Invited Commentary
August 2014

Hip FractureA Trigger for Palliative Care in Vulnerable Older Adults

Author Affiliations
  • 1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York
  • 2National Palliative Care Research Center, New York, New York
  • 3Hertzberg Palliative Care Institute, New York, New York

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2014;174(8):1281-1282. doi:10.1001/jamainternmed.2014.999

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.

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