The 130th Annual Meeting of APHA

Abstract #46489

Aharonoff Gina, MPH¹, Yoshimi Endo, BS¹, Joseph D. Zuckerman, MD², and Kenneth J. Koval, MD³. (1) Hip Fracture Research Group, Hospital for Joint Diseases, 301 E. 17th St., New York NY, NY 10003, 212 598-6106, ginaahar@yahoo.com, (2) Geriatric Hip Fracture Research Group, Hospital for Joint Diseases, 301 E. 17th St., New York, NY 10003, (3) Orthopaedic Surgery, Hospital for Joint Diseases, 301 E. 17th St., New York, NY 10003

We report on 983 consecutive elderly patients (206 men, 777 women) who sustained a non-pathologic fracture of the hip to determine gender-specific differences in prefracture status and postoperative outcome. All patients were ambulatory, community-dwelling and cognitively intact prior to fracture. Men were more likely to be married or living with someone else, and they were more dependent in instrumental activities of daily living (ADLs) than women before fracture. Furthermore, men were sicker as evidenced by a higher ASA rating of preoperative risk. Postoperatively, men were more likely to sustain a medical complication and had a higher mortality at one year compared to women. There were no significant gender differences in patient age, fracture type, prefracture level of help, ambulation, or dependence in basic ADLs, place of discharge, and postoperative recovery of ambulation as well as basic and instrumental ADLs.

Learning Objectives:

• Understand the differences in gender in hip fracture patients.
• Have more knowledge of hip fracture among men.

Keywords: Elderly, Hip Fractures

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.