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Related Experiment Videos

Mortality risk after hip fracture.

Jeffrey Richmond1, Gina B Aharonoff, Joseph D Zuckerman

  • 1Geriatric Hip Fracture Research Group, Department of Orthopaedic Surgery, Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003, USA.

Journal of Orthopaedic Trauma
|December 25, 2002
PubMed
Summary

Hip fracture patients over 85 show minimal excess mortality. Younger patients with high American Society of Anesthesiologists (ASA) classifications face significant, persistent mortality risks up to two years post-fracture.

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Area of Science:

  • Orthopaedic Surgery
  • Geriatric Medicine
  • Public Health

Background:

  • Hip fractures are common, with significant mortality risk, especially within the first six months.
  • Recent studies indicate elevated mortality risk may persist for years after a hip fracture.
  • This study assesses excess mortality up to two years post-hip fracture.

Purpose of the Study:

  • Determine mortality risk following hip fracture.
  • Identify predictive factors for increased mortality.
  • Evaluate excess mortality up to two years post-injury.

Main Methods:

  • Retrospective review of prospectively collected data from a tertiary care orthopaedic hospital.
  • Inclusion criteria: Caucasian, age 65+, previously ambulatory, home-dwelling.

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  • Prospective follow-up for two years, comparing mortality to standardized populations.

    • Main Results:

    • Eight hundred thirty-six patients included; mortality highest in the first three months.
    • Standardized mortality ratios approached control levels by two years.
    • Younger patients (65-84) had higher mortality risk than older patients (>85); ASA classification predicted risk in younger cohorts.

    Conclusions:

    • Hip fracture is not associated with significant excess mortality in patients over 85.
    • Younger patients with ASA classifications of 3 or 4 exhibit significant excess mortality up to two years post-hip fracture.