Osteoporosis International

, Volume 3, Issue 3, pp 148–153 | Cite as

Consequences of a hip fracture: A prospective study over 1 year

  • I. Sernbo
  • O. Johnell
Original Article


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.


Costs Hip fracture Mortality Rehabilitation 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Sernbo I. Hip fracture [thesis]. Malmö, Sweden: Lund University, 1988.Google Scholar
  2. 2.
    Alffram P-A. An epidemiologic study of cervical and trochanteric fractures of the femur in an urban population. Acta Orthop Scand 1964;Suppl 65.Google Scholar
  3. 3.
    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.Google Scholar
  4. 4.
    Holmberg S, Conradi P, Kalén R, Thorngren KG. Mortality after cervical hip fracture. Acta Orthop Scand 1986;57:8–11.Google Scholar
  5. 5.
    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.Google Scholar
  6. 6.
    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.Google Scholar
  7. 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.Google Scholar
  8. 8.
    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.Google Scholar
  9. 9.
    Devas MB, Irvine RE. The geriatric orthopaedic unit. Br J Geriatr Practice 1969;6:19–25.Google Scholar
  10. 10.
    Murphy PJ, Rai GS, Lowy M, Bielawska C. The beneficial effects of joint orthopaedic geriatric rehabilitation. Age Ageing 1987;16:273–8.Google Scholar
  11. 11.
    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.Google Scholar
  12. 12.
    Currie CT. Hip fractures in the elderly: beyond the metal work [editorial]. BMJ 1989;298:473–4.Google Scholar
  13. 13.
    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.Google Scholar
  14. 14.
    Holmberg S. Femoral neck fractures: quality of treatment and costs [thesis]. Stockholm, Sweden, 1986.Google Scholar
  15. 15.
    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.Google Scholar
  16. 16.
    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.Google Scholar
  17. 17.
    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

Authors and Affiliations

  • I. Sernbo
    • 1
  • O. Johnell
    • 1
  1. 1.Department of Orthopaedics, Malmö General HospitalLund UniversityMalmöSweden

Personalised recommendations