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Fig.E-1

Inclusion of patients in years 0 to 7.

Fig.E-2

Outcome of patients in years 0 to 7. Percentage is based on patients from Figure E-1 who were eligible for inclusion because their hospital was still continuously participating in the Scottish Hip Fracture Audit at a given time after the patient’s original admission.

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Fig.E-3

Triangles indicate the percentage of surviving patients who sustained a second fracture in a given half-year period after the primary fracture. These data relate to a period of continuous hospital participation. This cohort consists of surviving patients and excludes those who had already sustained a second fracture prior to the start of the subsequent six-month period. Bars denote standard errors (binomial distribution).

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TABLE E-1 Place of Residence of Surviving Patients at 120 Days According to Whether or When a Second Hip Fracture Occurred

Patient Group

Home or Residential

Nursing

Home Rehabilitation

Acute Care Hospital or

Other Total

First fracture, with no known second (min. 1 yr)*

8245/13,683 (60%)

3028/13,683 (22%)

1275/13,683 (9%)

1135/13,683 (8%)

13,683 (100%) First of two fractures, with

second at >1 yr†

412/621 (66%)

124/621 (20%)

43/621 (7%) 42/621 (7%) 621/621 (100%) First of two fractures, with

second at 4 mo to 1 yr†

131/287 (46%)

99/287 (34%) 32/287 (11%) 25/287 (9%) 287(100%) First of two fractures, with

second at 0-4 mo†

62/256 (24%) 74/256 (29%) 60/256 (23%) 60/256 (23%) 256 (100%) Second fracture, >1 yr after

first‡

179/399 (45%)

162/399 (41%)

30/399 (8%) 28/399 (7%) 399(100%) Second fracture, 4 mo to 1 yr

after first‡

82/217 (38%) 101/217 (47%)

16/217 (7%) 18/217 (8%) 217 (100%) Second fracture, 0-4 mo after

first†

70/221 (32%) 84/221 (38%) 35/221 (16%) 32/221 (14%) 221 (100%)

*Patient only sustained a single fracture within the minimum follow-up period of twelve months.

†Outcome after first fracture at 120 days in patients who went on to sustain a second fracture during the time period indicated. ‡Outcome after second fracture, which occurred during time period indicated subsequent to the primary fracture.

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TABLE E-2 Indoor Mobility at 120 Days of Surviving Patients According to If/When a Second Hip Fracture Occurred

Patient Group

No Walking Aids and

Unaccompanied

One Walking Aid and

Unaccompanied

Two Walking Aids and/or Walker Frame and

Unaccompanied

Requires

Accompaniment

Unable to

Walk Total First fracture,

with no known second at a minimum of 1 yr*

1907/13,569 (14%)

3489/13,569 (26%)

4468/13,569 (33%)

2125/13,569 (16%)

1580/13,569 (12%)

13,569 (100%)

First of two fractures, with second at >1 yr†

112/621 (18%) 194/621 (31%) 236/621 (38%) 55/621 (9%) 24/621 (4%) 621 (100%)

First of two fractures, with second at 4 mo to 1 yr†

32/287 (11%) 57/287 (20%) 109/287 (38%) 73/287 (25%) 16/287 (6%) 287 (100%)

First of two fractures, with second at 0 to 4 mo†

14/254 (6%) 11/254 (4%) 80/254 (31%) 90/254 (35%) 59/254 (23%)

254 (100%)

Second

fracture, >1 yr after first‡

35/398 (9%) 48/398 (12%) 161/398 (40%) 88/398 (22%) 66/398 (17%)

398 (100%) Second

fracture, 4 mo to 1 yr after first‡

17/215 (8%) 21/215 (10%) 82/215 (38%) 49/215 (23%) 46/215 (21%)

215 (100%)

Second fracture, 0 to 4 mo after first‡

14/220 (6%) 15/220 (7%) 79/220 (36%) 71/220 (32%) 41/220 (19%)

220 (100%)

*Patient only sustained a single fracture within the minimum follow-up period of twelve months.

†Outcome after first fracture at 120 days in patients who went on to sustain a second fracture during the time period indicated. ‡Outcome after second fracture, which occurred during time period indicated subsequent to the primary fracture.

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TABLE E-3Length of Stay in Acute Orthopaedic Care Patient Group

Mean No. of Days

Median No. of Days

No. of Patients First fracture, no known second (min. of1 yr)* 16.2 11 19,217 First of two fractures, with second at >1 yr† 17.3 12 667 First of two fractures, with second at 4mo to 1

yr†

19.1 13 313

First of two fractures, with second at 0 to 4 mo† 22.2 14 323 Second fracture, >1 yr after first‡ 15.0 11 650 Second fracture, 4mo to 1 yr after first‡ 15.0 10 312 Second fracture, 0 to 4 mo after first‡ 18.7 10 322

Mean or total 16.4 11 21,804

*Patient only sustained a single fracture within the minimum follow-up period of twelve months.

†Outcome after first fracture at 120 days in patientswho went on to sustain a second fracture during the time period indicated. ‡Outcome after second fracture, which occurred during time period indicated subsequent to the primary fracture.

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