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The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study.
Open accessAbstract
OBJECTIVES: The purpose of this study was to prospectively assess the independent effect of hip fracture on mortalìty, hospitalization, and functional status. METHODS: Among 7527 members of the Longitudinal Study of Aging who were over age 70 at baseline, 368 persons with hip fracture occurring between 1984 and 1991 were identified. Median length of follow-up was 831 days. RESULTS: Hip fracture was significantly related to mortality (adjusted hazards ratio [AHR] = 1.83; 95% confidence interval [CI] = 1.55, 2.16) when treated as a time-dependent covariate. This effect was concentrated in the first 6 months postfracture (AHR = 38.93, 95% CI = 29.58, 51.23, vs AHR = 1.17; 95% CI = 0.95, 1.44). Hip fracture significantly increased the likelihood of subsequent hospitalization (adjusted odds ratio = 3.31, 95% CI = 2.64, 4.15) and increased the number of subsequent episodes by 9.4%, the number of hospital days by 21.3%, and total charges by 16.3%. Hip fracture also increased the number of functional status dependencies. CONCLUSIONS: The health of older adults deteriorates after hip fracture, and efforts to reduce the incidence of hip fracture could lower subsequent mortality, morbidity, and health services use.
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Cited by
Excess mortality following hip fracture: a systematic epidemiological review
Abrahamsen, B., van Staa, T., Ariely, R., Olson, M., & Cooper, C. (2009) · Osteoporosis International · doi:10.1007/s00198-009-0920-3 · Cited by 1,079
Delirium Is Independently Associated with Poor Functional Recovery After Hip Fracture
Marcantonio, E. R., Flacker, J. M., Michaels, M., & Resnick, N. M. (2000) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb04718.x · Cited by 678
The Aftermath of Hip Fracture: Discharge Placement, Functional Status Change, and Mortality
Bentler, S. E., Liu, L., Obrizan, M., Cook, E. A., Wright, K. B., Geweke, J. F., Chrischilles, E. A., Pavlik, C. E., Wallace, R. B., Ohsfeldt, R. L., et al. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp266 · Cited by 470
Self-citationUndertreatment of Osteoporosis in Men With Hip Fracture
Kiebzak, G. M., Beinart, G. A., Perser, K., Ambrose, C. G., Siff, S. J., & Heggeness, M. H. (2002) · Archives of Internal Medicine · doi:10.1001/archinte.162.19.2217 · Cited by 384
Effect of hypnotic drugs on body balance and standing steadiness
Mets, M. A. J., Volkerts, E. R., Olivier, B., & Verster, J. C. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.10.008 · Cited by 89
Metadata
- Authors
- Wolinsky, F. D., Fitzgerald, J. F., & Stump, T. E.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1997-03
- Volume
- 87
- Issue
- 3
- Pages
- 398-403
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W1973924376
- Cited by
- 450
- References
- 0
- FWCI
- 9.95
- Type
- journal article
- Language
- en
- Open access
- green
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- Wolinsky, F. D., Fitzgerald, J. F., & Stump, T. E. (1997). The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study. American Journal of Public Health. https://doi.org/10.2105/ajph.87.3.398
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