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Published in: HSS Journal ® 1/2008

01-02-2008 | Original Article

Five-Year Survival in a Cohort of Hip Fracture Patients: The Predictive Role of Pre-fracture Health Status

Authors: Margaret G. E. Peterson, PhD, Charles N. Cornell, MD, Stephen A. Paget, MD, John P. Allegrante, PhD

Published in: HSS Journal ® | Issue 1/2008

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Abstract

The aim was to assess the outcome of surgery at 5 years after hip fracture. In this prospective study, we analyzed 5-year survival of a cohort of 105 hip fracture patients as a function of preoperative health. The main outcome measurements were the status of the patient, dead or alive, and the SF-36 of their pre-fracture status as recalled during their hospital stay. In the fifth year post-hospitalization 58 patients were alive. There was a significant association between the recall SF-36 general health score and being alive in the fifth year (P = 0.0004) and with survival in general (P = 0.0001). This and prior studies support the concept of stratifying hip fracture patients according to pre-fracture health status when assessing outcomes of fracture repair or other interventions. This study further demonstrates the utility of the SF-36 for this purpose.
Literature
1.
go back to reference Popovic JR (2001) 1999 National hospital discharge survey: annual summary with detailed diagnostics and procedure data. National Center for Health Statistics. Vital Health Stat 13(151):23, 154 Popovic JR (2001) 1999 National hospital discharge survey: annual summary with detailed diagnostics and procedure data. National Center for Health Statistics. Vital Health Stat 13(151):23, 154
2.
go back to reference Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics (2002) National Hospital Discharge Survey Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics (2002) National Hospital Discharge Survey
4.
go back to reference Samuelson EJ, Zhang Y, Kiel DP et al. (2002) Effect of birth cohort on risk of hip fracture: age-specific incidence rates in the Framingham study. Am J Public Health 92:858–862 Samuelson EJ, Zhang Y, Kiel DP et al. (2002) Effect of birth cohort on risk of hip fracture: age-specific incidence rates in the Framingham study. Am J Public Health 92:858–862
5.
go back to reference Blofeldt R, Tornkvist H, Ponzer S et al. (2005) Comparison of internal fixation with total hip replacement for displaced femoral neck fractures. J Bone Joint Surg 87A:1680–1688CrossRef Blofeldt R, Tornkvist H, Ponzer S et al. (2005) Comparison of internal fixation with total hip replacement for displaced femoral neck fractures. J Bone Joint Surg 87A:1680–1688CrossRef
6.
go back to reference Goldhill V, Lyden JP, Cornell CN, Bochner RM (1991) Bipolar hemiarthroplasty for fracture of the femoral neck. J Orthop Trauma 5:318–324PubMedCrossRef Goldhill V, Lyden JP, Cornell CN, Bochner RM (1991) Bipolar hemiarthroplasty for fracture of the femoral neck. J Orthop Trauma 5:318–324PubMedCrossRef
7.
go back to reference Kyle RF, Gustelo RB, Premer RF (1976) Analysis of six hundred and twenty-two intertrochanteric hip fractures. J Bone Jt Surg Am 61:216–221 Kyle RF, Gustelo RB, Premer RF (1976) Analysis of six hundred and twenty-two intertrochanteric hip fractures. J Bone Jt Surg Am 61:216–221
8.
go back to reference Lu-Yao GL, Keller RB, Littenberg B, et al. (1994) Outcomes after displaced fractures of the femoral neck: a meta-analysis. J Bone Jt Surg 76A:15–25 Lu-Yao GL, Keller RB, Littenberg B, et al. (1994) Outcomes after displaced fractures of the femoral neck: a meta-analysis. J Bone Jt Surg 76A:15–25
9.
go back to reference Squires B, Bannister G (1999) Displaced intracapsular neck of the femur fractures in mobile independent patients: total hip replacement or hemiarthroplasty? Injury 30:345–348PubMedCrossRef Squires B, Bannister G (1999) Displaced intracapsular neck of the femur fractures in mobile independent patients: total hip replacement or hemiarthroplasty? Injury 30:345–348PubMedCrossRef
10.
go back to reference Tidermark J, Ponzer S, Svensson OH (2003) Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly. a randomized, controlled trial. J Bone Jt Surg. [Br] 85:380–388CrossRef Tidermark J, Ponzer S, Svensson OH (2003) Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly. a randomized, controlled trial. J Bone Jt Surg. [Br] 85:380–388CrossRef
11.
