title: Excess mortality or institutionalization after hip fracture: men are at greater risk than women.
abstract: OBJECTIVE
  To assess 2-year excess mortality or institutionalization risk associated with hip fracture in community-dwelling people aged 60 and over.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Auckland, New Zealand, from July 1991 to February 1996.
  
  
  METHODS
  Five hundred sixty-five community-dwelling older people recently hospitalized with a hip fracture and 782 randomly selected controls, frequency matched for age and gender, living in the same catchment area as the cases.
  
  
  METHODS
  Two-year mortality or institutionalization status.
  
  
  RESULTS
  Over half (52.1%) of male hip fracture cases and 12.4% of male controls were dead or institutionalized, compared with 39.2% of female hip fracture cases and 19.7% of female controls. The odds ratio, adjusted for baseline demographic characteristics, medical status, and physical function, for death or institutionalization was 6.89 (95% confidence interval (CI) = 2.75-17.27) for men and 1.48 (95% CI = 1.02-2.19) for women.
  
  
  CONCLUSIONS
  For both men and women who incur a hip fracture, the risks of dying or being institutionalized within 2 years are higher than for their peers. The independent effect of hip fracture on this outcome was significantly greater for men than women. The marked influences of prefracture health status, physical limitations, and gender on outcome have important implications for preventative strategies.
authors: Institute for International Health, University of Sydney, Australia. mfransen@iih.usyd.edu.au
authors: Marlene
authors: M
authors: Fransen
authors: Mark
authors: M
authors: Woodward
authors: Robyn
authors: R
authors: Norton
authors: Elizabeth
authors: E
authors: Robinson
authors: Meg
authors: M
authors: Butler
authors: A John
authors: AJ
authors: Campbell
mesh_terms: D000203:Activities of Daily Living; D017677:Age Distribution; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D006304:Health Status; D006620:Hip Fractures; D006801:Humans; D007326:Institutionalization; D008297:Male; D009026:Mortality; D009520:New Zealand; D017678:Sex Distribution