Vertebral fracture caused the greatest health burden , but hip fracture patients were the main users of informal care after hospital discharge .
There was an increased risk of a subsequent fracture after a primary fracture compared with the control group , a cohort comparison , or the general population .
Osteoporotic fractures , especially hip fractures , are associated with higher mortality rate despite the advances in the management of osteoporotic fracture cases .
There is strong evidence to show that after hospital discharge , osteoporotic fracture patients are faced with higher morbidity , subsequent fractures , and mortality
PURPOSE Osteoporotic fracture is the main complication of osteoporosis .
The current management is to discharge patients as early as possible so they can get back to their daily activities .
Once discharged , there are three main issues relating to morbidity , mortality , and risk of a subsequent fracture that need to be addressed and discussed .
Therefore , the aim of this systematic review was to summarize and evaluate the evidence from published literature , to determine the outcome of osteoporotic fracture patients after their hospital discharge .
Prediction of Mortality in Elderly Patients with Hip Fractures: A Two-Year Prospective Study of 1,944 Patients
Background : Hip fracture patients are reported to have an increased mortality rate compared to the general population . In order to be able to reduce the morbidity and mortality after a hip fracture , our efforts to identify the patients at risk already upon admission to the hospital need to be increased . For such a risk assessment , robust , vali date d , and reproducible criteria are m and atory . Objective : To determine preoperative factors associated with mortality and to evaluate the combined use of the American Society of Anesthesiologists ( ASA ) and the  Short Portable Mental Status Question naire ( SPMSQ )  to identify patients with an increased mortality rate and to create a predictive model to assess the mortality risk after hip fracture surgery . Methods : A total of 1,944 consecutive patients aged 66 years or older admitted for a hip fracture were included in a prospect i ve cohort study with a 24-month follow-up . The patients were assessed with regard to gender , age , type of hip fracture , smoking habits , comorbidities , general physical health according to the ASA classification , and cognitive function according to the SPMSQ . A higher ASA score indicates an increasingly severe systemic disease and a lower SPMSQ score indicates an increasingly severe cognitive dysfunction . We used Cox proportional hazard models and classification trees to identify the factors associated with mortality . The predictive model was created based on factors that were significantly associated with death and all readily accessible upon admission . Results : The mortality rate during the acute hospitalization period was 4 % , at 4 months 16 % , and at 24 months 38 % . The most prominent factors associated with mortality were high ASA scores , low SPMSQ scores , high age and male gender . The SPMSQ score provided additional information about the survival time , compared to when the ASA score was used alone . Conclusion : The combined use of the ASA classification for assessing physical health and the SPMSQ for assessing cognitive function effectively identified hip fracture patients with an increased mortality rate . We present a predictive model including age , gender , ASA , and SPMSQ that can be used to assess the mortality risk after hip fracture surgery
Vertebral fracture caused the greatest health burden , but hip fracture patients were the main users of informal care after hospital discharge .
There was an increased risk of a subsequent fracture after a primary fracture compared with the control group , a cohort comparison , or the general population .
Osteoporotic fractures , especially hip fractures , are associated with higher mortality rate despite the advances in the management of osteoporotic fracture cases .
There is strong evidence to show that after hospital discharge , osteoporotic fracture patients are faced with higher morbidity , subsequent fractures , and mortality
PURPOSE Osteoporotic fracture is the main complication of osteoporosis .
The current management is to discharge patients as early as possible so they can get back to their daily activities .
Once discharged , there are three main issues relating to morbidity , mortality , and risk of a subsequent fracture that need to be addressed and discussed .
Therefore , the aim of this systematic review was to summarize and evaluate the evidence from published literature , to determine the outcome of osteoporotic fracture patients after their hospital discharge .