Aharonoff, J Orthop Trauma 1997 - Hip Fractures in the Elderly: Predictors of One Year Mortality

Hip Fractures in the Elderly: Predictors of One Year Mortality

Aharonoff, Zuckerman, et al.·J Orthop Trauma·1997·316 citations·Prospective cohort

Purpose

To determine the one year mortality following hip fracture in an ambulatory, community dwelling, cognitively intact elderly population and to examine the role of specific type, number, and severity of associated medical comorbidities.

Methods

Design: Prospective, consecutive.

612 elderly who sustained a non-pathologic hip fracture were followed.

Results

24 patients (4%) died during hospitalization; 78 (12.7%) died within one year of fracture.
The factors that were predictive of mortality, based on multivariate analysis, were patient age > 85 years, preinjury dependency in basic activities of daily living, a history of malignancy other than skin cancer, American Society of Anesthesiologists rating of operative risk 3 or 4, and the development of one or more in-hospital postoperative complications; all factors other than the development of an in-hospital complication were independent of treatment.

Conclusions

These results indicate that efforts at reducing one year mortality after hip fracture should be directed at the prevention of postoperative complications.

Core

Hip Fractures in the Elderly: Predictors of One Year Mortality

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Hip Fractures in the Elderly: Predictors of One Year Mortality

Aharonoff, Zuckerman, et al.·J Orthop Trauma·1997·316 citations·Prospective cohort

DOI·PubMed

Purpose

Methods

Design: Prospective, consecutive.

612 elderly who sustained a non-pathologic hip fracture were followed.

Results

24 patients (4%) died during hospitalization; 78 (12.7%) died within one year of fracture.
The factors that were predictive of mortality, based on multivariate analysis, were patient age > 85 years, preinjury dependency in basic activities of daily living, a history of malignancy other than skin cancer, American Society of Anesthesiologists rating of operative risk 3 or 4, and the development of one or more in-hospital postoperative complications; all factors other than the development of an in-hospital complication were independent of treatment.

Conclusions

These results indicate that efforts at reducing one year mortality after hip fracture should be directed at the prevention of postoperative complications.

Purpose

Methods

Design: Prospective, consecutive.

612 elderly who sustained a non-pathologic hip fracture were followed.

Results

24 patients (4%) died during hospitalization; 78 (12.7%) died within one year of fracture.
The factors that were predictive of mortality, based on multivariate analysis, were patient age > 85 years, preinjury dependency in basic activities of daily living, a history of malignancy other than skin cancer, American Society of Anesthesiologists rating of operative risk 3 or 4, and the development of one or more in-hospital postoperative complications; all factors other than the development of an in-hospital complication were independent of treatment.

Conclusions

These results indicate that efforts at reducing one year mortality after hip fracture should be directed at the prevention of postoperative complications.

Purpose

Methods

Design: Prospective, consecutive.

612 elderly who sustained a non-pathologic hip fracture were followed.

Results

24 patients (4%) died during hospitalization; 78 (12.7%) died within one year of fracture.
The factors that were predictive of mortality, based on multivariate analysis, were patient age > 85 years, preinjury dependency in basic activities of daily living, a history of malignancy other than skin cancer, American Society of Anesthesiologists rating of operative risk 3 or 4, and the development of one or more in-hospital postoperative complications; all factors other than the development of an in-hospital complication were independent of treatment.

Conclusions

These results indicate that efforts at reducing one year mortality after hip fracture should be directed at the prevention of postoperative complications.