Journal List > J Korean Orthop Assoc > v.40(4) > 1013625

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Lee, Kim, Chung, Ko, Cho, Ha, Kim, Kim, and Kim: Mortality and Activity after Hip Fracture: A Prospective Study
Original Article

Journal of the Korean Orthopaedic Association 2005; 40(4): 423-427.

Published online: 28 December 2017

DOI: https://doi.org/10.4055/jkoa.2005.40.4.423

Mortality and Activity after Hip Fracture: A Prospective Study

Sung Rak Lee, Sang Rim Kim, Kwang Hoon Chung, Dong Oh Ko, Se Hyun Cho, Yong Chan Ha, Byung Gi Kim, Jang Rak Kim, Shin Yoon Kim

Halla General Hospital, Korea.

Department of Orthopaedic Surgery, College of Medicine, Cheju National University, Jeju, Korea.

Department of Orthopaedic Surgery, College of Medicine, Gyeongsang National University, Chinju, Korea.

Department of Preventive Medicine, College of Medicine, Gyeongsang National University, Chinju, Korea.

Department of Orthopaedic Surgery, College of Medicine, Kyungpook National University, Daegu, Korea.

nphos@medigate.net

Copyright © 2005 The Korean Orthopaedic Association

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.

Keywords: Hip fracture, Mortality, Activity, Jeju island

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