OPEN Research Support
head

PhD-student
Debbie Salling Norring-Agerskov
OPEN Odense Patient data Explorative Network, Odense University Hospital


Projekt styring
Projekt status    Closed
 
Data indsamlingsdatoer
Start 01.09.2008  
Slut 01.08.2019  
 



Biochemical and genetic factors as predictors of mortality in hip fracture patients

Short summary

The aim of this study is to investigate biochemical and genetic factors, which can predict the outcome in patients following a hip fracture. The knowledge obtained can be used to focus and individualize the treatment and thereby help reduce the risk of mortality.


Rationale

Hip fractures constitute a worldwide public health problem among the elderly. Several studies have demonstrated an increased risk of both morbidity and mortality in hip fracture patients. Within 3-12 months after a hip fracture, there is a 20-30% increased risk of mortality. Despite this, the research in this area is limited compared to other major diseases.

It is very important to identify patients at particularly high risk of mortality, since fast track programs, orthogeriatrics and similar programs have been shown to reduce the number of complications and mortality.
A simple combination of biochemical/genetic markers and other known risk factors such as age, sex, ASA score, Charlson Comorbidity Index (CCI) and dementia might be used to select high risk patients for these kinds of intensive care.

The aim of this study is therefore to further investigate biochemical and genetic factors, which can predict the outcome in patients following a hip fracture.
The knowledge obtained can be used to focus and individualize the treatment and thereby help reduce the risk of mortality.

The investigation will be based on the results of blood samples analyzed at Department of Clinical Biochemistry at Bispebjerg University Hospital.


Description of the cohort

Hip fracture patients admitted to Bispebjerg Hospital in the period 2008-2012, aged 60 years and above. 


Data and biological material

Since 2008 every hip fracture patient admitted to Bispebjerg Hospital has been registered, resulting in a Hip Fracture Database containing the following variables: ID-number (CPR), hospital department, admission date, code of diagnosis, date of surgery, type of surgery and date of discharge, alcohol, smoking, living situation, type of fracture, memory status, height, weight, ASA-score and New Mobility Score.

We have collected biological materials in form of whole blood, serum and plasma constituting the biobank used in the study. Additionally, we will collect further information about risk factors such as demographics, medication use, socioeconomic factors and prior diseases from Statistics Denmark.


Collaborating researchers and departments

Research Center for Aging and Osteoporosis, Glostrup Hospital and OPEN Odense Patient data Explorative Network, Odense University Hospital

  • Professor Niklas Rye Jørgensen, DMSc, PhD

Department of Orthopedic Surgery, Bispebjerg Hospital

  • Professor Jes Bruun Lauritzen, DMSc
Department of Clinical Biochemistry, Bispebjerg Hospital

  • Henrik Jørgensen, MD, PhD
Department of Clinical Immunology, Næstved Sygehus

  • Ole Birger Vesterager Pedersen MD, PhD
Department of Clinical Biochemistry, Hvidovre Hospital

  • Lise Bathum, MD, PhD