J Korean Orthop Assoc.  2005 Aug;40(4):423-427.

Mortality and Activity after Hip Fracture: A Prospective Study

• Lee SR
• Kim SR
• Chung KH
• Ko DO
• Cho SH
• Ha YC
• Kim BG
• Kim JR
• Kim SY

Abstract

PURPOSE
This prospective study conducted to estimate mortality and activity of hip fracture among persons over 50 years of age, in Jeju island, Korea during the year 2002. MATERIALS AND METHODS: One hundred forty-nine patients among 150 patients over 50 years of age who lived in Jeju island and sustained a femoral neck or intertrochanteric fracture during the year 2002 were followed-up for average 2 years. Standardized annual mortality ratio was calculated and comparison was made between hip fracture patients and general population in Jeju island. RESULTS: One hundred forty-nine patient were followed-up (35 in men, 114 in women). The mean age of patients was 77.4 years (range 50-98 years). Mortality at 2 years (range, 1.6-2.6 years) was 28.2% (42 patients), mortality at 1 year was 16.8% (25 patients) and mortality at 6 months was 12.1% (18 patients). Patients who were classified as poor (Halpin grade III and IV) increased in number from preoperative 11 patients to postoperative 37 patients. CONCLUSION: Considering 28.2% of high mortality and 25.2% of poor activity who can not do outside activity at average 2 year follow up, the hip fracture is life threatening risk factor of elderly. Prevention falling and hip fracture risk is needed.

Keyword

Hip fracture; Mortality; Activity; Jeju island

MeSH Terms

Aged
Femur Neck
Follow-Up Studies
Hip*
Humans
Korea
Male
Mortality*
Prospective Studies*
Risk Factors