Mobility and one-year mortality of stroke patients after hip-fracture surgery

Abstract

Background: History of stroke is a risk factor for hip fracture. We investigated one-year mortality and change of mobility differences between stroke patients and non-stroke patients after hip-fracture surgery.

Methods: We retrospectively evaluated 548 patients who had hip-fracture surgery from May 2003 to Dec 2008 and were older than 50 years at the time of surgery. We identified 77 patients with a history of stroke and 471 patients with no history of stroke. We compared postoperative change of mobility and 1-year mortality for the two groups.

Results: Although stroke patients had lower preinjury mobility (p < 0.001) and higher American Society of Anesthesiologists score (p < 0.001), 1-year mortality and the decrease of mobility were similar to those for non-stroke patients.

Conclusions: History of stroke did not affect 1-year mortality and the decrease of mobility after hip fracture.

Level of evidence: Therapeutic level III.