ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026
Association between fracture location and one-year mortality in patients aged 65 years and older after lower extremity trauma: a retrospective cohort study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFractures in older patients are associated with increased mortality. Our study evaluated 30-day and one-year mortality among older patients based on fracture location.
methodsA descriptive retrospective cohort analysis was conducted including all patients aged 65 years or older hospitalized at a level I trauma center with a pelvic or lower extremity fracture between January 1, 2016 and December 31, 2019. Mortality rates were compared with age- and gender-matched data from the Swiss general population. In addition, an exploratory multivariable logistic regression analysis was performed to assess the association between fracture location and one-year mortality, adjusting for age and sex.
resultsA total of 1,739 patients were included. The overall 30-day mortality rate was 12%, and the one-year mortality rate was 34%. In comparison, the age- and gender-matched one-year mortality rate of the general Swiss population was 8% (p < 0.001). Unadjusted one-year mortality was highest after femur fractures (41%), followed by pelvic fractures (33%) and lower leg or foot fractures (11%). Among specific fracture types, pertrochanteric femur fractures showed the highest one-year mortality (47%), followed by Tile type C pelvic fractures (43%), distal femur fractures (40%), and femoral neck fractures (39%). In contrast, patients with fractures of the lower leg or foot had a one-year mortality rate of 12% or less, with the exception of tibial shaft fractures (26%). In the multivariable analysis adjusting for age and sex, pelvic fractures, femur fractures, and multiple fracture locations were associated with higher odds of one-year mortality compared with lower leg or foot fractures.
conclusionOne-year mortality in geriatric patients differed substantially by fracture location. After adjustment for age and sex, fracture location remained associated with one-year mortality, with the highest mortality observed after femur and pelvic fractures. These findings suggest that fracture location represents a clinically relevant marker associated with mortality risk in older patients after lower extremity trauma.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.