The effect of hip fracture on mortality, hospitalization, and functional status: A prospective study

Fredric Wolinsky; John Fitzgerald; Timothy Stump

doi:10.2105/AJPH.87.3.398

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$The effect of hip fracture on mortality, hospitalization, and functional status: A prospective study$

Journal article

Open access

Peer reviewed

The effect of hip fracture on mortality, hospitalization, and functional status: A prospective study

Fredric Wolinsky, John Fitzgerald and Timothy Stump

American journal of public health (1971), Vol.87(3), pp.398-403

03/01/1997

DOI: 10.2105/AJPH.87.3.398

PMCID: PMC1381011

PMID: 9096540

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Abstract

The purpose of this study was to prospectively assess the independent effect of hip fracture on mortalìty, hospitalization, and functional status. Among 7527 members of the Longitudinal Study of Aging who were over age 70 at baseline, 368 persons with hip fracture occurring between 1984 and 1991 were identified. Median length of follow-up was 831 days. Hip fracture was significantly related to mortality (adjusted hazards ratio [AHR] = 1.83; 95% confidence interval [CI] = 1.55, 2.16) when treated as a time-dependent covariate. This effect was concentrated in the first 6 months postfracture (AHR = 38.93, 95% CI = 29.58, 51.23, vs AHR = 1.17; 95% CI = 0.95, 1.44). Hip fracture significantly increased the likelihood of subsequent hospitalization (adjusted odds ratio = 3.31, 95% CI = 2.64, 4.15) and increased the number of subsequent episodes by 9.4%, the number of hospital days by 21.3%, and total charges by 16.3%. Hip fracture also increased the number of functional status dependencies. The health of older adults deteriorates after hip fracture, and efforts to reduce the incidence of hip fracture could lower subsequent mortality, morbidity, and health services use.

Aging

Alzheimers disease

Cardiovascular disease

Fractures

Health

Health care policy

Health services utilization

Hip joint

Hospitalization

Hospitals

Longitudinal studies

Mortality

Nursing homes

Older people

Polls & surveys

Random variables

Regression analysis

Standard deviation

Details

Title: Subtitle: The effect of hip fracture on mortality, hospitalization, and functional status: A prospective study
Creators: Fredric Wolinsky - Indiana University
John Fitzgerald
Timothy Stump
Resource Type: Journal article
Publication Details: American journal of public health (1971), Vol.87(3), pp.398-403
Publisher: American Public Health Association
DOI: 10.2105/AJPH.87.3.398
PMID: 9096540
PMCID: PMC1381011
ISSN: 0090-0036
eISSN: 1541-0048
Language: English
Date published: 03/01/1997
Academic Unit: Health Management and Policy
Record Identifier: 9984363602302771

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