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. 2022 Oct 10;5(10):e2235856. doi: 10.1001/jamanetworkopen.2022.35856

Table 2. Excess Mortality 1 Year After Individual Fracture in Selected Sites by Multimorbidity Clusters.

Multimorbidity clusters by site Excess mortality, % (95% CI)
Men Women
Any fracture
Low-multimorbidity 5.73 (5.48 to 5.99) 2.30 (2.17 to 2.43)
Cardiovascular 18.39 (17.79 to 19.00) 11.35 (11.00 to 11.70)
Diabetic 12.70 (11.69 to 13.76) 8.87 (8.22 to 9.55)
Malignant 26.15 (24.83 to 27.51) 15.81 (15.06 to 16.59)
Hepatic and/or inflammatory 14.36 (13.27 to 15.51) NA
Hip
Low-multimorbidity 19.89 (19.06 to 20.75) 11.17 (10.68 to 11.67)
Cardiovascular 29.79 (28.71 to 30.89) 19.90 (19.22 to 20.60)
Diabetic 23.17 (20.96 to 25.52) 17.14 (15.64 to 18.72)
Malignant 40.81 (38.13 to 43.57) 29.29 (27.47 to 31.18)
Hepatic and/or inflammatory 26.50 (23.90 to 29.27) NA
Femur
Low-multimorbidity 11.64 (9.36 to 14.23) 10.02 (8.39 to 11.80)
Cardiovascular 26.38 (22.15 to 31.03) 19.04 (16.29 to 22.04)
Diabetic 27.51 (20.02 to 36.65) 18.44 (13.57 to 24.35)
Malignant 51.01 (43.15 to 59.27) 42.02 (36.01 to 48.50)
Hepatic and/or inflammatory 15.47 (9.67 to 23.28) NA
Pelvis
Low-multimorbidity 11.68 (8.79 to 15.03) 7.81 (6.44 to 9.30)
Cardiovascular 25.91 (21.28 to 31.05) 15.58 (13.51 to 17.81)
Diabetic 17.48 (9.30 to 29.30) 15.69 (10.98 to 21.49)
Malignant 42.69 (31.19 to 55.88) 23.49 (18.28 to 29.60)
Hepatic and/or inflammatory 14.23 (6.74 to 25.36) NA
Vertebrae
Low-multimorbidity 7.32 (6.31 to 8.42) 4.97 (4.20 to 5.82)
Cardiovascular 19.04 (17.02 to 21.19) 11.73 (10.36 to 13.20)
Diabetic 16.61 (12.62 to 21.37) 12.64 (9.65 to 16.18)
Malignant 33.44 (29.13 to 38.11) 25.82 (22.33 to 29.66)
Hepatic and/or inflammatory 20.46 (16.77 to 24.67) NA
Rib
Low-multimorbidity 3.08 (2.38 to 3.86) 3.21 (2.11 to 4.50)
Cardiovascular 11.83 (9.94 to 13.93) 10.50 (8.15 to 13.17)
Diabetic 7.37 (4.57 to 11.04) 9.70 (5.35 to 15.73)
Malignant 9.79 (6.33 to 14.35) 15.06 (9.63 to 22.41)
Hepatic and/or inflammatory 10.96 (7.61 to 15.23) NA
Clavicle
Low-multimorbidity 1.27 (0.66 to 1.98) 1.47 (0.73 to 2.33)
Cardiovascular 11.23 (8.77 to 14.03) 8.90 (6.78 to 11.33)
Diabetic 6.52 (2.81 to 12.20) 5.42 (1.86 to 10.96)
Malignant 26.47 (20.80 to 33.12) 18.60 (14.06 to 24.16)
Hepatic and/or inflammatory 14.92 (10.75 to 20.17) NA
Humerus
Low-multimorbidity 5.12 (4.35 to 5.94) 1.00 (0.69 to 1.33)
Cardiovascular 15.18 (13.48 to 16.99) 7.19 (6.34 to 8.09)
Diabetic 11.95 (9.36 to 14.98) 6.01 (4.70 to 7.52)
Malignant 36.36 (32.47 to 40.51) 14.72 (12.85 to 16.77)
Hepatic and/or inflammatory 10.41 (7.95 to 13.33) NA
Forearm
Low-multimorbidity –0.24 (–0.56 to 0.11) –1.12 (–1.24 to –1.00)
Cardiovascular 5.44 (4.22 to 6.78) 2.53 (2.02 to 3.07)
Diabetic 3.21 (1.52 to 5.42) 2.13 (1.25 to 3.16)
Malignant 7.59 (5.43 to 10.21) 5.88 (4.89 to 6.97)
Hepatic and/or inflammatory 5.89 (3.90 to 8.40) NA
Knee
Low-multimorbidity –1.21 (–2.05 to 0.4) –0.85 (–1.38 to –0.13)
Cardiovascular 4.12 (0.82 to 8.81) 2.02 (0.03 to 4.90)
Diabetic 7.37 (2.13 to 16.68) 2.17 (0.10 to 5.99)
Malignant 8.92 (3.13 to 19.49) 6.88 (2.65 to 13.90)
Hepatic and/or inflammatory 2.55 (0.30 to 13.19) NA
Lower leg
Low-multimorbidity 1.28 (0.74 to 1.90) 0.87 (0.49 to 1.30)
Cardiovascular 6.17 (4.30 to 8.38) 6.94 (5.57 to 8.46)
Diabetic 4.15 (2.06 to 7.08) 5.76 (3.82 to 8.20)
Malignant 8.72 (5.42 to 13.15) 5.51 (3.43 to 8.29)
Hepatic and/or inflammatory 5.90 (3.22 to 9.71) NA
Ankle
Low-multimorbidity –0.82 (–1.62 to 0.49) –0.35 (–0.99 to 0.57)
Cardiovascular 3.02 (0.59 to 6.73) 8.19 (4.84 to 12.51)
Diabetic 2.51 (0.33 to 10.76) 4.00 (0.50 to 10.19)
Malignant 3.55 (0.43 to 15.47) 5.59 (1.41 to 13.81)
Hepatic and/or inflammatory 5.00 (0.24 to 21.90) NA
Hand
Low-multimorbidity –0.15 (–0.53 to 0.30) –1.12 (–1.33 to –0.87)
Cardiovascular 2.76 (1.36 to 4.43) 2.04 (0.96 to 3.31)
Diabetic 4.44 (1.78 to 8.30) 2.63 (0.92 to 5.01)
Malignant 6.50 (3.81 to 10.12) 3.13 (1.47 to 5.43)
Hepatic and/or inflammatory 4.37 (1.88 to 7.95) NA
Foot
Low-multimorbidity –0.70 (–1.03 to –0.27) –0.65 (–0.89 to –0.37)
Cardiovascular 2.02 (0.41 to 4.17) 2.45 (1.29 to 3.86)
Diabetic 1.78 (1.01 to 4.52) 1.73 (0.30 to 3.93)
Malignant 4.29 (1.33 to 9.17) 5.15 (3.12 to 7.92)
Hepatic and/or inflammatory 3.48 (0.93 to 7.91) NA

Abbreviation: NA, not applicable.