Bone Abstracts

Objective: To assess the prevalence of co-morbidities in fracture neck of femur patients.

Methodology: Study design: Retrospective cohort study.

Setting: District General Hospital in United Kingdom.

Study subject: a total of 75 patients with fracture neck of femur from 2012 to 2013 were ascertained for any associated co-morbid conditions by case note study.

Results: Out of 75 patients, 61 (81.3%) were females (age ranges 60–102) with a mean age of 84 years and 14 (18.6%) were males (65–89) with a mean of 80 years.

70 (93.3%) of them had one or more co-morbid conditions with an average number of comorbidity of 3.56% (ranges 0–10).

Hypertension was the most common condition seen – 30 patients(40%) followed by cardiac disease – 24 (32%),dementia – 22 (29%) and osteoporosis – 15 (20%). The remaining being thyroid disease (14.6%), stroke (12%), renal disease (12%), malignancies, depression, COPD.

The above conditions were seen in isolation or in combination with other diseases. The average age adjusted Charlson Comorbidity score was 6.14% (ranges 2–13).

Conclusion: The majority of fracture neck of femur patients are elderly with multiple co-morbid conditions including osteoporosis. Increased awareness and management of co-morbidities are essential in the functional recovery and prevention of further fractures. Our findings support the need for holistic management of these vulnerable patients with close medical care from admission till discharge.