Table 3.
Multivariate analysis of the factors associated with in hospital mortality for proximal humerus fracture among men and women and stratified by type 2 diabetes in Spain. 2001–2013
| Men In-hospital mortality (OR)‡ | Women In-hospital mortality (OR)‡ | Whole study population In-hospital mortality (OR) | |||||
|---|---|---|---|---|---|---|---|
| Total | No T2DM | T2DM | No T2DM | T2DM | Men | Women | |
| Age groups (years) | 65–74 | 1 | 1 | 1 | 1 | 1 | 1 |
| 75–79 | 1.45(0.86–2.43) | 1.86(0.69–5.04) | 2.07(1.24–3.46) | 1.68(0.87–3.25) | 1.56(0.98–2.47) | 1.92(1.28–2.89) | |
| 80–84 | 1.08(0.60–1.95) | 1.67(0.57–4.88) | 3.25(1.99–5.31) | 2.48(1.30–4.73) | 1.19(0.71–2.01) | 3.05(2.06–4.52) | |
| 85–89 | 3.73(2.22–6.26) | 5.14(1.89–13.98) | 5.40(3.31–8.82) | 3.43(1.71–6.91) | 4.25(2.67–6.78) | 4.98(3.34–7.43) | |
| >90 | 2.80(1.31–5.97) | N/A | 9.69(5.75–16.35) | 7.72(3.72–16.02) | 2.56(1.25–5.26) | 9.90(6.44–15.21) | |
| Charlson Comorbidity Index | 0 | 1 | 1 | 1 | 1 | 1 | 1 |
| 1 | 2.71(1.77–4.15) | 2.52(1.0–6.35) | 3.51(2.59–4.75) | 3.95(2.43–6.44) | 2.79(1.90–4.10) | 3.70(2.86–4.78) | |
| ≥ 2 | 6.29(3.85–10.28) | 5.65(2.10–15.18) | 6.7(4.47–10.10) | 9.64(5.42–17.17) | 6.66(4.30–10.32) | 8.26(5.93–11.52) | |
| In-hospital complications | No | 1 | 1 | 1 | 1 | 1 | 1 |
| Yes | 11.09(6.96–17.68) | 10.10(4.21–24.25) | 8.55(6.06–12.06) | 6.20(3.68–10.45) | 11.70(7.77–17.65) | 8.21(6.15–10.96) | |
| Arthroplasty | Yes | 1 | 1 | 1 | 1 | 1 | 1 |
| No | 9.36(2.88–30.42) | 3.32(0.41–26.58) | 3.16(1.81–5.54) | 2.40(1.12–5.15) | 7.14(2.57–19.83) | 2.64(1.68–4.15) | |
| ORIF | Yes | 1 | 1 | 1 | 1 | 1 | 1 |
| No | 5.72(2.73–11.96) | 1.55(0.58–4.13) | 4.51(2.58–7.89) | 4.62(1.96–10.88) | 3.67(2.07–6.52) | 4.12(2.58–6.59) | |
| CRIF | Yes | 1 | 1 | 1 | 1 | 1 | 1 |
| No | 2.46(1.45–4.19) | 2.63(0.73–9.38) | 2.08(1.42–3.04) | 2.51(1.35–4.67) | 2.44(1.5–3.98) | 2.17(1.57–3.01) | |
| Year of discharge | 0.95(0.90–0.99) | 0.82 (0.73–0.91) | 0.93(0.90–0.97) | 0.90(0.85–0.97) | 0.92(0.88–0.97) | 0.93(0.90–0.96) | |
| T2DM status | No | NA | NA | NA | NA | 1 | 1 |
| Yes | NA | NA | NA | NA | 0.92(0.60–1.41) | 1.67(1.29–2.15) | |
Arthroplasty: Total or partial humerus replacement, ORIF Open reduction of fracture with internal fixation, CRIF Closed reduction of fracture with internal fixation. Calculated using logistic regression models, Odds Ratio (OR). The logistic regression multivariate model was built using as dependent variables “death (yes/no)” and as independent variables year of discharge. Charlson comorbidity index. Complications. procedures and age