{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T00:33:51Z","timestamp":1793579631904,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To characterise differences in baseline demographics, outcomes, and cost between 1st and 2nd (contralateral) hip fracture hospitalisations in the same patient that occur within 5\u2009years of each other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of operatively treated hip fractures was performed at an academic medical centre. Inclusion criteria: age \u2a7e65\u2009years, presence of a first and second, contralateral hip fracture with OTA 31A\/B classification within 5\u2009years of the hip fracture. Analysis was based on the chronological order of their fracture \u2013 1st hip fracture versus 2nd hip fracture. Comparison of patients\u2019 demographics, postoperative complications, 90-day readmission rates, 1-year mortality, discharge location, and direct inpatient hospitalisation costs were compared. Major complications were defined as: sepsis, acute respiratory failure, myocardial infarction, stroke, pulmonary embolus, or death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 78 patients\u2019 1st hip fracture hospitalisation was compared to their 2nd hip fracture hospitalisation. Mean time to 2nd hip fracture was 589.9\u2009\u00b1\u2009508.4\u2009days and mean age was 84.2\u2009\u00b1\u20098.2\u2009years. More second hip fracture patients were household ambulators (47% vs. 26%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.012) and assistive device users (87% vs. 50%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001). Second hip fracture patient also trended towards being sicker (CCI 2.1\u2009\u00b1\u20091.9 vs. 1.6\u2009\u00b1\u20091.6,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.062; STTGMA: 2.4%\u2009\u00b1\u20095.9% vs. 1.2%\u2009\u00b1\u20090.2.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.081). The 2nd hip fracture cohort also trended to having more major complications (21% vs. 10%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.05) and more minor complications (58% vs. 44%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.08). There were no other differences in outcomes and hospitalisation cost.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients who sustain a 2nd contralateral hip fracture within 5\u2009years of their first hip fracture demonstrate a trend towards having more major and minor inpatient complications There are otherwise comparable hospital quality measures and cost profile during their 2nd hip fracture hospitalisation compared to their 1st hip fracture hospitalisation. Resources should be allocated to minimise the risk of complications in 2nd hip fracture patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000251398425","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T09:48:47Z","timestamp":1775641727000},"page":"500-504","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The terrible 2s: twice the risk of inpatient complications in 2nd geriatric hip fractures"],"prefix":"10.1177","volume":"36","author":[{"given":"Carolyn F","family":"Herbosa","sequence":"first","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USA"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Pettit","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Ganta","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USA"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Egol","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USA"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8488-2677","authenticated-orcid":false,"given":"Sanjit","family":"Konda","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, NY, USA"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-016-3616-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-022-03309-9"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-021-00893-x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.04.015"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01623184"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(93)90341-7"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2020.104175"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2012.09.009"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.090207"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.08.040"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2022.11.032"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001242"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001895"},{"key":"e_1_3_2_15_2","first-page":"298","article-title":"Development of a middle-age and geriatric trauma mortality risk score a tool to guide palliative care consultations","volume":"74","author":"Konda SR","year":"2016","unstructured":"Konda SR, Seymour R, Manoli A, et al. Development of a middle-age and geriatric trauma mortality risk score a tool to guide palliative care consultations. Bull Hosp Jt Dis (2013) 2016; 74: 298\u2013305.","journal-title":"Bull Hosp Jt Dis (2013)"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001561"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0332-0"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp266"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.3.398"},{"key":"e_1_3_2_20_2","article-title":"Seasonality affects elderly hip fracture mortality risk during the COVID-19 pandemic","volume":"14","author":"Esper GW","year":"2022","unstructured":"Esper GW, Meltzer-Bruhn AT, Ganta A, et al. Seasonality affects elderly hip fracture mortality risk during the COVID-19 pandemic. Cureus 2022; 14: e26530.","journal-title":"Cureus"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.04.013"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.09.022"},{"key":"e_1_3_2_23_2","article-title":"The role of smoking and body mass index in mortality risk assessment for geriatric hip fracture patients","volume":"14","author":"Meltzer-Bruhn AT","year":"2022","unstructured":"Meltzer-Bruhn AT, Esper GW, Herbosa CG, et al. The role of smoking and body mass index in mortality risk assessment for geriatric hip fracture patients. Cureus 2022; 14: e26666.","journal-title":"Cureus"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000251398425","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11207000251398425","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000251398425","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T10:43:48Z","timestamp":1779792228000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11207000251398425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,8]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/11207000251398425"],"URL":"https:\/\/doi.org\/10.1177\/11207000251398425","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,8]]}}}