Proximal femoral fractures: an assessment of the outcome of health care in elderly people

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Abstract
There have been many published reports of series of consecutive hospital patients with proximal femoral fracture but few have considered the outcome of health care in an unselected series of cases followed for a fixed time after the fracture. This report presents the findings of a one-year prospective study of all cases of proximal femoral fracture in Stockport residents aged over 60 years who were observed for six months after the fracture. Eighty-nine per cent of cases were treated surgically and the mean duration of hospital stay in the first six months was 53.2 days. The estimated case fatality proportion at 180 days after the fracture was 0.286 (95 per cent confidence limits: 0.230 to 0.343). Only 50 per cent of cases had returned to their usual place of residence by six months after the fracture and 10 per cent were still in hospital. The outcome of health care for elderly people with proximal femoral fractures is not satisfactory.

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