Osteoporos Sarcopenia.  2019 Jun;5(2):38-43. 10.1016/j.afos.2019.06.003.

The incidence of hip fracture and mortality rate after hip fracture in Korea: A nationwide population-based cohort study

Affiliations
  • 1Department of Endocrinology and Metabolism, Hallym University Dongtan Sacred Heart Hospital, Hwasung, South Korea. anugo@hallym.ac.kr
  • 2Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Abstract


OBJECTIVES
Osteoporotic hip fractures are associated with high mortality in the older population. Few population studies have reported the long-term trends of incidence and mortality rate of hip fracture among the older in Korea. This study assessed the incidence and mortality rate within 1 year after hip fracture from 2006 to 2015 in South Korea.
METHODS
The National Health Information Database was used to identify adults aged 60 years and older with a diagnosis of hip fracture and died within 1 year from hip fracture. Regression analyses were performed to estimate the change of the incidence of hip fracture and the related mortality rate.
RESULTS
The events causing hip fracture increased 1.85 times (1.91 times in women and 1.71 times in men), and the incidence of hip fracture increased 1.23 times (1.30 times in women and 1.11 times in men) from 2006 to 2015. The mortality rate after hip fracture decreased by 10% in women; however, it increased by 13% in men. These trends were more prominent in the older population.
CONCLUSIONS
Although the mortality rate after hip fracture in women decreased, other parameters associated with hip fracture have worsened during the last decade. Nationwide programs were urgently needed to reduce the future socioeconomic burdens of hip fractures.

Keyword

Osteoporosis; Hip fractures; Incidence; Mortality; Trend; Korea

MeSH Terms

Adult
Cohort Studies*
Diagnosis
Female
Hip Fractures
Hip*
Humans
Incidence*
Korea*
Male
Mortality*
Osteoporosis
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