HSS Journal

, 4:43

Five-Year Survival in a Cohort of Hip Fracture Patients: The Predictive Role of Pre-fracture Health Status


    • Research DivisionHospital for Special Surgery
    • Research DivisionHospital for Special Surgery
  • Charles N. Cornell
    • Department of Orthopedic SurgeryHospital for Special Surgery
  • Stephen A. Paget
    • Department of RheumatologyHospital for Special Surgery
  • John P. Allegrante
    • Department of Health and Behavior StudiesTeachers College, Columbia University
    • Department of Sociomedical SciencesMailman School of Public Health, Columbia University
Original Article

DOI: 10.1007/s11420-007-9074-z

Cite this article as:
Peterson, M.G.E., Cornell, C.N., Paget, S.A. et al. HSS Jrnl (2008) 4: 43. doi:10.1007/s11420-007-9074-z


The aim was to assess the outcome of surgery at 5 years after hip fracture. In this prospective study, we analyzed 5-year survival of a cohort of 105 hip fracture patients as a function of preoperative health. The main outcome measurements were the status of the patient, dead or alive, and the SF-36 of their pre-fracture status as recalled during their hospital stay. In the fifth year post-hospitalization 58 patients were alive. There was a significant association between the recall SF-36 general health score and being alive in the fifth year (P = 0.0004) and with survival in general (P = 0.0001). This and prior studies support the concept of stratifying hip fracture patients according to pre-fracture health status when assessing outcomes of fracture repair or other interventions. This study further demonstrates the utility of the SF-36 for this purpose.

Key words

hip fracturesurvivalelderlypre-fracture statusfunctional recovery

Copyright information

© Hospital for Special Surgery 2007