Evidence map›Paper›PMID 41409419›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2025

Impact of Chronic Obstructive Pulmonary Disease on Mortality Rates After Hip Pertrochanteric Fracture: A Nationwide Population-Based Cohort Study.

Po-Kuan Wu, Chung-Han Ho, Yu-Cih Wu, Kuang-Ming Liao, Chi-Sheng Chien

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Po-Kuan WuDepartment of Orthopedic Surgery, Chi Mei Medical Center, Tainan, Taiwan.
Chung-Han HoDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan.ORCID 0000-0001-5925-8477
Yu-Cih WuDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan.
Kuang-Ming LiaoDepartment of Internal Medicine, Chi Mei Medical Center, Chiali, Tainan, Taiwan.ORCID 0000-0003-4364-8248
Chi-Sheng ChienDepartment of Orthopedic Surgery, Chi Mei Medical Center, Tainan, Taiwan.

Funding

Chi Mei Medical Center CMFHR114102)
6 · The paper itself

Abstract

Purpose: Hip fractures are a major public health concern, especially among older adults. Chronic obstructive pulmonary disease (COPD) is a famous comorbidity that can increase post-fracture outcomes. This retrospective population-based cohort study evaluated the impact of COPD on mortality and contralateral hip fracture risk following pertrochanteric fracture. Patients and Methods: We included patients diagnosed with pertrochanteric fracture (ICD-10-CM S72.1) between January 1, 2016, and December 31, 2022, from Taiwan's National Health Insurance Research Database. Mortality risk was assessed using Cox proportional hazards models, adjusted for sex, age, and Charlson Comorbidity Index (CCI) score. Contralateral hip fracture risk was estimated using competing risk analysis with death as a competing event. Subgroup analyses were stratified by sex, age, and CCI group. Results: After adjustment, COPD was significantly associated with higher 1-year mortality (AHR: 1.12, 95% CI: 1.06-1.19, p<0.0001). Conversely, COPD patients had a lower 1-year incidence of contralateral hip fracture compared with non-COPD patients (3.12% vs 4.40%; adjusted subdistribution HR: 0.70, 95% CI: 0.61-0.81, p<0.0001). Similar patterns were observed across all subgroups. Conclusion: COPD is an independent predictor of increased 1-year mortality after pertrochanteric fracture. The observed reduction in contralateral fracture risk likely reflects the competing risk of early mortality. These findings suggest that elderly patients with COPD should pay more attention in post-hip fracture management with personalized rehabilitation strategies.

Indexed as

Hip FracturesPulmonary Disease, Chronic ObstructiveAgedAged, 80 and overComorbidityDatabases, FactualFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsTaiwanTime Factorschronic obstructive pulmonary diseasecontralateral fracturehip fracturemortalitypertrochanteric fracturereal-world database

Identifiers

PMID41409419
PMCPMC12707131

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.