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HSS J. 2008 Feb;4(1):43-7. doi: 10.1007/s11420-007-9074-z. Epub 2007 Dec 13.

Five-year survival in a cohort of hip fracture patients: the predictive role of pre-fracture health status.

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1
Research Division, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. petersonm@hss.edu

Abstract

The aim was to assess the outcome of surgery at 5 years after hip fracture. In this prospective study, we analyzed 5-year survival of a cohort of 105 hip fracture patients as a function of preoperative health. The main outcome measurements were the status of the patient, dead or alive, and the SF-36 of their pre-fracture status as recalled during their hospital stay. In the fifth year post-hospitalization 58 patients were alive. There was a significant association between the recall SF-36 general health score and being alive in the fifth year (P = 0.0004) and with survival in general (P = 0.0001). This and prior studies support the concept of stratifying hip fracture patients according to pre-fracture health status when assessing outcomes of fracture repair or other interventions. This study further demonstrates the utility of the SF-36 for this purpose.

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