Background/Purpose: Osteoporosis is a common condition in elderly patients. Associated hip fractures lead to the appearance of various complications and increased mortality. The objective of this study is to analyze the association between functional status and one-year readmission and mortality rates in an elderly population with hip fractures.

Methods: Observational, longitudinal and prospective study of 227 elderly patients hospitalized in 2022 for hip fractures from their discharge to December 2023. The data analysis was carried out with R.

Results: The average age of the patients was 86.88 years, with a range of 66-99 years and a predominance of women (172).

During the hospitalization for a hip fracture in 2022, a comprehensive geriatric assessment of the situation prior to the fracture was conducted (Table 1).

The patients who died in 2023 (42) presented a significant association between mortality and a worse score in daily life activities (Katz index) and performing fewer instrumental activities (Lawton and Brody index). Regarding mortality (Image 1), 24 of the 42 registered deaths took place during the readmission, in half of these cases due to a respiratory infection.

No statistically significant differences were found between functional status and readmission rates. In the series of 227 patients with hip fracture, 70 were readmitted within the first year of follow-up for the reasons included in Image 1. The most common cause of readmission was respiratory infection (11) followed by complications from hip fracture surgery (9).

Conclusion: The post-fracture mortality rate is in line with the published statistics, and it reveals that it is necessary to look for measures to prevent complications and help the patients recover their functional status prior to the fracture.

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ACR Meeting Abstracts - https://acrabstracts.org/abstract/impact-of-hip-fractures-in-the-elderly-population-functional-status-readmission-and-one-year-mortality/