Osteoporosis & bone health

Handgrip strength as a predictor of 1‑year mortality after hip fracture surgery in the Colombian Andes Mountains

Osteoporos IntPublished Prospective cohort study

Authors' conclusion

In this study of older people with fragility hip fractures, low HGS and dependent gait were independent predictive markers of 1-year mortality.

Study context

Population
Older patients over 60 years old with fragility hip fractures who underwent surgery, tertiary care hospital in the Colombian Andes Mountains, 2019–2020 (median age 81 years, women 77%)
Participants
126 participants
Exposure
Low handgrip strength (HGS) vs normal HGS
Outcome
1-year mortality
Follow-up
1 year
Methodological detailssingle tertiary care hospital, Kaplan-Meier analysis, multivariate analysis, Followed up until discharge; survivors contacted by telephone at one, three, and 12 months
  • Single tertiary care hospital
  • Kaplan-Meier analysis
  • Multivariate analysis
  • Followed up until discharge; survivors contacted by telephone at one, three, and 12 months

Main finding

As reported in the abstract

Mortality at one year

P = 0.000

Observational data: associations, not effects.

Further findings

OutcomeP value
Characteristics of low HGS vs normal HGSall p < 0.01
  • Characteristics of low HGS vs normal HGS: older, poorer functional and cognitive status, higher comorbidity, higher surgical risk, time to surgery > 72 h, lower hemoglobin and albumin, greater intra-hospital mortality and mortality at one and three months

Prevalence of low HGS · admission

Prevalence of low HGS in the cohort
71.4%

Original publication

Handgrip strength as a predictor of 1‑year mortality after hip fracture surgery in the Colombian Andes Mountains. Osteoporos Int. Published 17 October 2024. doi:10.1007/s00198-024-07258-3

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