{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T09:15:53Z","timestamp":1778404553635,"version":"3.51.4"},"reference-count":52,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,1,23]],"date-time":"2019-01-23T00:00:00Z","timestamp":1548201600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2019,1,23]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Distal radius fractures (DRF) are one of the most common fractures with growing incidence in developed countries and are a reliable predictor of another osteoporotic fracture. Data concerning DRF mortality are conflicting and vague. Usefulness of common DRF classification systems in predicting mortality is unexplored.<jats:italic> Methods<\/jats:italic>. We identified all patients hospitalized between January <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mrow><mml:msup><mml:mrow><mml:mn mathvariant=\"normal\">1<\/mml:mn><\/mml:mrow><mml:mrow><mml:mi mathvariant=\"normal\">s<\/mml:mi><mml:mi mathvariant=\"normal\">t<\/mml:mi><\/mml:mrow><\/mml:msup><\/mml:mrow><\/mml:math> 2008 and May 3<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mrow><mml:msup><mml:mrow><mml:mn mathvariant=\"normal\">0<\/mml:mn><\/mml:mrow><mml:mrow><mml:mi mathvariant=\"normal\">t<\/mml:mi><mml:mi mathvariant=\"normal\">h<\/mml:mi><\/mml:mrow><\/mml:msup><\/mml:mrow><\/mml:math> 2015 with isolated distal radius fracture, aged 50 y\/o or above, in a <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mrow><mml:msup><mml:mrow><mml:mn mathvariant=\"normal\">1<\/mml:mn><\/mml:mrow><mml:mrow><mml:mi mathvariant=\"normal\">s<\/mml:mi><mml:mi mathvariant=\"normal\">t<\/mml:mi><\/mml:mrow><\/mml:msup><\/mml:mrow><\/mml:math> level trauma center in Poland. Fractures were evaluated according to AO, Frykman, and Fernandez classifications. Mortality ratios and long-term survival analysis with Kaplan-Meier estimator and log-rank tests with univariate and multivariate Cox proportional hazards model were used.<jats:italic> Results<\/jats:italic>. We enrolled 1308 consecutive patients. The average age of the entire cohort was 72.5 \u00b1 12 years. The study group consisted of 256 men (19.6%) with mean age 66 \u00b1 12 y\/o and 1052 women (80.4%) with mean age 74 \u00b1 12 y\/o. Men were statistically younger at the time of the fracture than women (p&lt;0.0001). After 1-year follow-up the overall study group mortality ratio was 4.5%, being 2.2-fold higher in men compared to women. In long-term survival analysis, excess men mortality remained significant. Factors associated with higher mortality at any point of the study were age (HR: 1.08, 95%CI: 1.07-1.10, p&lt;0.000001), male sex (HR: 1.92, 95%CI: 1.34-2.77; p&lt;0.001), AO type A (HR: 1.64 95%CI 1.19-2.25, p&lt;0.01), and Frykman type I (HR: 2.12 95%CI: 1.36-3.29, p&lt;0.001).<jats:italic> Conclusion<\/jats:italic>. Distal radius fractures are connected with premature mortality. Men have higher mortality compared with women following distal radius fracture in population aged 50 years or above. Simple extra articular fractures classified as AO type A or Frykman type I may be predictors of higher mortality in DRF cohort.<\/jats:p>","DOI":"10.1155\/2019\/5359204","type":"journal-article","created":{"date-parts":[[2019,1,23]],"date-time":"2019-01-23T19:40:55Z","timestamp":1548272455000},"page":"1-7","source":"Crossref","is-referenced-by-count":8,"title":["Higher Mortality in Men Compared with Women following Distal Radius Fracture in Population Aged 50 Years or Above: Are Common Distal Radius Fracture Classifications Useful in Predicting Mortality?"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7316-2380","authenticated-orcid":true,"given":"Jakub","family":"Marchewka","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, University of Physical Education, Krak\u00f3w 31-571, Poland"},{"name":"Department of Orthopedics and Trauma Surgery, 5th Military Hospital, Krak\u00f3w 30-901, 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