Mortality following proximal humerus fracture—a nationwide register study of 147,692 fracture patients in Sweden
Authors' conclusion
The mortality rate and SMR suggest that PHF patients are heterogeneous. Some older PHF patients may benefit from specialized care (e.g., orthogeriatric), and this should be evaluated in future studies.
Study context
- Population
- All adults (≥18 years) with proximal humerus fractures (PHF) in the Swedish Hospital Discharge Register, 2001–2016; mean age 69 years (range 18–111), male to female ratio 1:3; 86% treated non-surgically
- Participants
- 147,692 adults
- Exposure
- PHF patients vs age- and sex-matched general population
- PHFn = 147,692
- Outcome
- Mortality (crude mortality rate and SMR vs age- and sex-matched population)
Methodological detailspopulation-based comparison with age- and sex-matched mortality data, Data from Swedish Hospital Discharge Register and Swedish Cause of Death Register
- Population-based comparison with age- and sex-matched mortality data
- Data from Swedish Hospital Discharge Register and Swedish Cause of Death Register
Main finding
As reported in the abstract
Crude mortality rate after PHF
- Crude mortality at 1 month
- 2.2%
- Crude mortality at 3 months
- 4.1%
- Crude mortality at 12 months
- 8.5%
- Crude mortality at 48 months
- 24%
- Age-adjusted standardized mortality rate (SMR), whole adult PHF population
- 3.9
Observational data: associations, not effects.
Further findings
- SMR, 18–39 years
- 5.4
- SMR, 40–64 years
- 3.9
- SMR, 65–79 years
- 1.8
- SMR, ≥80 years
- 1.2
- Mortality increased with age; SMR highest among young patients
Original publication
Mortality following proximal humerus fracture—a nationwide register study of 147,692 fracture patients in Sweden. Osteoporos Int. Published 26 November 2022. doi:10.
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