William W. Hung, MD; R. Sean Morrison, MD
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).
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-1559.
Requests for Single Reprints: 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.
Hung WW, Morrison RS. Hip Fracture: A Complex Illness Among Complex Patients. Ann Intern Med. 2011;155:267-268. doi: 10.7326/0003-4819-155-4-201108160-00012
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Published: Ann Intern Med. 2011;155(4):267-268.
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 daily living to live independently (5). Chronic comorbid diseases may also alter the outcome of patients with hip fracture; patients with advanced dementia who have hip fracture have a 6-month mortality rate as high as 50% (6). Given these devastating consequences, it is important to understand how to optimize care for persons who have hip fracture.
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Geriatric Medicine, Hospital Medicine, Healthcare Delivery and Policy, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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