Factors associated with mortality and functional disability after hip fracture: an inception cohort study

Abstract

Hip fracture results in excess mortality and functional disability. This study sought to identify predictors of mortality and limited functional ability 1 year after hip fracture. We conducted a 1-year follow-up of a prospective population-based inception cohort of 218 hip fracture patients who had been consecutively admitted and discharged from hospital during the previous year. Mortality was observed to be independently associated with poor mental status (relative risk [RR]=6.96; 95% confidence interval [95% CI], 1.73-28.00), prefracture limited functional ability (RR=4.35; 95% CI, 1.32-14.36), institutionalized disposition at discharge (RR = 2.92; 95% CI, 1.02-8.38), and male gender (RR = 2.44; 95% CI, 1.01-5.93). Independent predictors of limited functional ability were prefracture functional disability (RR = 34.14; 95% CI, 3.13-372.33), poor mental status (RR = 9.71; 95% CI, 1.57-59.82), age >80 years (RR = 4.03; 95% CI, 1.48-11.00), and female gender (RR = 3.57; 95% CI, 0.08-0.98). On discharge, special attention and care should thus be given to all patients displaying any of the above predictive factors.

Effects of a Multicomponent Home-Based Physical Rehabilitation Program on Mobility Recovery After Hip Fracture: A Randomized Controlled Trial

“…In addition, living alone, higher age, physical disability and mobility limitation before the fracture were risk factors for institutionalization (Agusti et al 2012, Vochteloo et al 2012. Risk factors for mortality after a hip fracture are higher age, male gender, comorbidity, cancer, functional inability and treatment with opiates, delayed surgery, major postoperative complications and use of assistive devices (Agusti et al 2012, Alegre-Lopez et al 2005, Maggi et al 2010, Paksima et al 2008. Bone medication (Agusti et al 2012, Nurmi-Luthje et al 2011 as well as calcium and vitamin D supplements (Nurmi-Luthje et al 2011) are associated with deceased mortality risk.…”

Hip fractures in extremely old patients

“…1e3 Poor prognostic factors for a hip fracture includes male gender, 4e7 poor mental condition, dementia, cognitive problems, 6,8 cardiopulmonary disease, 4,5 limited pre-operative function and mobility, 6 delayed surgery 9 and older age. 4e7 Life time incidence of hip fracture is approximately 18% in women and 8% in men.…”

The Impact of Prefracture and Hip Fracture Characteristics on Mortality in Older Persons in Brazil

“…The population in Brazil, as in other Latin American countries and other developing countries, is aging rapidly, and the incidence of hip fractures is expected to increase the most in developing countries [19,29]. Identifying the variables influencing mortality in these countries potentially would allow the development of interventions to improve recovery and reduce mortality [1].…”