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

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HSS Journal

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.

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Acknowledgments

The authors wish to thank A. Augurt, BA and Randy Cohn, BA for help with data collection.

This study was undertaken with the support of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS 2P60-AR38520) and Hospital for Special Surgery and partially conducted in a facility constructed with support from Research Facilities Improvement Program Grant Number C06-RR12538-01 from the National Center for Research Resources, National Institutes of Health.

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Authors and Affiliations

  1. Research Division, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Margaret G. E. Peterson PhD

  2. Research Division, Hospital for Special Surgery, 223 Farmington Avenue, Plainville, CT, 06062, USA

    Margaret G. E. Peterson PhD

  3. Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Charles N. Cornell MD

  4. Department of Rheumatology, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Stephen A. Paget MD

  5. Department of Health and Behavior Studies, Teachers College, Columbia University, 525 West 120th Street, New York, NY, 10027, USA

    John P. Allegrante PhD

  6. Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY, 10032, USA

    John P. Allegrante PhD

Authors
  1. Margaret G. E. Peterson PhD
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  2. Charles N. Cornell MD
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  3. Stephen A. Paget MD
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  4. John P. Allegrante PhD
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Corresponding author

Correspondence to Margaret G. E. Peterson PhD.

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Peterson, M.G.E., Cornell, C.N., Paget, S.A. et al. Five-Year Survival in a Cohort of Hip Fracture Patients: The Predictive Role of Pre-fracture Health Status. HSS Jrnl 4, 43–47 (2008). https://doi.org/10.1007/s11420-007-9074-z

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  • DOI: https://doi.org/10.1007/s11420-007-9074-z

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