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Am J Public Health. 1997 Oct;87(10):1630-6.

Excess mortality attributable to hip fracture in white women aged 70 years and older.

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  • 1Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore 21201, USA.

Abstract

OBJECTIVE:

The purpose of this study was to estimate the excess mortality attributable to hip fracture.

METHODS:

The 6-year survival rate of community-dwelling White female hip fracture patients aged 70 years and older entering one of seven hospitals from 1984 to 1986 (n = 578) was compared with that of White female respondents aged 70 years and older interviewed in 1984 for the Longitudinal Study on Aging (n = 3773).

RESULTS:

After age, education, comorbidity, and functional impairment were controlled, the mortality differential between the two groups accumulated to an excess among hip fracture patients of 9 deaths per 100 women 5 years postfracture. Among those with three or more functional impairments or one or more comorbidities, the excess was 7 deaths per 100: the effect of the fracture had disappeared in these groups by 4 years. In contrast, those with two or fewer impairments and those with no comorbidities had a continuing trend of increased mortality, with an excess of 14 deaths per 100 by 5 years.

CONCLUSIONS:

There is an immediate increase in mortality following a hip fracture in medically ill and functionally impaired patients, whereas among those with no comorbidities and few impairments, there is a gradual increase in mortality that continues for 5 years postfracture.

PMID:
9357344
PMCID:
PMC1381125
[PubMed - indexed for MEDLINE]
Free PMC Article
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