J Korean Med Sci.  2011 Aug;26(8):1087-1092. 10.3346/jkms.2011.26.8.1087.

Incidence and Mortality Following Hip Fracture in Korea

• Yoon HK
• Park C
• Jang S
• Jang S
• Lee YK
• Ha YC

• KMID: 1777849
• DOI: http://doi.org/10.3346/jkms.2011.26.8.1087

Abstract

The authors evaluated the incidence of hip fracture and subsequent mortality in Korea using nationwide data obtained from the Health Insurance Review and Assessment Service. This study was performed on patient population, aged 50-yr or older who underwent surgical procedures because of hip fracture (ICD10; S720, S721). All patients were followed using patient identification code to identify deaths. Crude hip fracture rates increased from 191.9/100,000 in 2005 to 207.0/100,000 in 2008 in women and from 94.8/100,000 in 2005 to 97.8/100,000 in 2008, in men respectively. Crude mortality within 12 months after hip fracture showed a similar trend (18.8% in 2005 and 17.8% in 2007). The mean of standardized mortality ratio of hip fracture was 6.1 at 3 months, 3.5 at 1 yr, and 2.3 at 2 yr post-fracture. The increasing incidence and the high mortality after hip fracture are likely to become serious public health problems and a public health program should begin to prevent hip fractures in Korea.

Keyword

Hip Fractures; Incidence; Mortality; Korea

MeSH Terms

Aged
Aged, 80 and over
Female
Hip Fractures/*epidemiology/mortality
Humans
Incidence
Male
Middle Aged
Republic of Korea/epidemiology

Figure

• 

  Fig. 1 Hip fracture rates (per 100,000) by age and gender in 2005-2008.

Reference

1. Schwartz AV, Kelsey JL, Maggi S, Tuttleman M, Ho SC, Jónsson PV, Poór G, Sisson de Castro JA, Xu L, Matkin CC, Nelson LM, Heyse SP. International variation in the incidence of hip fractures: cross-national project on osteoporosis for the World Health Organization Program for Research on Aging. Osteoporos Int. 1999. 9:242–253.

2. Cooper C, Campion G, Melton LJ 3rd. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992. 2:285–289.

3. Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporos Int. 1997. 7:407–413.

4. Lau EM, Lee JK, Suriwongpaisal P, Saw SM, Das De S, Khir A, Sambrook P. The incidence of hip fracture in four Asian countries: the Asian Osteoporosis Study (AOS). Osteoporos Int. 2001. 12:239–243.

5. Hagino H, Katagiri H, Okano T, Yamamoto K, Teshima R. Increasing incidence of hip fracture in Tottori Prefecture, Japan: trend from 1986 to 2001. Osteoporos Int. 2005. 16:1963–1968.

6. Rowe SM, Song EK, Kim JS, Lee JY, Park YB, Bae BH, Hur CI. Rising incidence of hip fracture in Gwangju City and Chonnam Province, Korea. J Korean Med Sci. 2005. 20:655–658.

7. Hasegawa Y, Suzuki S, Wingstrand H. Risk of mortality following hip fracture in Japan. J Orthop Sci. 2007. 12:113–117.

8. Tsuboi M, Hasegawa Y, Suzuki S, Wingstrand H, Thorngren KG. Mortality and mobility after hip fracture in Japan: a ten-year follow-up. J Bone Joint Surg Br. 2007. 89:461–466.

9. Kang HY, Yang KH, Kim YN, Moon SH, Choi WJ, Kang DR, Park SE. Incidence and mortality of hip fracture among the elderly population in South Korea: a population-based study using the national health insurance claims data. BMC Public Health. 2010. 10:230.

10. Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009. 20:1633–1650.

11. Haleem S, Lutchman L, Mayahi R, Grice JE, Parker MJ. Mortality following hip fracture: trends and geographical variations over the last 40 years. Injury. 2008. 39:1157–1163.

12. Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA. Race and sex differences in mortality following fracture of the hip. Am J Public Health. 1992. 82:1147–1150.

13. Lim S, Koo BK, Lee EJ, Park JH, Kim MH, Shin KH, Ha YC, Cho NH, Shin CS. Incidence of hip fractures in Korea. J Bone Miner Metab. 2008. 26:400–405.

14. Kim SR, Ha YC, Kim JR, Kim R, Kim SY, Koo KH. Incidence of hip fractures in Jeju Island, South Korea: a prospective study (2002-2006). Clin Orthop Surg. 2010. 2:64–68.

15. 1990 Census of population General Population Characteristic. accessed on 21 March 2011. Available at http://www.census.gov/prod/cen1990/cp1/cp-1.html.

16. Korean Statistical Information Service. accessed on 21March 2011. Available at http://kosis.kr/abroad/abroad_01List.jsp#.

17. Rowe SM, Yoon TR, Ryang DH. An epidemiological study of hip fracture in Honam, Korea. Int Orthop. 1993. 17:139–143.

18. Xu L, Lu A, Zhao X, Chen X, Cummings SR. Very low rates of hip fracture in Beijing, People's Republic of China the Beijing Osteoporosis Project. Am J Epidemiol. 1996. 144:901–907.

19. Yan L, Zhou B, Prentice A, Wang X, Golden MH. Epidemiological study of hip fracture in Shenyang, People's Republic of China. Bone. 1999. 24:151–155.

20. Clark P, Lavielle P, Franco-Marina F, Ramirez E, Salmerón J, Kanis JA, Cummings SR. Incidence rates and life-time risk of hip fractures in Mexicans over 50 years of age: a population-based study. Osteoporos Int. 2005. 16:2025–2030.

21. Lofthus CM, Osnes EK, Falch JA, Kaastad TS, Kristiansen IS, Nordsletten L, Stensvold I, Meyer HE. Epidemiology of hip fractures in Oslo, Norway. Bone. 2001. 29:413–418.

22. Ho SC, Bacon WE, Harris T, Looker A, Maggi S. Hip fracture rates in Hong Kong and the United States, 1988 through 1989. Am J Public Health. 1993. 83:694–697.

23. Dimai HP, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E, Chandran M, Borgström F. Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int. 2011. 22:685–692.

24. Orimo H, Yaegashi Y, Onoda T, Fukushima Y, Hosoi T, Sakata K. Hip fracture incidence in Japan: estimates of new patients in 2007 and 20-year trends. Arch Osteoporos. 2009. 4:71–77.

25. Maravic M, Taupin P, Landais P, Roux C. Change in hip fracture incidence over the last 6 years in France. Osteoporos Int. 2011. 22:797–801.

26. Richmond J, Aharonoff GB, Zuckerman JD, Koval KJ. Mortality risk after hip fracture. J Orthop Trauma. 2003. 17:53–56.

27. Karagiannis A, Papakitsou E, Dretakis K, Galanos A, Megas P, Lambiris E, Lyritis GP. Mortality rates of patients with a hip fracture in a southwestern district of Greece: ten-year follow-up with reference to the type of fracture. Calcif Tissue Int. 2006. 78:72–77.

28. Weiss NS, Liff JM, Ure CL, Ballard JH, Abbott GH, Daling JR. Mortality in women following hip fracture. J Chronic Dis. 1983. 36:879–882.

29. Beals RK. Survival following hip fracture. Long follow-up of 607 patients. J Chronic Dis. 1972. 25:235–244.

30. Wehren LE, Hawkes WG, Orwig DL, Hebel JR, Zimmerman SI, Magaziner J. Gender differences in mortality after hip fracture: the role of infection. J Bone Miner Res. 2003. 18:2231–2237.