Dementia and mental ability are major prognostic indicators for six-month mortality following subcapital hip fractures, highlighting the need for mental ability testing in the management of these patients.
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Dementia and comorbidities were associated with six-month mortality after hip fracture; hypothesis-generating for mental ability testing in risk models.
We report a prospective study of the influence of various factors on the six-month mortality of 531 patients with subcapital hip fractures. We performed univariate and multivariate analyses on the 403 patients treated surgically. The most significant predictors of the six-month mortality were dementia, postoperative chest infection, malignant neoplasia, old age and deep-wound infection, in that order. A simple test of mental ability was the most significant prognostic indicator and this test should be included in future studies of the management of hip fractures in the elderly.
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Wood et al. (1992) studied this question.
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