Amount of Social Contact and Hip Fracture Mortality

OBJECTIVES: To study the association between amount of social contact and mortality after hip fracture in elderly participants. DESIGN: Prospective cohort. SETTING: Community residents of Baltimore, Maryland. PARTICIPANTS: Six hundred seventy‐four elderly participants. MEASUREMENTS: Amount of teleph...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2008-06, Vol.56 (6), p.1069-1074
Main Authors: Mortimore, Edward, Haselow, Dirk, Dolan, Melissa, Hawkes, William G., Langenberg, Patricia, Zimmerman, Sheryl, Magaziner, Jay
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Baltimore - epidemiology
Biological and medical sciences
elderly survival
Epidemiology
Families & family life
Family - psychology
Female
Fractures
Friends
General aspects
hip fracture
Hip Fractures - mortality
Hip Fractures - psychology
Hip joint
Humans
Male
Medical sciences
Miscellaneous
Mortality
Multivariate Analysis
Older people
Personal relationships
Proportional Hazards Models
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Social Support
Survival Rate
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Summary:OBJECTIVES: To study the association between amount of social contact and mortality after hip fracture in elderly participants. DESIGN: Prospective cohort. SETTING: Community residents of Baltimore, Maryland. PARTICIPANTS: Six hundred seventy‐four elderly participants. MEASUREMENTS: Amount of telephone and direct personal contact between participants and their relatives and friends and mortality up to 2 years after fracture. RESULTS: No social contact with friends during the 2 weeks before the fracture was associated with a five times greater risk of death over 2 years than daily contact with friends during the 2 weeks before the fracture (hazard ratio (HR)=5.04, 95% confidence interval (CI)=2.75–9.23). Participants with less than daily contact were also at greater risk of dying, although the CI spanned 1 (HR=1.76, 95% CI=0.99–3.13). Participants who had no contact with family members prefracture were more than twice as likely to die as those who communicated daily during the 2 weeks before fracture (HR=2.26, 95% CI=1.36–3.77). Participants who had less than daily contact were also more than twice as likely to die (HR=2.55, 95% CI=1.65–3.94). CONCLUSION: This study suggests that lower social contact before hip fracture is associated with poorer survival after 2 years.
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2008.01706.x