Original Article

HSS Journal

, 4:43

First online:

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

  • Margaret G. E. PetersonAffiliated withResearch Division, Hospital for Special SurgeryResearch Division, Hospital for Special Surgery Email author 
  • , Charles N. CornellAffiliated withDepartment of Orthopedic Surgery, Hospital for Special Surgery
  • , Stephen A. PagetAffiliated withDepartment of Rheumatology, Hospital for Special Surgery
  • , John P. AllegranteAffiliated withDepartment of Health and Behavior Studies, Teachers College, Columbia UniversityDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University

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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 fracture survival elderly pre-fracture status functional recovery