To report the mortality
data and life expectancy of geriatric hip fracture patients who underwent nonoperative
management and compare that with a matched operative cohort.
Retrospective cohort study.
Level 1 trauma center.
Geriatric (65 years of age and older) femoral neck or intertrochanteric fracture
(OTA/AO 31A and 31B) patients.
Operative treatment with either arthroplasty, cannulated screws, sliding hip screw device, or cephalomedullary nail compared with nonoperative
Main Outcome Measurements:
In-hospital, 30-day, and 1-year mortality
Two hundred thirty-one patients, comprising 154 operative and 77 nonoperative
patients, were compared. There were no significant differences among age, sex, fracture location, Charlson Comorbidity Index, preinjury living location, dementia, and history of cardiac arrhythmia between the 2 cohorts. Nonoperatively managed patients were found to have a significantly higher percent in-hospital (28.6 vs. 3.9; P
< 0.0001), 30-day (63.6 vs. 11.0; <0.0001), and 1-year (84.4 vs. 36.4; P
< 0.0001) mortality
. The mean life expectancy after a hip fracture for the nonoperative
cohort was significantly shorter than the operative group (221 vs. 1024 days; P
Nonoperatively treated hip fracture patients had an 84.4% 1-year mortality
that was significantly higher than a matched operative cohort. Our results demonstrate the bleak overall prognosis for nonoperatively treated geriatric hip fractures as well as the associated reduction in mortality
with surgical treatment. Our findings offer helpful information by providing updated mortality
data when discussing nonoperative
hip fracture management with patients and their family.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.