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March 10, 1997

Hip Fracture Outcomes

Author Affiliations

Section of General Internal Medicine Yale University School of Medicine 20 York St New Haven, CT 06504

Arch Intern Med. 1997;157(5):485-486. doi:10.1001/archinte.1997.00440260015002

HIP FRACTURES are a frequent cause of disability for older persons.1 Efforts targeted at the prevention and treatment of osteoporosis and the prevention of falls among the elderly are underway to decrease the incidence of these fractures. In addition, efforts are being made to improve the outcome for older persons with these fractures.

The most important predictors of adverse outcomes after a hip fracture are the characteristics of the patients themselves. Altered mental status and a decreased level of physical functioning before the fracture are associated with a mortality rate and recovery from rehabilitation much worse than when mental status is normal and functioning is good before the fracture.2-5 These characteristics are much more important than the type of fracture, the surgical intervention, or the rehabilitation after the surgical intervention.

The frequency of dementia and poor physical functioning in the cohort being evaluated has a substantial effect on

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