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

Margaret G. E. Peterson, PhD
Research Division, Hospital for Special Surgery

Charles N. Cornell, MD
Department of Orthopedic Surgery, Hospital for Special Surgery

Stephen A. Paget, MD, FACP, FACR
Department of Rheumatology, Hospital for Special Surgery

John P. Allegrante, PhD
Department of Health and Behavior Studies, Teachers College, Columbia University
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University


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.

This article appears in HSS Journal: Volume 4, Number 1.
View the full article at springerlink.com.


About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.

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