Functional outcome and mortality after surgery for hip fracture

INTRODUCTION Hip fractures are associated with significant disability and mortality. A multicenter prospective study is currently ongoing at our institutions to investigate the mortality and functionality of patients with hip fracture. This is the report on the first 200 patients. OBJECTIVES 1) To evaluate the functional outcome and mortality after hip fracture 2) To identify predictors of mortality, functionality, and personal autonomy on variable follow-up intervals in patients who sustained hip fracture. METHODS Two-hundred consecutive patients (142 females and 58 males; mean age = 78.6 ± 13 years) admitted to our hospitals for hip fracture were telephonically interviewed 4 months and 1 year after the treatment. Personal and medical data were collected on hospital admission and were compared to the follow-up data of all patients, using a validated examination set dealing with daily life activities (ADL scale), cognitive status (MMSE Scale), comorbidity (ASA and CIRS scales), and personal mobility. Mortality data was also recorded. Possible outcome predictors were checked with multivariate regression analysis. SPSS software was used for database and statistics. CONCLUSION This ongoing prospective study is aimed to evaluate mortality and functionality after hip fracture as well as to identify possible outcome predictors to be used to improve and personalise the surgical treatment. This first report shows that the preoperative functional status and comorbidities are major determinants of 4-month and one-year postoperative mortality and functional status of subjects who sustained a hip fracture