Diabetes mellitus and gender have a negative impact on the outcome of hip fracture surgery – a pilot study
Galbraith, Adam Samuel
Coleman, Cynthia M.
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Galbraith, Adam Samuel, Sanz-Nogués, Clara, Glynn, Sharon, Coleman, Cynthia M., & Murphy, Colin. Diabetes mellitus and gender have a negative impact on the outcome of hip fracture surgery – a pilot study. Journal of Orthopaedic Research, doi: 10.1002/jor.24517
Diabetes mellitus (DM) is associated with an elevated risk of post-operative complications. The impact it has on patients living with DM following hip fracture surgery (HFS) is not completely understood, and may represent a predictor of increased mortality. This study investigates the impact of DM, gender, American Society of Anaesthesiologists (ASA) grade and fracture location, on outcome of HFS in Ireland. The Hospital Inpatient Enquiry (HIPE) database records all fragility hip fractures within Galway University Hospital. Retrospective data collection was performed over a three-year period. Data collected included patient age, gender, date of HFS, anatomical fracture location, type of operation, ASA grade, DM status and mortality. A database of 650 individuals was created including 461 females and 189 males, with an average group age of 80.2±9.3 years. Results showed a significantly higher incidence of hip fractures in males with DM (19.57%) than females with DM (12.36%) (¿2 test, p = 0.020). Cox regression survival analysis indicated that DM status and ASA grade were the two main independent predictors of patient survival following HFS. Nevertheless, when examining the combined impact of gender and DM status on survival after HFS, results showed that survival post HFS differed significantly with gender and presence of DM (log-rank test, p