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.
PopovicJR1999 National hospital discharge survey: annual summary with detailed diagnostics and procedure data. National Center for Health StatisticsVital Health Stat20011315123
2.
Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics (2002) National Hospital Discharge Survey
SamuelsonEJZhangYKielDPEffect of birth cohort on risk of hip fracture: age-specific incidence rates in the Framingham studyAm J Public Health200292858–862
5.
BlofeldtRTornkvistHPonzerSComparison of internal fixation with total hip replacement for displaced femoral neck fracturesJ Bone Jt Surg200587A1680–168810.2106/JBJS.D.02655
6.
GoldhillVLydenJPCornellCNBochnerRMBipolar hemiarthroplasty for fracture of the femoral neckJ Orthop Trauma19915318–32410.1097/00005131-199109000-00011
7.
KyleRFGusteloRBPremerRFAnalysis of six hundred and twenty-two intertrochanteric hip fracturesJ Bone Jt Surg Am197661216–221
8.
Lu-YaoGLKellerRBLittenbergBOutcomes after displaced fractures of the femoral neck: a meta-analysisJ Bone Jt Surg199476A15–25
9.
SquiresBBannisterGDisplaced intracapsular neck of the femur fractures in mobile independent patients: total hip replacement or hemiarthroplasty?Injury199930345–34810.1016/S0020-1383(99)00097-2
10.
TidermarkJPonzerSSvenssonOHInternal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly. a randomized, controlled trialJ Bone Jt Surg. [Br]200385380–38810.1302/0301-620X.85B3.13609
11.
MagazinerJLydickEHawkesWExcess mortality attributable to hip fracture in white women aged 70 years and olderAm J Public Health1997871630–163610.2105/AJPH.87.10.1630
12.
WolinskyFDFitzgeraldJFStumpTEThe effect of hip fracture on mortality, hospitalization, and functional status: a prospective studyAm J Public Health199787398–403
13.
BarrettJABaronJABeachMLMortality and pulmonary embolism after fracture in the elderlyOsteoporos Int200314889–89410.1007/s00198-003-1494-0
14.
FarahmandBYMichaelssonKAhlbomALjunghallSBaronJASurvival after hip fractureOsteoporos Int2005161583–159010.1007/s00198-005-2024-z
15.
HeinonenMKarppiPHuuskoTPost-operative degree of mobilization at two weeks predicts one-year mortality after hip factorAging Clin Exp Res200416476–480
16.
JiangHXMajumdarSRDickDADevelopment and initial validation of a risk score for predicting in-hospital and 1-year mortality in patients with hip fractureJ Bone Min Res200520494–50010.1359/JBMR.041133
17.
KovalKJSkovronMLAhronoffGBZuckermanJDPredictors of functional recovery after hip fracture in the elderlyClin Orthop199834822–28
18.
MagazinerJHawkesWHebelJRRecovery from hip fracture in eight areas of functionJ Gerontol A Biol Sci Med Sci200055A9M498–M507
19.
PattersonBMCornellCNCarboneEAProtein depletion and metabolic stress in elderly patients who have a fracture of the hipJ Bone Jt Surg [Am]199274251–260
20.
PetersonMGEAllegranteJPCornellCNMeasuring recovery after a hip fracture using the SF-36 and Cummings scalesOsteoporosis Int200213296–30210.1007/s001980200029
21.
ShabatSMannGGepsteinROperative treatment for hip fractures in patients 100 years of age and older: is it justified?J Orthop Trauma200418431–43510.1097/00005131-200408000-00007
22.
SoderqvistAMiedelRPonzerSTidermarkJThe influence of cognitive function on outcome after a hip fractureJ Bone Jt Surg [Am]2006882115–212310.2106/JBJS.E.01409
23.
WenMChristakisNANeighborhood effects on posthospitalization mortality: a population-based cohort study of the elderly in ChicagoHealth Serv Res2005401108–112710.1111/j.1475-6773.2005.00398.x
24.
DonaldIPBulpittCJThe prognosis of falls in elderly people living at homeAge Aging199928121–12510.1093/ageing/28.2.121
25.
MorrisonRSMagazinerJGilbertMRelationship between pain and opioid analgesics on the development of delirium following hip fractureJ Geront20035876–81
26.
MahomadNNBarrettJAKatzJNRates and outcomes of primary and revision total hip replacement in the United States Medicare populationJBJS200385A27–32
27.
IshidaYKawaiSTaguchiTFactors affecting ambulatory status and survival of patients 90 years and older with hip fracturesCORR2005436208–21510.1097/01.blo.0000159156.40002.30
28.
CarpinteroPLopezPLeonFLluchMMonteroMAguileraCMen with hip fractures have poorer nutritional status and survival than women: a prospective study of 165 patientsActa Orthopaedica200576331–335
29.
AllegranteJPPetersonMGECornellCNMethodological challenges in multiple-component intervention: lessons learned from a randomized controlled trial of functional recovery following hip fractureHSS J2007363–7010.1007/s11420-006-9036-x
30.
TinettiMEBakerDIGottshalkMHome based multicomponent rehabilitation program for older persons after hip fractureArch Phys Med Rehab199980916–92210.1016/S0003-9993(99)90083-7
31.
Ware JE, Snow KK, Kosinski M, Gandek B (1993) SF-36 Health Survey: Manual and Interpretation Guide. The Health Institute, New England Medical Center, Boston, MA
32.
RuchlinHSElkinEBAllegranteJPThe economic impact of a multifactorial intervention to improve postoperative rehabilitation of hip fracture patientsArthritis Care Res200145446–45210.1002/1529-0131(200110)45:5<446::AID-ART364>3.0.CO;2-R
33.
EndoYAharonoffGBZuckermanJDEgolKAKovalKJGender differences in patients with hip fracture: a greater risk of morbidity and mortality in menJ Orthopaedic Trauma20051929–3510.1097/00005131-200501000-00006
