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Functional outcome after hip fracture in Japan
S Kitamura1, Y Hasegawa, S Suzuki
1Department of Orthopedic Surgery, Nagoya University School of Medicine, Japan.
Clinical Orthopaedics and Related Research
|April 29, 1998
Summary
This study tracked 1,169 elderly Japanese hip fracture patients, finding most underwent surgery. Many returned home, but mortality rates were significant within two years.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Public Health
Background:
- Hip fractures are a major health concern in elderly populations, leading to significant morbidity and mortality.
- Understanding outcomes after hip fracture treatment is crucial for improving patient care and resource allocation.
Purpose of the Study:
- To prospectively evaluate the treatment outcomes, functional recovery, and survival rates of elderly Japanese patients following hip fracture.
Main Methods:
- Prospective observational study of 1,169 elderly Japanese patients with hip fractures.
- Data collected on fracture treatment, hospital length of stay, discharge destination, mortality, and functional status (ambulatory status).
Main Results:
- Ninety-two percent of patients received operative fracture treatment.
- Average hospital stay was 67 days, with 81% returning to their pre-fracture residence.
- Mortality rates were 6% (120 days), 11% (1 year), and 19% (2 years).
- Sixty-seven percent of patients regained their pre-injury ambulatory status at 1-year follow-up.
Conclusions:
- Elderly hip fracture patients in Japan often receive surgical treatment and can return home.
- Despite treatment, significant long-term mortality and functional limitations persist, highlighting the need for continued care and rehabilitation.