{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:55:16Z","timestamp":1790657716644,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:00:00Z","timestamp":1789257600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study assesses whether patient gender is associated with differences in demographics and fracture characteristics, clinical care, mortality risk and length of acute hospital stay following a hip fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was undertaken of all patients aged \u2265\u00a050\u00a0years admitted with a hip fracture from the emergency department (ED) at a single centre during a 42\u2010month period. Patient demographics, perioperative variables and mortality were collected as part of the Scottish Hip Fracture Audit (SHFA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      3613 patients (mean age 80.9; 71% female) were included. The mean follow\u2010up was 607 (range 240\u20131542) days. 1600 deaths were identified (44.3% mortality). Male patients were younger (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), less likely to reside in a care home (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and more likely to sustain an extracapsular fracture (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.048). Male patients spent longer in the ED (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.030), were less likely to have the ED \u2018Big 6\u2019 completed (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.017) and had a longer time to theatre (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001). Male gender was independently associated with an increased mortality risk (hazard ratio 1.56, 95% CI 1.39 to 1.74,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, Cox regression) relative to females. Gender did not influence the length of acute hospital stay (mean difference 0.4\u00a0days, 95% CI 0.33 to 1.12,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.290, regression analysis).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite adjusting for several observed differences, male gender is associated with a greater mortality risk. These differences should be explored further to improve clinical care and outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70263","type":"journal-article","created":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T17:29:45Z","timestamp":1789320585000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gender Influences Patient Characteristics, Fracture Pattern, Achievement of Clinical Care Targets and Postoperative Mortality Risk Following a Hip Fracture: A Retrospective Cohort Study"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2147-7721","authenticated-orcid":false,"given":"Isabelle L.","family":"Cochrane","sequence":"first","affiliation":[{"name":"Edinburgh Orthopaedics Royal Infirmary of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8792-0659","authenticated-orcid":false,"given":"Nick D.","family":"Clement","sequence":"additional","affiliation":[{"name":"Edinburgh Orthopaedics Royal Infirmary of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Duffy","sequence":"additional","affiliation":[{"name":"Lothian Analytical Services NHS Lothian  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Duckworth","sequence":"additional","affiliation":[{"name":"Edinburgh Orthopaedics Royal Infirmary of Edinburgh  Edinburgh UK"},{"name":"Usher Institute, School of Population Health Sciences University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.22540\/jfsf\u201006\u2010218"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.26574\/maedica.2020.15.2.185"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu021"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.05.012"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19018"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016470510030788"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12175559"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.recot.2020.04.003"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.07.012"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657\u2010021\u201000934\u20105"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590\u2010016\u20101843\u20102"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.103B.BJJ\u20102020\u20102027.R1"},{"key":"e_1_2_11_14_1","volume-title":"StatPearls","author":"Hendrix J. 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