Health status before and mortality after hip fracture.
A cohort study was done to determine the direct impact of hip fracture on mortality in older people. Survival was compared between 211 hip fracture patients from a defined area and 201 non-hip fracture control subjects randomly selected from the same area. The mortality rate 1 year after hip fracture was 21.7%; 1-year mortality in the comparison group was 4.7%. The crude hazard ratio for hip fracture and mortality was 4.0 (95% confidence interval [CI] = 2.2, 7.4); adjusting for multiple health-related variables reduced it to 3.3 (95% CI = 1.7, 6.5). This finding suggests that the observed excess mortality after hip fracture is not explained by poor prefracture health status.
Katelaris
A G
AG
Department of Public Health and Community Medicine, University of Sydney, Sydney, Australia.
Cumming
R G
RG
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D006304:Health Status; D006622:Hip Prosthesis / Q000401:mortality*; D006801:Humans; D008297:Male; D009517:New South Wales / Q000453:epidemiology; D016016:Proportional Hazards Models; D015996:Survival Rate