Mortality and Activity after Hip Fracture: A Prospective Study

Abstract

Purpose: This prospective study conducted to estimate mortality and activity of hip fracture among persons over 50 years of age, in Jejuisland, 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 hipfracture is life threatening risk factor of elderly. Prevention of falling and hip fracture risk is needed.