![]() The mortality in the first year after hip fractures surgery is high, ranging between 15% and 36% 4, 6, 7, 8, 9. ![]() They have been associated with increased morbidity, loss of autonomy in Activities of Daily Living (ADLs), high rate of institutionalization and mortality 4, 5. Early ambulation and careful long-term follow-up, with attention to frailty in elderly people, should be promoted.Īfter the age of 65 hip fractures become a particularly burdensome event for patients, their families and for the health service 1, 2, 3, 4. The area under the ROC curve of the model was 0.780 (CI95% 0.737–0.824) for one-year mortality in elderly hip fractures patients. The 16.6% of patients died within one-year after surgery. Multivariate analysis was used to determine variables that significantly increased the risk of one-year mortality and Receiver operating characteristic (ROC) curve analysis to assess their predictive capacity on the outcome.1083 patients fulfilled the inclusion criteria and the one-year follow-up was reached in 728 patients. Patients with periprosthetic or pathological fractures were excluded. All patients aged ≥65 years, consecutively admitted in three Italian hospitals with a diagnosis of fragility hip fracture were included. A prospective prognostic cohort study was performed. The study aimed to identify independent predictive factors associated with one-year mortality after hip fracture surgery. Older adult patients with hip fractures are 3–4 times more likely to die within one-year after surgery than general population.
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