Health status before and mortality after hip fracture

Am J Public Health. 1996 Apr;86(4):557-60. doi: 10.2105/ajph.86.4.557.


A cohort study was done to determine the direct impact of hip fracture on mortality in older people. Survival was compared between 211 hip fracture patients from a defined area and 201 non-hip fracture control subjects randomly selected from the same area. The mortality rate 1 year after hip fracture was 21.7%; 1-year mortality in the comparison group was 4.7%. The crude hazard ratio for hip fracture and mortality was 4.0 (95% confidence interval [CI] = 2.2, 7.4); adjusting for multiple health-related variables reduced it to 3.3 (95% CI = 1.7, 6.5). This finding suggests that the observed excess mortality after hip fracture is not explained by poor prefracture health status.

MeSH terms

  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Comorbidity
  • Female
  • Follow-Up Studies
  • Geriatric Assessment
  • Health Status*
  • Hip Prosthesis / mortality*
  • Humans
  • Male
  • New South Wales / epidemiology
  • Proportional Hazards Models
  • Survival Rate