| Titre : | Effects of alcohol-related disease on hip fracture and mortality : a retrospective cohort study of hospitalized medicare beneficiaries. (2001) |
| Auteurs : | ZHONG YUAN . (.) ; Randall CEBUL ; Gregory-S COOPER ; Neal DAWSON ; Douglas EINSTADTER ; Alfred-A RIMM ; Center for Health Care Research and Policy. Department of Medicine. MetroHealth Medical Center. Cleveland. USA ; Department of Epidemiology and Biostatistics. Case Western Reserve University School of Medicine. Cleveland. OH. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 91, n° 7, 2001) |
| Pagination : | 1089-1093 |
| Langues: | Anglais |
| Mots-clés : | Personne âgée ; Homme ; Mortalité ; Hanche ; Fracture ; Alcoolisme ; Facteur risque ; Epidémiologie ; Traumatisme ; Système ostéoarticulaire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS C6O2R0x1. Diffusion soumise à autorisation]. Objectives, This study investigated the effect of alcohol-related disease on hip fracture and mortality. Methods. A retropective cohort design was used. The study cohort consisted of hospitalized Medicare beneficiaries with alcohol-related disease (n=150119) and randomly matched controls without alcohol-related disease (n=726218) identified through the 1988-1989 inpatient claims file. Incidence rates of hip fracture and mortality were examined. Results. During the study period, 20620 patients developed hip fracture, with 6973 cases among patients with alcohol-related disease and 13647 cases among patients without alcohol-related disease. After adjustment for potential confounders, patients with alcohol-related disease had a 2.6-fold increased risk of hip fracture relative to patients without alcohol-related disease (65% confidence interval=2.5,2.6). Patients with alcohol-related disease had a higher risk of mortality a 1 year after hip fracture. Conclusions. Alcohol-related disease inscreases the risk of hip fracture significantly and reduces long-term survival. The present results suggest that patients hospitalized for alcohol-related disease should be targeted for hip fracture prevention programs. |
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