go back to reference Magaziner J, Lydick E, Hawkes W et al. (1997) Excess mortality attributable to hip fracture in white women aged 70 years and older. Am J Public Health 87:1630–1636PubMedCrossRef Magaziner J, Lydick E, Hawkes W et al. (1997) Excess mortality attributable to hip fracture in white women aged 70 years and older. Am J Public Health 87:1630–1636PubMedCrossRef
12.
go back to reference Wolinsky FD, Fitzgerald JF, Stump TE. (1997) The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study. Am J Public Health 87:398–403PubMed Wolinsky FD, Fitzgerald JF, Stump TE. (1997) The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study. Am J Public Health 87:398–403PubMed
13.
go back to reference Barrett JA, Baron JA, Beach ML. (2003) Mortality and pulmonary embolism after fracture in the elderly. Osteoporos Int 14:889–894PubMedCrossRef Barrett JA, Baron JA, Beach ML. (2003) Mortality and pulmonary embolism after fracture in the elderly. Osteoporos Int 14:889–894PubMedCrossRef
14.
go back to reference Farahmand BY, Michaelsson K, Ahlbom A, Ljunghall S, Baron JA (2005) Survival after hip fracture. Osteoporos Int 16:1583–1590PubMedCrossRef Farahmand BY, Michaelsson K, Ahlbom A, Ljunghall S, Baron JA (2005) Survival after hip fracture. Osteoporos Int 16:1583–1590PubMedCrossRef
15.
go back to reference Heinonen M, Karppi P, Huusko T et al. (2004) Post-operative degree of mobilization at two weeks predicts one-year mortality after hip factor. Aging Clin Exp Res 16:476–480PubMed Heinonen M, Karppi P, Huusko T et al. (2004) Post-operative degree of mobilization at two weeks predicts one-year mortality after hip factor. Aging Clin Exp Res 16:476–480PubMed
16.
go back to reference Jiang HX, Majumdar SR, Dick DA et al. (2005) Development and initial validation of a risk score for predicting in-hospital and 1-year mortality in patients with hip fracture. J Bone Min Res 20:494–500CrossRef Jiang HX, Majumdar SR, Dick DA et al. (2005) Development and initial validation of a risk score for predicting in-hospital and 1-year mortality in patients with hip fracture. J Bone Min Res 20:494–500CrossRef
17.
go back to reference Koval KJ, Skovron ML, Ahronoff GB, Zuckerman JD. (1998) Predictors of functional recovery after hip fracture in the elderly. Clin Orthop 348:22–28PubMed Koval KJ, Skovron ML, Ahronoff GB, Zuckerman JD. (1998) Predictors of functional recovery after hip fracture in the elderly. Clin Orthop 348:22–28PubMed
18.
go back to reference Magaziner J, Hawkes W, Hebel JR et al. (2000) Recovery from hip fracture in eight areas of function. J Gerontol A Biol Sci Med Sci 55A(9):M498–507 Magaziner J, Hawkes W, Hebel JR et al. (2000) Recovery from hip fracture in eight areas of function. J Gerontol A Biol Sci Med Sci 55A(9):M498–507
19.
go back to reference Patterson BM, Cornell CN, Carbone EA et al. (1992) Protein depletion and metabolic stress in elderly patients who have a fracture of the hip. J Bone Jt Surg [Am] 74:251–260 Patterson BM, Cornell CN, Carbone EA et al. (1992) Protein depletion and metabolic stress in elderly patients who have a fracture of the hip. J Bone Jt Surg [Am] 74:251–260
20.
go back to reference Peterson MGE, Allegrante JP, Cornell CN et al. (2002) Measuring recovery after a hip fracture using the SF-36 and Cummings scales. Osteoporosis Int 13:296–302CrossRef Peterson MGE, Allegrante JP, Cornell CN et al. (2002) Measuring recovery after a hip fracture using the SF-36 and Cummings scales. Osteoporosis Int 13:296–302CrossRef
21.
go back to reference Shabat S, Mann G, Gepstein R et al. (2004) Operative treatment for hip fractures in patients 100 years of age and older: is it justified? J Orthop Trauma 18:431–435PubMedCrossRef Shabat S, Mann G, Gepstein R et al. (2004) Operative treatment for hip fractures in patients 100 years of age and older: is it justified? J Orthop Trauma 18:431–435PubMedCrossRef
22.
go back to reference Soderqvist A, Miedel R, Ponzer S, Tidermark J. (2006) The influence of cognitive function on outcome after a hip fracture. J Bone Joint Surg [Am] 88:2115–2123CrossRef Soderqvist A, Miedel R, Ponzer S, Tidermark J. (2006) The influence of cognitive function on outcome after a hip fracture. J Bone Joint Surg [Am] 88:2115–2123CrossRef
23.
go back to reference Wen M, Christakis NA (2005) Neighborhood effects on posthospitalization mortality: a population-based cohort study of the elderly in Chicago. Health Serv Res 40:1108–1127PubMedCrossRef Wen M, Christakis NA (2005) Neighborhood effects on posthospitalization mortality: a population-based cohort study of the elderly in Chicago. Health Serv Res 40:1108–1127PubMedCrossRef
