Outcome after hip fracture in individuals ninety years of age and older.
OBJECTIVE
To assess outcome after hip fracture in patients ninety years of age and older, as compared with a population of the same age and sex in the United States and younger patients with hip fractures.


METHODS
Prospective, consecutive.


METHODS
University teaching hospital.


METHODS
Eight hundred fifty community-dwelling elderly people who sustained an operatively treated hip fracture were prospectively followed up.


METHODS
The outcomes examined in this study were the patients' in-hospital mortality and postoperative complication rates, hospital length of stay, discharge status, mortality rate, place of residence, ambulatory ability, and independence in basic and instrumental activities of daily living twelve months after surgery.


CONCLUSIONS
The mean patient age was 79.7 years (range 65 to 105 years). Seventy-six (8.9 percent) patients were ninety years of age and older. Patients who were ninety years of age and older had significantly longer mean hospital lengths of stay than younger individuals (p = 0.01). People ninety years of age and older were more likely to die during the hospital stay (p = 0.001) and within one year of surgery (p = 0.001). Patients who were ninety years of age and older were more likely to have a decrease in their basic activities of daily living status (p = 0.03) and ambulation level (p = 0.01). Younger individuals had a higher standard mortality ratio (1.48) than did patients who were ninety years of age and older (1.24). Being ninety years of age and older was not predictive of having a postoperative complication, of being placed in a skilled nursing facility at discharge or at one-year follow-up, or recovering of prefracture independence in instrumental activities of daily living.
Shah
M R
MR
Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York, New York 10003, USA.
Aharonoff
G B
GB
Wolinsky
P
P
Zuckerman
J D
JD
Koval
K J
KJ
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods* / Q000401:mortality; D017102:Fracture Healing / Q000502:physiology*; D006620:Hip Fractures / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D011183:Postoperative Complications / Q000175:diagnosis*; D011379:Prognosis; D011446:Prospective Studies; D020127:Recovery of Function; D015996:Survival Rate; D016896:Treatment Outcome