Table 4.
Associations of a fracture liaison service (FLS) intervention with risk of a second hip fracture and mortality after hip fracture in women and mena
Person-years | n | HR (95% CI)b | p-value | HR (95% CI)c | p-value | HR (95% CI)d | p-value | ||
---|---|---|---|---|---|---|---|---|---|
Women | |||||||||
Second hip fracture | No FLS | 18,774 | 732 | ref | ref | ref | |||
FLS | 8419 | 298 | 0.82 (0.72, 0.95) | 0.007 | 0.83 (0.72, 0.95) | 0.007 | 0.80 (0.69, 0.92) | 0.002 | |
Mortality after hip fracture | No FLS | 20,177 | 3538 | ref | ref | ref | |||
FLS | 8858 | 1599 | 0.97 (0.92, 1.04) | 0.40 | 0.98 (0.93, 1.04) | 0.56 | 0.98 (0.92, 1.05) | 0.58 | |
Men | |||||||||
Second hip fracture | No FLS | 7901 | 310 | ref | ref | ref | |||
FLS | 3887 | 133 | 0.82 (0.72, 0.95) | 0.007 | 0.76 (0.61, 0.94) | 0.10 | 0.74 (0.60, 0.92) | 0.007 | |
Mortality after hip fracture | No FLS | 8420 | 1863 | ref | ref | ref | |||
FLS | 4078 | 1056 | 0.99 (0.92, 1.07) | 0.88 | 0.99 (0.92, 1.07) | 0.82 | 0.99 (0.92, 1.07) | 0.86 |
aHazard ratio (HR) and 95% confidence interval (CI) for a second hip fracture and mortality by FLS in 16,326 patients with an index hip fractures from 2011 to 2018
bAdjusted for age, sex, and stratified on hospital
cAdjusted for age, sex, marital status, education level, Scandinavian-born, comorbidity, and stratified on hospital
dAdjusted for age, sex, marital status, education level, Scandinavian-born, comorbidity, hospitalization day (in splines with 7 knots), and stratified on hospital