03/18/2010 - News

Hip Fracture Increases Risk of Death

By: June Chen, MD


Older adults who sustain a hip fracture have a much higher rate of all-cause mortality for 3 months after the hip fracture, according to a review published in the March 16, 2010 issue of Annals of Internal Medicine. This increased mortality rate seems to persist with time.

Belgian researchers and their colleagues performed a review and modeling study to assess excess mortality rate after hip fracture in adults aged 50 years or older. They found a 5- to 8-fold increased risk for mortality in the first 3 months after hip fracture. The extent of the excess mortality risk increased with age and, at any given age, it was higher for men with hip fracture than for women. Excess mortality risk declined among adults with hip fracture during the first 2 years, but did not return to the baseline rate of age-matched adults who had not sustained a hip fracture, even after 10 years of follow-up.

Although it is well-established that there is an increased risk for death after hip fracture, it has not been clear until now whether that risk persists over time. This new study demonstrates that excess mortality risk persists over at least 10 years, although it seems be highest in the first three months after hip fracture. According to the study authors, these findings may be helpful when performing cost-effectiveness analyses of hip fracture prevention strategies or designing treatment strategies in patients with hip fracture.



Ann Intern Med 2010; 152: 380-390.


Created on: 03/18/2010
Reviewed on: 03/18/2010

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