Factors associated with one-year mortality after hip fractures: A five-year retrospective cohort study

Objectives: Hip fractures are a significant public health concern globally, particularly among the elderly population. They are associated with high rates of morbidity and mortality. This study investigates factors associated with one-year mortality following hip fractures in patients treated at a single center. Methods: A retrospective cohort study was conducted, and data from 73 patients treated for hip fractures between May 2016 and April 2021 were analyzed. Patient characteristics, fracture types, surgical timing, and mortality outcomes were assessed. Results: The one-year mortality rate was 47.9%. Neck of femur fractures and delayed surgeries (>48 h) were significant predictors of increased mortality. Multivariate analysis revealed that intertrochanteric fractures, American society of anesthesiologists scores ≥3, and delayed surgery were associated with higher mortality risks. Other variables, including sex and age, showed no statistically significant associations. Conclusion: This study highlights the critical need for timely surgical intervention and comprehensive management strategies to reduce mortality among hip fracture patients. Further multicenter studies are recommended to validate these findings.