemiology of osteoporotic fractures. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2005;16 Suppl 2:S3–7. - PubMed
    1. Goldacre MJ, Roberts SE, Yeates D. Mortality after admission to hospital with fractured neck of femur: database study. BMJ (Clinical research ed). 2002;325(7369):868–869. - PMC - PubMed
    1. Johnell O, Kanis JA, Oden A, et al. Mortality after osteoporotic fractures. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2004;15(1):38–42. - PubMed
    1. Brauer CA, Coca-Perraillon M, Cutler DM, Rosen AB. Incidence and mortality of hip fractures in the United States. Jama. 2009;302(14):1573–1579. - PMC - PubMed

Publication types