Hip fracture most commonly affects older adults and causes devastating consequences including pain, immobilization, functional decline, delirium, and death. Among those in the Medicare population who sustain hip fractures, 13% die within 3 months and 24% die within 12 months.1 Of those who survive to 6 months, only 50% recover prefracture ability to perform activities of daily living.2 Although long-term nursing home residents are much more likely than community-dwelling older adults to sustain hip fracture and have poorer functional outcomes,3 relatively little is known about the patterns and predictors of mortality and functional decline in long-term nursing home residents with hip fractures.
Ko FC, Morrison RS. Hip FractureA Trigger for Palliative Care in Vulnerable Older Adults. JAMA Intern Med. 2014;174(8):1281-1282. doi:10.1001/jamainternmed.2014.999