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@ARTICLE{Fink:278792,
      author       = {Fink, Anne and Falk, Steffi S I and Georges, Daniela},
      title        = {{C}omparing mortality in the elderly after proximal femur
                      fractures and coxarthrosis: the effect of individual health
                      characteristics and day of surgery.},
      journal      = {European journal of trauma and emergency surgery},
      volume       = {51},
      number       = {1},
      issn         = {1863-9933},
      address      = {Heidelberg},
      publisher    = {Springer Medizin},
      reportid     = {DZNE-2025-00628},
      pages        = {213},
      year         = {2025},
      abstract     = {This study investigates mortality variations between
                      elective and urgent hip surgeries, focusing surgery timing
                      and its impact on post-operative mortality. By comparing
                      cases of femoral neck fractures, pertrochanteric fractures,
                      and coxarthrosis across different follow-up durations, it
                      aims to identify factors contributing to increased
                      mortality.We used a random sample of German longitudinal
                      health claims data (N = 250,000, 2004-2019) and identified
                      10,310 patients aged 50 years and older who underwent
                      surgery for femoral neck fracture, pertrochanteric fracture,
                      or coxarthrosis between 2004 and 2014. We tracked mortality
                      at 30 days, 1 year, and 5 years. Cox proportional models
                      were used, adjusted for the following covariates at the time
                      of surgery: sex, age, comorbidities, nursing home
                      dependency, discharge diagnosis, and weekday of
                      surgery.Mortality probabilities were $5\%$ at 30 days,
                      $15.6\%$ at 1 year, and $38.9\%$ at 5 years, with
                      significantly higher risks for fractures than coxarthrosis.
                      Key factors influencing mortality included age,
                      comorbidities (e.g., heart failure, stroke, myocardial
                      infarction, dementia), and care dependency levels. Women had
                      lower risks than men across all periods. Short-term
                      mortality was most affected by comorbidities, while
                      long-term mortality correlated with chronic health
                      conditions such as nicotine abuse and diabetes mellitus, and
                      care needs. Surgery timing showed no consistent weekday
                      effects.Mortality differences reflect the impact of acute
                      trauma from emergency surgery rather than the surgical
                      procedure itself, emphasizing the need for optimized
                      planning, preparation, early treatment and adaptable care
                      structures in an aging population.},
      keywords     = {Humans / Female / Male / Aged / Germany: epidemiology /
                      Middle Aged / Aged, 80 and over / Hip Fractures: surgery /
                      Hip Fractures: mortality / Femoral Neck Fractures: surgery /
                      Femoral Neck Fractures: mortality / Osteoarthritis, Hip:
                      surgery / Osteoarthritis, Hip: mortality / Comorbidity /
                      Risk Factors / Time Factors / Longitudinal Studies / Age
                      Factors / Elective Surgical Procedures: mortality / Proximal
                      Femoral Fractures / Cox proportional models (Other) /
                      Coxarthrosis (Other) / Geriatric (Other) / Mortality (Other)
                      / Proximal femur fracture (Other) / Surgery (Other)},
      cin          = {AG Doblhammer},
      cid          = {I:(DE-2719)1012002},
      pnm          = {354 - Disease Prevention and Healthy Aging (POF4-354)},
      pid          = {G:(DE-HGF)POF4-354},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40392330},
      doi          = {10.1007/s00068-025-02882-y},
      url          = {https://pub.dzne.de/record/278792},
}