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Amount of Social Contact and Hip Fracture Mortality

Overview
Specialty Geriatrics
Date 2008 Apr 16
PMID 18410322
Citations 19
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Abstract

Objectives: To study the association between amount of social contact and mortality after hip fracture in elderly participants.

Design: Prospective cohort.

Setting: Community residents of Baltimore, Maryland.

Participants: Six hundred seventy-four elderly participants.

Measurements: Amount of telephone and direct personal contact between participants and their relatives and friends and mortality up to 2 years after fracture.

Results: No social contact with friends during the 2 weeks before the fracture was associated with a five times greater risk of death over 2 years than daily contact with friends during the 2 weeks before the fracture (hazard ratio (HR)=5.04, 95% confidence interval (CI)=2.75-9.23). Participants with less than daily contact were also at greater risk of dying, although the CI spanned 1 (HR=1.76, 95% CI=0.99-3.13). Participants who had no contact with family members prefracture were more than twice as likely to die as those who communicated daily during the 2 weeks before fracture (HR=2.26, 95% CI=1.36-3.77). Participants who had less than daily contact were also more than twice as likely to die (HR=2.55, 95% CI=1.65-3.94).

Conclusion: This study suggests that lower social contact before hip fracture is associated with poorer survival after 2 years.

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The effects of dementia on the prognosis and mortality of hip fracture surgery: a systematic review and meta-analysis.

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