Increased Rate of Hip Fracture in Non-Dialysis CKD
Increased age-standardized rates of hip fracture, post-hip fracture mortality, higher resource use.
(HealthDay News) -- The incidence of hip fracture and post-hip fracture mortality are increased for patients with non-dialysis-requiring chronic kidney disease (CKD), according to a study published online in the Journal of Bone and Mineral Research.
Sun Moon Kim, from Stanford University in Palo Alto, Calif., and colleagues used data from the Healthcare Cost and Utilization Project's Nationwide Inpatient Sample for patients with hospitalization for hip fracture in 2010 to examine the risk for and consequences of hip fracture among patients with non-dialysis-requiring CKD.
The researchers found that patients with end-stage renal disease had the highest age-standardized incidence of hip fracture (3.89/1,000 persons), followed by non-dialysis-requiring CKD and patients with normal or near normal kidney function (1.81 and 1.18/1,000 persons, respectively). Compared to patients with normal or near normal kidney function, those with non-dialysis-requiring CKD had significantly higher in-hospital mortality (odds ratio, 1.69), length of stay (median, 5 [90% confidence interval, 3 to 11] versus 5 [90% confidence interval, 3 to 10] days), and costs (median, $14,807 versus $13,314)
"In summary, non-dialysis-requiring CKD is associated with higher age-standardized rates of hip fracture and post-hip fracture mortality, and higher resource utilization," the authors write.