What is the risk of death one year after a fracture of the femur neck?

Source: Studies and Results n° 948, January 2016 Author: Philippe Oberlin, Marie-Claude Mouquet In 2008-2009, nearly 95,000 patients over 54 years of age, insured under the General Health Insurance Plan, three-quarters of whom were women, were hospitalised for a fracture of the femur neck. One in five women and one in three men died in the following year. Death is correlated with age for both sexes, but overmortality relative to the population of the same age is higher for men than for women. Types of fractures, categories of institutions and types of treatment have little impact on mortality, except when patients cannot be operated. On the other hand, the patient’s state of health at the time of the fracture is decisive. In multivariate analysis, the risk of one-year death increases as soon as there is a significant chronic disease and increases up to 4.6 times in the most serious patients.数据来源：《研究与成果》第948号，2016年1月 作者：菲利普·奥伯林（Philippe Oberlin）、玛丽-克洛德·穆凯（Marie-Claude Mouquet） 2008至2009年间，近95000名54岁以上、参保通用健康保险计划（General Health Insurance Plan）的患者因股骨颈（femur neck）骨折入院治疗，其中四分之三为女性。 后续一年内，五分之一的女性患者与三分之一的男性患者离世。两类性别的死亡风险均与年龄相关，但男性相较于同年龄段人群的超额死亡率高于女性。 骨折类型、医疗机构类别与治疗方式对死亡率的影响极小，仅当患者无法接受手术时例外。此外，骨折发生时患者的健康状态是影响死亡风险的决定性因素。 多变量分析（multivariate analysis）结果显示，只要存在显著慢性疾病，患者的一年死亡风险便会升高；病情最严重的患者，其死亡风险可升至普通人群的4.6倍。