Hip Fracture: A Complex Illness Among Complex Patients
Authors: William W. Hung, R. Sean Morrison
Journal: Annals of Internal Medicine (2011)

Editorials16 August 2011Hip Fracture: A Complex Illness Among Complex PatientsWilliam W. Hung, MD and R. Sean Morrison, MDWilliam W. Hung, MDFrom James J. Peters Veterans Affairs Medical Center, Bronx, NY 10468, and Mount Sinai School of Medicine, New York, NY 10029. and R. Sean Morrison, MDFrom James J. Peters Veterans Affairs Medical Center, Bronx, NY 10468, and Mount Sinai School of Medicine, New York, NY 10029.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-155-4-201108160-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Hip fracture affects 320 000 adults in the United States annually and is expected to affect 500 000 annually by 2040 (1, 2). Older adults who experience a hip fracture often have poor outcomes, such as functional decline and death. Approximately 13.5% of adults die within 6 months and 24% within 1 year of sustaining a hip fracture (3, 4). Among those who survive to 6 months, only 50% recover their ability to perform activities of daily living and only 25% recover their ability to perform instrumental activities of daily living (5). After 1 year, only 40% can carry out activities of ...References1. Cummings SR, Rubin SM, Black D. The future of hip fractures in the United States. Numbers, costs, and potential effects of postmenopausal estrogen. Clin Orthop Relat Res. 1990;:163-6. [PMID: 2302881] MedlineGoogle Scholar2. National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention. Hip fracture among older adults. Atlanta: Centers for Disease Control and Prevention; 2008. Accessed at www.cdc.gov/ncipc/factsheets/adulthipfx.htm on 12 July 2011. Google Scholar3. Hannan EL, Magaziner J, Wang JJ, Eastwood EA, Silberzweig SB, Gilbert M, et al. Mortality and locomotion 6 months after hospitalization for hip fracture: risk factors and risk-adjusted hospital outcomes. JAMA. 2001;285:2736-42. 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Boockvar KS, Litke A, Penrod JD, Halm EA, Morrison RS, Silberzweig SB, et al. Patient relocation in the 6 months after hip fracture: risk factors for fragmented care. J Am Geriatr Soc. 2004;52:1826-31. [PMID: 15507058] CrossrefMedlineGoogle Scholar14. McLaughlin MA, Orosz GM, Magaziner J, Hannan EL, McGinn T, Morrison RS, et al. Preoperative status and risk of complications in patients with hip fracture. J Gen Intern Med. 2006;21:219-25. [PMID: 16390507] CrossrefMedlineGoogle Scholar15. Siu AL, Boockvar KS, Penrod JD, Morrison RS, Halm EA, Litke A, et al. Effect of inpatient quality of care on functional outcomes in patients with hip fracture. Med Care. 2006;44:862-9. [PMID: 16932138] CrossrefMedlineGoogle Scholar16. Siu AL, Penrod JD, Boockvar KS, Koval K, Strauss E, Morrison RS. Early ambulation after hip fracture: effects on function and mortality. Arch Intern Med. 2006;166:766-71. [PMID: 16606814] CrossrefMedlineGoogle Scholar17. Morrison RS, Magaziner J, McLaughlin MA, Orosz G, Silberzweig SB, Koval KJ, et al. The impact of post-operative pain on outcomes following hip fracture. Pain. 2003;103:303-11. [PMID: 12791436] CrossrefMedlineGoogle Scholar18. Morrison RS, Magaziner J, Gilbert M, Koval KJ, McLaughlin MA, Orosz G, et al. Relationship between pain and opioid analgesics on the development of delirium following hip fracture. J Gerontol A Biol Sci Med Sci. 2003;58:76-81. [PMID: 12560416] CrossrefMedlineGoogle Scholar19. Spehar AM, Campbell RR, Cherrie C, Palacios P, Scott D, Baker JL, et al. Seamless care: safe patient transitions from hospital to home. In: Henriksen K, Battles J, Lewin DI, Marks E, eds. Advances in Patient Safety: From Research to Implementation. vol 1. Rockville, MD: Agency for Healthcare Research and Quality; 2005:79-98. Google Scholar20. Boockvar K, Fishman E, Kyriacou CK, Monias A, Gavi S, Cortes T. Adverse events due to discontinuations in drug use and dose changes in patients transferred between acute and long-term care facilities. Arch Intern Med. 2004;164:545-50. [PMID: 15006832] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From James J. Peters Veterans Affairs Medical Center, Bronx, NY 10468, and Mount Sinai School of Medicine, New York, NY 10029.Grant Support: By a New York Academy of Medicine Hoar Fellowship (Dr. Hung) and by grant R01AG030141 and Mid-Career Investigator Award in Patient-Oriented Research AGK24AG022345 from the National Institute on Aging (Dr. Morrison).Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-1559.Corresponding Author: William W. Hung, MD, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1070, New York, NY 10029.Current Author Addresses: Drs. Hung and Morrison: Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1070, New York, NY 10029. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCauses and Effects of Surgical Delay in Patients With Hip Fracture María T. Vidán , Elisabet Sánchez , Yassira Gracia , Eugenio Marañón , Javier Vaquero , and José A. Serra Hip Fracture: A Complex Illness Among Complex Patients Joanne Lynn Hip Fracture: A Complex Illness Among Complex Patients Rajiv K. Dixit Hip Fracture: A Complex Illness Among Complex Patients William W. Hung and R. Sean Morrison Metrics Cited ByTransitional Care Experiences of Patients with Hip Fracture Across Different Health Care SettingsBanding with lesser trochanter fragment using nonabsorbable tape in trochanteric femoral fracturesThe impact of second hip fracture on rehospitalization and mortality in older adultsEffects of Anesthesia Techniques on Outcomes after Hip Fracture Surgery in Elderly Patients: A Prospective, Randomized, Controlled TrialA Percutaneous Threaded Wire as a Clamp Technique for Avoiding Wedge Deformity While Nailing Intertrochanteric Femur FracturesEl bloqueo iliofascial en el tratamiento analgésico de la fractura de cadera del ancianoFascia iliaca block for pain control in hip fracture patientsRate of Contralateral Hip Fracture After Dynamic Hip Screw Vs Intramedullary Nail for Treatment of Pertrochanteric Hip FracturesPredictive factors of mortality and deterioration in performance of activities of daily living after hip fracture surgery in Kagoshima, JapanThe relationship between historical risk-adjusted 30-day mortality and subsequent hip fracture outcomes: Retrospective cohort studyImpact of preoperative continuous femoral blockades on morphine consumption and morphine side effects in hip-fracture patients: A randomized, placebo-controlled studyControversies in anaesthesia for noncardiac surgery in older adultsCan Bundled Payment Improve Quality and Efficiency of Care for Patients with Hip Fractures?Total length of stay, costs and outcomes at final discharge for admitted patients with hip fracture: linked episode data for Australian veterans and war widowsHip Fracture ManagementHip Fracture: A Complex Illness Among Complex PatientsJoanne Lynn, MD, MA, MSHip Fracture: A Complex Illness Among Complex PatientsRajiv K. Dixit, MD 16 August 2011Volume 155, Issue 4Page: 267-268KeywordsElderlyGeriatricsHealth careHip fracturesMedical conditionsOrthopedicsOutpatient clinicsSurgerySurgical repair ePublished: 16 August 2011 Issue Published: 16 August 2011 PDF DownloadLoading ...