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According to a 2019 study in Acta Orthopaedica, the one-year mortality after a hip fracture is 21% for those whose fracture is surgically repaired. If the fracture is not repaired, the one-year mortality is about 70%.
One in three adults aged 50 and over dies within 12 months of suffering a hip fracture. Older adults have a five-to-eight times higher risk of dying within the first three months of a hip...
New research found survival rates after a broken hip in older adults are less than those of cancer. At least 30% of older patients will die within a year after having a hip fracture. Doctors said more interventions are needed to help these patients.
Recovery for adults who are older or frail can take months. This often leads to further loss of muscle mass, which then increases the risk of a subsequent fall. Due to the length of recovery, a hip fracture also often leads to a decrease in independence.
Due to their physical decline, some 20 percent of older adults are admitted to nursing homes and senior living facilities and experience decrease in quality of life, following a broken hip.
Of the 300,000 Americans 65 or older who fracture a hip each year, 20 to 30 percent will die within 12 months, and "many more will experience significant functional loss," according to a 2009 study published in The Journal of the American Medical Association (JAMA).
Participants who had a hip fracture were 5.9 times more likely to die than participants without a hip fracture within 6 months of the hip fracture. The increased mortality risk persisted after 6 months at ∼1.5–1.9-fold higher than participants without hip fracture.
The median length of survival was 3.42 years, decreasing by age: for the 65-69 cohort, median survival was 8.18 years, whereas, for those 90 and above, median survival was 1.75 years. Median life expectancy could be approximated by the equation (100 - Patient Age) ÷ 4. Survival was not meaningfully affected by fracture type.
In this large-scale population-based cohort study, we have shown a large loss of remaining lifetime in patients with a hip fracture (around one-third of that expected in women > 50 years of age with no hip fracture and more than 50% in men of > 60 years with no hip fracture).
Some reports show that up to 50% of patients with hip fracture die within six months and many of those who survive do not recover their baseline independence and function. In recent decades the increase in life expectancy after 60 years of age has led to an exponential growth in hip fractures.