The effect of hip fracture on mortality, hospitalization, and functional status
A prospective study
Bibliographic Data
| ID | 11024293 |
|---|---|
| Authors | Fredric D Wolinsky (0000-0002-0916-4955, Indiana University School of Medicine), JOHN F FITZGERALD, Timothy E Stump (0000-0001-9593-3011) |
| Year | 1997 |
| Volume | 87 |
| Issue | 3 |
| Pages | 398-403 |
| Publication date | 1997-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.87.3.398 |
| PMID | 9096540 |
| OpenAlex | W1973924376 |
| Language | EN |
| Citations received | 12 |
| References cited | 19 |
OBJECTIVES: The purpose of this study was to prospectively assess the independent effect of hip fracture on mortalìty, hospitalization, and functional status. METHODS: Among 7527 members of the Longitudinal Study of Aging who were over age 70 at baseline, 368 persons with hip fracture occurring between 1984 and 1991 were identified. Median length of follow-up was 831 days. RESULTS: Hip fracture was significantly related to mortality (adjusted hazards ratio [AHR] = 1.83; 95% confidence interval [CI] = 1.55, 2.16) when treated as a time-dependent covariate. This effect was concentrated in the first 6 months postfracture (AHR = 38.93, 95% CI = 29.58, 51.23, vs AHR = 1.17; 95% CI = 0.95, 1.44). Hip fracture significantly increased the likelihood of subsequent hospitalization (adjusted odds ratio = 3.31, 95% CI = 2.64, 4.15) and increased the number of subsequent episodes by 9.4%, the number of hospital days by 21.3%, and total charges by 16.3%. Hip fracture also increased the number of functional status dependencies. CONCLUSIONS: The health of older adults deteriorates after hip fracture, and efforts to reduce the incidence of hip fracture could lower subsequent mortality, morbidity, and health services use
Confidence interval · Hip fracture · Incidence (geometry) · Odds ratio · Osteoporosis · Proportional hazards model · Prospective cohort study · Bone fractures and treatments · Bone health and osteoporosis research · Hip and Femur Fractures · Internal Medicine · Medicine
Comorbidity and Chronic Conditions in the National Social Life, Health and Aging Project (NSHAP), Wave 2
Activities of Daily Living and Determinant Factors among Older Adult Subjects with Lower Body Fracture after Discharge from Hospital
Using vital statistics to estimate the population-level impact of osteoporotic fractures on mortality based on death certificates, with an application to France (2000-2004)
Patients with femoral or distal forearm fracture in Germany
Polypharmacy and risk of falls and fractures for patients with HIV infection and substance dependence
The Role of Pain in the Recovery of Instrumental and Social Functioning After Hip Fracture
Continuity of Care and Health Decline Associated With a Hip Fracture
Bodies, Burials and Ageing
The "Black Report" of Spain--the Commission on Social Inequalities in Health
Current research in the epidemiology and public health of aging--the need for more diverse strategies
The role of education in explaining and forecasting trends in functional limitations among older Americans
Health Care Utilization and Costs in a Medicare Population by Fall Status
An Epidemiology of Disability among Adults in the United States
The Use of Health Services by Older Adults
Studies of Illness in the Aged
Consistency and Change in Functional Status among Older Adults Over lime
Longitudinal study of physical ability in the oldest-old
Subsequent hip fracture among older adults
The Structure of Health Status Among Older Adults
| Unique citing works | 12 |
|---|---|
| Citations per year | 0,41 |
| Citation span | 1997 - 2018 (22) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 12 |