24.
go back to reference Donald IP, Bulpitt CJ (1999) The prognosis of falls in elderly people living at home. Age Aging 28:121–125CrossRef Donald IP, Bulpitt CJ (1999) The prognosis of falls in elderly people living at home. Age Aging 28:121–125CrossRef
25.
go back to reference Morrison RS, Magaziner J, Gilbert M et al. (2003) Relationship between pain and opioid analgesics on the development of delirium following hip fracture. J Geront 58:76–81 Morrison RS, Magaziner J, Gilbert M et al. (2003) Relationship between pain and opioid analgesics on the development of delirium following hip fracture. J Geront 58:76–81
26.
go back to reference Mahomad NN, Barrett JA, Katz JN et al. (2003) Rates and outcomes of primary and revision total hip replacement in the United States Medicare population. JBJS 85A:27–32 Mahomad NN, Barrett JA, Katz JN et al. (2003) Rates and outcomes of primary and revision total hip replacement in the United States Medicare population. JBJS 85A:27–32
27.
go back to reference Ishida Y, Kawai S, Taguchi T. (2005) Factors affecting ambulatory status and survival of patients 90 years and older with hip fractures. CORR 436:208–215CrossRef Ishida Y, Kawai S, Taguchi T. (2005) Factors affecting ambulatory status and survival of patients 90 years and older with hip fractures. CORR 436:208–215CrossRef
28.
go back to reference Carpintero P, Lopez P, Leon F, Lluch M, Montero M, Aguilera C. (2005) Men with hip fractures have poorer nutritional status and survival than women: a prospective study of 165 patients. Acta Orthopaedica 76:331–335PubMed Carpintero P, Lopez P, Leon F, Lluch M, Montero M, Aguilera C. (2005) Men with hip fractures have poorer nutritional status and survival than women: a prospective study of 165 patients. Acta Orthopaedica 76:331–335PubMed
29.
go back to reference Allegrante JP, Peterson MGE, Cornell CN et al. (2007) Methodological challenges in multiple-component intervention: lessons learned from a randomized controlled trial of functional recovery following hip fracture. HSS J 3:63–70CrossRefPubMed Allegrante JP, Peterson MGE, Cornell CN et al. (2007) Methodological challenges in multiple-component intervention: lessons learned from a randomized controlled trial of functional recovery following hip fracture. HSS J 3:63–70CrossRefPubMed
30.
go back to reference Tinetti ME, Baker DI, Gottshalk M (1999) Home based multicomponent rehabilitation program for older persons after hip fracture. Arch Phys Med Rehab 80:916–922CrossRef Tinetti ME, Baker DI, Gottshalk M (1999) Home based multicomponent rehabilitation program for older persons after hip fracture. Arch Phys Med Rehab 80:916–922CrossRef
31.
go back to reference Ware JE, Snow KK, Kosinski M, Gandek B (1993) SF-36 Health Survey: Manual and Interpretation Guide. The Health Institute, New England Medical Center, Boston, MA Ware JE, Snow KK, Kosinski M, Gandek B (1993) SF-36 Health Survey: Manual and Interpretation Guide. The Health Institute, New England Medical Center, Boston, MA
32.
go back to reference Ruchlin HS, Elkin EB, Allegrante JP (2001) The economic impact of a multifactorial intervention to improve postoperative rehabilitation of hip fracture patients. Arthritis Care Res 45:446–452CrossRef Ruchlin HS, Elkin EB, Allegrante JP (2001) The economic impact of a multifactorial intervention to improve postoperative rehabilitation of hip fracture patients. Arthritis Care Res 45:446–452CrossRef
33.
go back to reference Endo Y, Aharonoff GB, Zuckerman JD, Egol KA, Koval KJ (2005) Gender differences in patients with hip fracture: a greater risk of morbidity and mortality in men. J Orthopaedic Trauma 19:29–35CrossRef Endo Y, Aharonoff GB, Zuckerman JD, Egol KA, Koval KJ (2005) Gender differences in patients with hip fracture: a greater risk of morbidity and mortality in men. J Orthopaedic Trauma 19:29–35CrossRef
Metadata
Title
Five-Year Survival in a Cohort of Hip Fracture Patients: The Predictive Role of Pre-fracture Health Status
Authors
Margaret G. E. Peterson, PhD
Charles N. Cornell, MD
Stephen A. Paget, MD
John P. Allegrante, PhD
Publication date
01-02-2008
Publisher
Springer-Verlag
Published in
HSS Journal ® / Issue 1/2008
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-007-9074-z

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