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dc.contributor.authorGalbraith, Adam Samuel
dc.contributor.authorSanz-Nogués, Clara
dc.contributor.authorGlynn, Sharon
dc.contributor.authorColeman, Cynthia M.
dc.contributor.authorMurphy, Colin
dc.date.accessioned2019-11-14T11:48:36Z
dc.date.issued2019-11-07
dc.identifier.citationGalbraith, 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.24517en_IE
dc.identifier.issn1554-527X
dc.identifier.urihttp://hdl.handle.net/10379/15572
dc.description.abstractDiabetes 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, pen_IE
dc.description.sponsorshipCynthia Coleman acknowledges granted funding support from the Diabetes Ireland Research Alliance/Medical Research Charity Group/Health Research Board Joint Funding Scheme (HRB-MRCG-2016-2). The authors have no professional or financial affiliations that relate to or influence the contents of this publication.en_IE
dc.formatapplication/pdfen_IE
dc.language.isoenen_IE
dc.publisherWileyen_IE
dc.relation.ispartofJournal Of Orthopaedic Researchen
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Ireland
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/3.0/ie/
dc.subjectHip Fractureen_IE
dc.subjectSurgeryen_IE
dc.subjectDiabetesen_IE
dc.subjectMellitusen_IE
dc.subjectMortalityen_IE
dc.subjectASA gradeen_IE
dc.subjectDiabeticen_IE
dc.subjectOsteopathyen_IE
dc.titleDiabetes mellitus and gender have a negative impact on the outcome of hip fracture surgery – a pilot studyen_IE
dc.typeArticleen_IE
dc.date.updated2019-11-13T14:59:45Z
dc.identifier.doi10.1002/jor.24517
dc.local.publishedsourcehttps://doi.org/10.1002/jor.24517en_IE
dc.description.peer-reviewedpeer-reviewed
dc.contributor.funderDiabetes Ireland Research Allianceen_IE
dc.contributor.funderMedical Research Charity Groupen_IE
dc.contributor.funderHealth Research Boarden_IE
dc.description.embargo2020-11-07
dc.internal.rssid18428350
dc.local.contactCynthia Coleman, School Of Medicine, Nui Galway. 5852 Email: cynthia.coleman@nuigalway.ie
dc.local.copyrightcheckedNo
dc.local.versionSUBMITTED
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