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

Author

Listed:
  • Yuan, Z.
  • Dawson, N.
  • Cooper, G.S.
  • Einstadter, D.
  • Cebul, R.
  • Rimm, A.A.

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.

Suggested Citation

  • Yuan, Z. & Dawson, N. & Cooper, G.S. & Einstadter, D. & Cebul, R. & Rimm, A.A., 2001. "Effects of alcohol-related disease on hip fracture and mortality: A retrospective cohort study of hospitalized medicare beneficiaries," American Journal of Public Health, American Public Health Association, vol. 91(7), pages 1089-1093.
    • Handle: RePEc:aph:ajpbhl:2001:91:7:1089-1093_4
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