HSS Journal

, 4:43 | Cite as

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

  • Margaret G. E. Peterson
  • Charles N. Cornell
  • Stephen A. Paget
  • John P. Allegrante
Original Article

Abstract

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 

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Copyright information

© Hospital for Special Surgery 2007

Authors and Affiliations

  • Margaret G. E. Peterson
    • 1
    • 2
  • Charles N. Cornell
    • 3
  • Stephen A. Paget
    • 4
  • John P. Allegrante
    • 5
    • 6
  1. 1.Research DivisionHospital for Special SurgeryNew YorkUSA
  2. 2.Research DivisionHospital for Special SurgeryPlainvilleUSA
  3. 3.Department of Orthopedic SurgeryHospital for Special SurgeryNew YorkUSA
  4. 4.Department of RheumatologyHospital for Special SurgeryNew YorkUSA
  5. 5.Department of Health and Behavior StudiesTeachers College, Columbia UniversityNew YorkUSA
  6. 6.Department of Sociomedical SciencesMailman School of Public Health, Columbia UniversityNew YorkUSA

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