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March 1992

Hip Fracture Mortality and Prospective Payment System

Author Affiliations

Los Angeles, Calif

Arch Intern Med. 1992;152(3):639. doi:10.1001/archinte.1992.00400150143026

To the Editor.—  Ray and colleagues1 recently reported that mortality following hip fracture was not affected by the implementation of the prospective payment system (PPS). In a 20% sample of Medicare enrollees residing in Michigan, the mortality rate in the year following hospital admission for hip fracture did not differ between the 2130 patients in the 2 years before and the 2238 patients in the 2 years after PPS (23.2% vs 23.7%).Our prospective cohort study2 of a southern California retirement community provides additional data on the subject. The residents of Leisure World Laguna Hills are almost entirely white, moderately affluent, and about two thirds are female. A complete roster of community residents, including address, date of birth, and date of move-in is kept by the community business office and was made available to us for this survey. The residents as of June 1, 1981, with newcomers as of June 1,