PMID- 26318760 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181202 IS - 1433-2965 (Electronic) IS - 0937-941X (Linking) VI - 27 IP - 2 DP - 2016 Feb TI - Incidence, surgical procedures, and outcomes of hip fracture among elderly type 2 diabetic and non-diabetic patients in Spain (2004-2013). PG - 605-16 LID - 10.1007/s00198-015-3305-9 [doi] AB - Hip fracture is a serious public health problem. We used Spanish hospital discharge data to examine trends in 2004-2013 in the incidence of hip fracture among elderly patients. We found that hip fracture incidence is higher in subjects with than without diabetes and is much higher among women than men. INTRODUCTION: This study aimed to describe trends in the incidence of hip fracture hospitalizations, use of surgical procedures, and hospital outcomes among elderly patients with and without type 2 diabetes mellitus (T2DM) in Spain, 2004-2013. METHODS: We selected all patients with a discharge primary diagnosis of hip fracture using the Spanish national hospital discharge database. Discharges were grouped by diabetes status: Incidences were calculated overall and stratified by diabetes status and year. We analyzed surgical procedures, length of hospital stay (LOHS), and in-hospital mortality (IHM). Multivariate analysis was adjusted by age, year, comorbidity, and in-hospital complications (IHC). RESULTS: From 2004 to 2013, 432,760 discharges with hip fracture were identified (21.3 % suffered T2DM). Incidence among diabetic men and women increased until year 2010 and then remained stable. Diabetic women have three times higher incidence than diabetic men. Incidences and IHC were higher among patients with diabetes beside sex. The proportion of patients that underwent internal fixation increased for all groups of patients and the arthroplasty repair decreased. After multivariate analysis, IHM has improved over the study period for all patients. Suffering diabetes was associated to higher IHM in women (odds ratio (OR) 1.12; 95 % confidence interval (CI) 1.07-1.17). CONCLUSIONS: Hip fracture incidence is higher in subjects with than without diabetes and is much higher among women than men. In diabetic patients, incidence rates increased initially but have leveled from 2010 onwards. For all groups, the use of internal fixation has increased overtime and IHM and LOHS have decreased from 2004 to 2013. FAU - Lopez-de-Andres, A AU - Lopez-de-Andres A AD - Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Comunidad de Madrid, Spain. ana.lopez@urjc.es. FAU - Jimenez-Garcia, R AU - Jimenez-Garcia R AD - Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Comunidad de Madrid, Spain. rodrigo.jimenez@urjc.es. FAU - Jimenez-Trujillo, I AU - Jimenez-Trujillo I AD - Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Comunidad de Madrid, Spain. isabel.jimenez@urjc.es. FAU - Hernandez-Barrera, V AU - Hernandez-Barrera V AD - Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Comunidad de Madrid, Spain. valentin.hernandez@urjc.es. FAU - de Miguel-Yanes, J M AU - de Miguel-Yanes JM AD - Medicine Department, Hospital Gregorio Maranon, Madrid, Comunidad de Madrid, Spain. josemaria.demiguel@salud.madrid.org. FAU - Mendez-Bailon, M AU - Mendez-Bailon M AD - Medicine Department, Hospital Clinico San Carlos, Madrid, Comunidad de Madrid, Spain. manuel.mendez@salud.madrid.org. FAU - Perez-Farinos, N AU - Perez-Farinos N AD - Health Security Agency, Ministry of Health, Madrid, Comunidad de Madrid, Spain. nperezf@msssi.es. FAU - de Miguel-Diez, J AU - de Miguel-Diez J AD - Pneumology Department, Hospital General Universitario Gregorio Maranon, Universidad Complutense de Madrid, Madrid, Comunidad de Madrid, Spain. javier.miguel@salud.madrid.org. FAU - Salinero-Fort, M A AU - Salinero-Fort MA AD - Direccion Tecnica de Docencia e Investigacion, Gerencia Atencion Primaria, Madrid, Comunidad de Madrid, Spain. miguel.salinero@salud.madrid.org. FAU - Carrasco-Garrido, P AU - Carrasco-Garrido P AD - Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Comunidad de Madrid, Spain. pilar.carrasco@urjc.es. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20150829 PL - England TA - Osteoporos Int JT - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA JID - 9100105 SB - IM MH - Aged MH - Aged, 80 and over MH - Arthroplasty, Replacement, Hip/statistics & numerical data/trends MH - Databases, Factual MH - Diabetes Mellitus, Type 2/complications/*epidemiology MH - Female MH - Fracture Fixation, Internal/statistics & numerical data/trends MH - Hip Fractures/complications/*epidemiology/surgery MH - Hospital Mortality/trends MH - Hospitalization/statistics & numerical data/trends MH - Humans MH - Incidence MH - Male MH - Retrospective Studies MH - Sex Factors MH - Spain/epidemiology OTO - NOTNLM OT - Aged OT - Hip fracture OT - Hospitalizations OT - In-hospital mortality OT - Surgical procedures OT - Type 2 diabetes EDAT- 2015/09/01 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/08/31 06:00 PHST- 2015/07/27 00:00 [received] PHST- 2015/08/21 00:00 [accepted] PHST- 2015/08/31 06:00 [entrez] PHST- 2015/09/01 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1007/s00198-015-3305-9 [pii] AID - 10.1007/s00198-015-3305-9 [doi] PST - ppublish SO - Osteoporos Int. 2016 Feb;27(2):605-16. doi: 10.1007/s00198-015-3305-9. Epub 2015 Aug 29.