Summary
In this study 147 patients with hip fractures were reviewed and reassessed to establish their mortality and morbidity. The early mortality was 10.8% and this rose to 27% at three months. The major factors which determined mortality and morbidity were the age of the patient, male sex, and the degree of social dependence of the patient both before and after the fracture. The site of the fracture or the type of anaesthetic used did not significantly affect the outcome.
The shortage of Nursing Home and long-term care facilities resulted in prolonged hospital stay for many patients.
Similar content being viewed by others
References
Solomon, L. Osteoporosis and fracture of the femoral neck in the South African Bantu. J. Bone Joint Surg. 1968: 50B, 2–12.
Lewinneck, G. E., White, A. A., et al. The significance and a comparative analysis of the epidemiology of hip fractures. Clin. Orthop. 1980: 152, 35–43.
Knowlden, J., Burke, A. J., Dunbar, O. The incidence of fractures in persons over 35 years of age. Br. J. Prev. Soc Med. 19864: 18, 130–136.
Colbert, D. S., O’Mhircheartaigh, I. Mortality after hip fractures and assessment of some contributing factors. Irish J. Med. Sci. 1976: 145, 44–50.
Bames, R., Brown, J. T., Garden R. S. et al. Subcapital fractures of the femur. J. Bone Joint Surg. 1976: 58B, 2–24.
McElwaine, J. P., Curtin, J., O’Brien, R. Fractures of the neck of the femur. Irish J. Med. Sci. 1980: 149, 457–464.
Ecker, M. L., Joyce, J. J., Kohl, J. E. The treatment of trochanteric hip fractures using a compression screw. Bone Joint Surg. 1975: 57A, 23–27.
Hunter, G. A. A comparison of the use of internal fixation and prosthetic replacement for fresh fractures of the neck of the femur. Br. J. Surg. 1969: 56, 229–223.
Kyle, R. J.; Gustillo, R. B., Premer, R. F. Analysis of 622 intertrochanteric hip fractures. J. Bone Joint Surg. 1979: 61A, 216–221.
Lunt, H. R. W. The Role of prosthetic replacement of the head of the femur. Injury 1971: 3, 107–113.
Jensen, J. Steen. Determining factors for the mortality following hip fractures. Injury 1984: 15, 411–413.
Kenzora, J. E., McCarthy, R. E., Lavelle, J. D. et al. Hip fracture mortality. Clin. Orthop. 1984: 186, 45–56.
Evans, J. G., Prudham, D., Wandless, I. A prospective study of fractured proximal femur: Factors Predisposing to Survial. Age Ageing. 1979: 8, 246–50.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Moore, D.P., Quinlan, W. Mortality and morbidity associated with hip fractures. I.J.M.S. 158, 40–42 (1989). https://doi.org/10.1007/BF02942060
Issue Date:
DOI: https://doi.org/10.1007/BF02942060