Predictors of Mortality in Elder Patients With Proximal Humeral Fracture

• Published in: Geriatric orthopaedic surgery & rehabilitation 2018, Vol.9, p.2151458517728155-2151458517728155
• Main Authors: Myeroff, Chad M., Anderson, Jeffrey P., Sveom, Daniel S., Switzer, Julie A.
• Format: Article
• Language: English
• Subjects: Body mass index; Mortality; Original; Osteoporosis; Patients
• ISSN: 2151-4593; 2151-4585; 2151-4593
• DOI: 10.1177/2151458517728155

Background: Known possible consequences of proximal humerus fractures include impaired shoulder function, decreased independence, and increased risk for mortality. The purpose of this report is to describe the survival and independence of elderly patients with fractures of the proximal humerus, treated in our institution, relative to patient characteristics and treatment method. Methods: Retrospective cohort study from 2006 to 2012. Setting: Community-based hospital with level 1 designation. Patients/Participants: Three hundred nineteen patients ≥60 years who presented to the emergency department with an isolated fracture of the proximal humerus were either admitted to the inpatient ward for the organization and provision of immediate definitive care or discharged with the expectation of coordination of their care as an outpatient. Treatment was nonoperative or operative. Outcome Measures: One- and 2-year mortality. Results: Significant predictors of mortality at 1 year included Charlson Comorbidity Index (CCI; continuous, hazard ratio [HR] = 1.40; 95% confidence interval [CI]: 1.06-1.86), body mass index (BMI;