Pre-fracture functional status and 30-day recovery predict 5-year survival in patients with hip fracture: findings from a prospective real-world study
Authors' conclusion
More than half of hip fracture patients are still alive 5 years after surgical repair. Pre-fracture functional status and a 30-day functional recovery gap are the main predictors of survival.
Study context
- Population
- Older patients with hip fracture receiving baseline and 30-day comprehensive assessment from discharge, focused on Basic Activity of Daily Living (BADL)
- Participants
- 231 patients
- Exposure
- Men vs Women
- Outcome
- Predictors of 5-year survival and development of nomograms for use at admission or 30 days after discharge
- Follow-up
- 5 years
Methodological detailsprospective observational, real-world, nomogram development
- Prospective observational
- Real-world
- Nomogram development
Main finding
As reported in the abstract
Predictors of 5-year mortality at hospital admission
- Pre-fracture BADL level (protective), HR
- 0.742 (0.668-0.825) (95% CI)
- Male gender, HR
- 1.840 (1.192-2.841) (95% CI)
- Age, HR
- 1.070 (1.037-1.105) (95% CI)
- Multimorbidity, HR
- 1.096 (1.007-1.193) (95% CI)
Observational data: associations, not effects.
Further findings
Predictors of 5-year survival at 30-day follow-up visit
- BADL recovery gap, HR
- 1.439 (1.158-1.789) (95% CI)
- Male gender, HR
- 1.773 (1.146-2.744) (95% CI)
- Age, HR
- 1.046 (1.010-1.083) (95% CI)
- Pre-fracture BADL, HR
- 0.621 (0.528-0.730) (95% CI)
- Comorbidity (no longer significant), HR
- 1.083 (0.994-1.179) (95% CI)
Original publication
Pre-fracture functional status and 30-day recovery predict 5-year survival in patients with hip fracture: findings from a prospective real-world study. Osteoporos Int. Published 9 April 2025. doi:10.
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