Consequences of a hip fracture: A prospective study over 1 year
Received: 24 March 1992 Accepted: 28 October 1992 DOI:
Cite this article as: Sernbo, I. & Johnell, O. Osteoporosis Int (1993) 3: 148. doi:10.1007/BF01623276 Abstract
From a population of 230 000 residents, 1429 consecutive hip fracture patients were studied with regard to their social and physical functions both before sustaining the fracture and 1 year later. Changes in the patients' accommodation, need of help and walking aids were described. Using logistic regression we found important factors regarding the ability to return home, mortality within 1 year and length of hospital stay. The cost of a hip fracture over the time a patient is in hospital is, including the cost of an internal fixation, about US $6000. The total cost over 1 year is about US $26 000 per patient, including the operation.
Keywords Costs Hip fracture Mortality Rehabilitation References
Sernbo I. Hip fracture [thesis]. Malmö, Sweden: Lund University, 1988.
Alffram P-A. An epidemiologic study of cervical and trochanteric fractures of the femur in an urban population. Acta Orthop Scand 1964;Suppl 65.
Ceder L, Ekelund L, Inerot S, Lindberg L, Odeberg E, Sjölin C. Rehabilitation after hip fracture in the elderly. Acta Orthop Scand 1979;5:681–8.
Holmberg S, Conradi P, Kalén R, Thorngren KG. Mortality after cervical hip fracture. Acta Orthop Scand 1986;57:8–11.
Prospective Payment Assessment Commission. Technical appendices to the Report and Recommendations to the Secretary. Washington DC: US Department of Health and Human Services. US Government Printing Office, 1986.
Fitzgerald JF, Moore PS, Dittus RS. The care of elderly patients with hip fractures: changes since implementation of the prospective payment system. N Engl J Med 1988;319:1392–7.
Bond J, Gregson BA, Atkinson A. Measurement of outcomes within a multicentred randomised controlled trial in the evaluation of the experimental NHS nursing homes. Age Ageing 1989;18:292–302.
Parker MJ, Pryor GA, Myles JW. Early discharge after hip fracture: prospective 3-year study of 645 patients. Acta Orthop Scand 1991;62:563–6.
Devas MB, Irvine RE. The geriatric orthopaedic unit. Br J Geriatr Practice 1969;6:19–25.
Murphy PJ, Rai GS, Lowy M, Bielawska C. The beneficial effects of joint orthopaedic geriatric rehabilitation. Age Ageing 1987;16:273–8.
Hempsall VJ, Robertson DR, Campbell MJ, Briggs RS. Orthopaedic geriatric care: is it effective? A prospective population based comparison of outcome in fractured neck of femur. J R Coll Physicians Lond 1990;24:47–50.
Currie CT. Hip fractures in the elderly: beyond the metal work [editorial]. BMJ 1989;298:473–4.
Campion EW, Jette AM, Cleary PD, Harris BA. Hip fractures: a prospective study of hospital course, complications and costs. J Gen Intern Med 1987;2:78–82.
Holmberg S. Femoral neck fractures: quality of treatment and costs [thesis]. Stockholm, Sweden, 1986.
Borgquist L, Lindelöw G, Thorngren KG. Costs of hip fracture: rehabilitation of 180 patients in primary health care. Acta Orthop Scand 1991;62:39–48.
Kennie DC, Reid J, Richardson IR, Kiamari AA, Kelt C. Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: a randomised clinical trial BMJ 1988;297:1083–6.
Jónsson B, Sernbo I, Redlund-Johnell I, Johnell O. Functional results 10 years after a hip fracture. Acta Orthop Scand 1990;Suppl 239:80.
Google Scholar Copyright information
© European Foundation for Osteoporosis 1993