Hip fracture outcomes in people age 50 and over: mortality, service use, expenditures, and long-term functional impairment

Office of Technology Assessment
Record ID 31995000183
Authors' objectives:

To develop information about the outcomes of hip fracture for use in OTA's analysis of the costs and effectiveness of screening for osteoporosis and as a basis for estimating the societal impact of osteoporosis for OTA's report on policy issues in the prevention and treatment of osteoporosis.

Authors' results and conclusions: More than half of all hip fracture patients in the U. S. are over age 80. The great majority of these patients receive surgical treatment. A growing proportion receive total hip replacement, but the numbers vary in different parts of the country. Average hospital length of stay for hip fracture patients decreased from more than 20 days to less than 14 days between 1980 and 1990. Average 1-year mortality from all causes for hip fracture patients over age 50 is 24 percent but varies depending on patient age, gender, and coexisting conditions. The average per patient expenditure for in- hospital and post-hospital care was about $20,000 in 1990.
Authors' recommendations: Hip fractures are costly, although somewhat less costly than previous reports have indicated. Hip fractures also result in excess mortality and long-term functional impairments. Studies of factors that lead to hip fractures and outcomes of various treatments for hip fractures are likely to result in improved outcomes, but the potential for significant improvements is probably limited by the age and frailty of many hip fracture patients.
Project Status: Completed
Year Published: 1993
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: United States
MeSH Terms
  • Bone Density
  • Health Services for the Aged
  • Hip Fractures
  • Osteoporosis
Organisation Name: U. S. Congress. Office of Technology Assessment
Copyright: Office of Technology Assessment
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.