Effects of alcohol-related disease on hip fracture and mortality: A retrospective cohort study of hospitalized medicare beneficiaries

Z. Yuan, N. Dawson, G.S. Cooper, D. Einstadter, R. Cebul and A.A. Rimm

American Journal of Public Health, 2001, vol. 91, issue 7, 1089-1093

Abstract: Objectives. This study investigated the effect of alcohol-related disease on hip fracture and mortality. Methods. A retrospective cohort design was used. The study cohort consisted of hospitalized Medicare beneficiaries with alcohol-related disease (n = 150 119) and randomly matched controls without alcohol-related disease (n = 726 218) identified through the 1988-1989 inpatient claims file. Incidence rates of hip fracture and mortality were examined. Results: During the study period, 20 620 patients developed hip fracture, with 6973 cases among patients with alcohol-related disease and 13 647 cases among patients without alcohol-related disease. After adjustment for potential confounders, patients with alcohol-related disease had a 2.6-fold increased risk of hip fracture relative to patients without alcohol-related disease (95% confidence interval = 2.5, 2.6). Patients with alcohol-related disease had a higher risk of mortality at 1 year after hip fracture. Conclusions: Alcohol-related disease increases the risk of hip fracture significantly and reduces long-term survival. The present results suggest that patients hospitalized for alcohol-related disease should be targeted for hip fracture prevention programs.

Date: 2001
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2001:91:7:1089-1093_4

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