Type 2 Diabetes Is Associated With Increased Complications and Mortality After Hip Fracture in Older Adults Aged 60 Years or Older
Main finding · 1-year mortalityResult — go to the resultAdjusted hazard ratio 1.08 95% CI 1.04–1.13Authors' conclusion
T2D was associated with worse post-hip fracture outcomes and increased healthcare burdens.
Study context
- Population
- Individuals aged ≥60 years hospitalised for hip fractures between 2011 and 2020, Hong Kong; 34.6% had pre-existing diabetes
- Participants
- 52,472 individuals
- Exposure
- T2D vs no diabetes
- Outcome
- 1-year mortality
- Follow-up
- 1 year
Methodological detailsterritory-wide electronic health records, multivariable regression, Follow-up from day of admission to outcomes, death, or December 2023
- Territory-wide electronic health records
- Multivariable regression
- Follow-up from day of admission to outcomes, death, or December 2023
Main finding
As reported in the abstract
Adjusted hazard ratio
1.08
95% CI 1.04–1.13
T2Dvs No diabetes
aHR 1.08 (95% CI 1.04–1.13)
- T2D independently associated with more cardiovascular, kidney and infective complications during hospitalisation
- all p < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | Higher costs (%) | P value |
|---|---|---|
| Hospitalisation costsT2D vs No diabetes | 4.6 | P < 0.001 |
In-hospital mortality and LOS
- In-hospital mortality and length of stay were not significantly different
Undiagnosed diabetes subgroup
- Higher costs
- 24.5% (p < 0.001)
- Even higher risks of in-hospital complications and mortality
Anti-osteoporosis treatment and recurrent fracture
- T2D did not influence the rate of anti-osteoporosis treatment or recurrent fracture risks
Original publication
Type 2 Diabetes Is Associated With Increased Complications and Mortality After Hip Fracture in Older Adults Aged 60 Years or Older. Diabetes Obes Metab. Published 16 June 2026. doi:10. 1111/ dom. 71000
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