Hip fracture linked to increased risk for death in T2DM patients
(HealthDay)—For patients with type 2 diabetes, hip fracture is associated with an increased risk for death, according to a study published online May 21 in the Journal of Diabetes Investigation.
Yuji Komorita, M.D., Ph.D., from Kyushu University in Fukuoka, Japan, and colleagues examined the correlations of hip fracture, upper-limb fracture, cardiovascular disease (CVD), and end-stage renal disease (ESRD) with all-cause death in patients with type 2 diabetes. A total of 4,923 Japanese patients with type 2 diabetes were followed for a median of 5.3 years.
The researchers found that during follow-up, 309 participants died. Participants with hip fracture versus those without had increased multivariate-adjusted odds ratios (ORs) for all-cause mortality (OR, 2.67). The ORs for upper-limb fractures were not significant. Patients with CVD and ESRD versus those without had significantly higher ORs for all-cause mortality (ORs, 1.78 and 2.36, respectively). Further adjustment for CVD and ESRD did not affect the OR for all-cause mortality associated with hip fracture (OR, 2.74). Among participants with hip fracture, the cause of death was infection, malignant neoplasm, and CVD (40, 25, and 15 percent, respectively).
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