Predictors of mortality and institutionalization after hip fracture : the New Haven EPESE Cohort

Hip fractures can have devastating effects on the lives of older individuals. We determined the frequency of occurrence of hip fracture and the baseline factors predicting death and institutionalization at 6 months after hip fracture. A representative cohort of 2812 individuals aged 65 years and old...

Full description

Saved in:
Bibliographic Details
Published in:American journal of public health (1971) 1994-11, Vol.84 (11), p.1807-1812
Main Authors: MAROTTOLI, R. A, BERKMAN, L. F, LEO-SUMMERS, L, COONEY, L. M
Format: Article
Language:English
Subjects:
Biological and medical sciences
Comorbidity
Elderly people
Fractured hips
Fractures
Hip joint
Injuries of the limb. Injuries of the spine
Institutionalization
Medical sciences
Mortality
Older people
Predictors
Public health
Traumas. Diseases due to physical agents
USA
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Hip fractures can have devastating effects on the lives of older individuals. We determined the frequency of occurrence of hip fracture and the baseline factors predicting death and institutionalization at 6 months after hip fracture. A representative cohort of 2812 individuals aged 65 years and older was followed prospectively for 6 years. Hip fractures were identified, and the occurrence of death and institutionalization within 6 months of the fracture was determined. Prefracture information on physical and mental function, social support, and demographic features and in-hospital data on comorbid diagnoses, fracture site, and complications were analyzed to determine predictors of death and institutionalization after hip fracture. Of 120 individuals suffering a hip fracture, 22 (18%) died within 6 months and 35 (29%) were institutionalized at 6 months. The predictors of death in multiple logistic regression included fracture site, a high number of comorbid conditions, a high number of complications, and poor baseline mental status. The primary predictor of institutionalization was poor baseline mental status. The frequency of death, institutionalization, and loss of function after hip fracture should prompt a reevaluation of the current approach to this problem.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.84.11.1807