The purpose of this study was to estimate the excess mortality attributable to hip fracture.
The 6-year survival rate of community-dwelling White female hip fracture patients aged 70 years and older entering one of seven hospitals from 1984 to 1986 (n=578) was compared with that of White female respondents aged 70 years and older interviewed in 1984 for the Longitudinal Study on Aging (n=3773).
After age, education, comorbidity, and functional impairment were controlled, the mortality differential between the two groups accumulated to an excess among hip fracture patients of 9 deaths per 100 women 5 years postfracture.
Among those with three or more functional impairments or one or more comor-bidities, the excess was 7 deaths per 100 ; the effect of the fracture had disappeared in these groups by 4 years.
In contrast, those with two or fewer impairments and those with no comorbidities had a continuing trend of increased mortality, with an excess of 14 deaths per 100 by 5 years.
There is an immediate increase in mortality following a hip fracture in medically ill and functionally impaired patients. whereas among those with no comorbidities and few impairments, there is a gradual increase in mortality that continues for 5 years postfracture.
Mots-clés Pascal : Mortalité, Fracture, Hanche, Fémur, Membre inférieur, Epidémiologie, Vieillard, Homme, Femelle, Etats Unis, Amérique du Nord, Amérique, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Mortality, Fracture, Hip, Femur, Lower limb, Epidemiology, Elderly, Human, Female, United States, North America, America, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0551681
Code Inist : 002B16H. Création : 24/03/1998.