Dr. Joshua John-Ram Schacter discusses hip fractures in older adults. Fewer than 20% of patients regain their pre-fracture activity level. Risk of poor outcomes and mortality rises sharply with age, and most people prioritize independence and quality of life over simply living longer.
Questions this video answers
Age from 65 up to about 100.
Less than 20%.
Chapters
The older we get when we break a hip fracture, the more likely we are to have problems. So one of the big risk factors for falling and breaking your hip is falling and breaking your wrist. So we start there, and then when we get to hip fracture.
It'S really significant.
That's when we start to really start to be concerned about patients passing away. And we see that, and it's age from 65 all the way up, you know, to 100. It's all of those patients in that group. The older we get when we break a hip fracture, the more likely we are to have problems. It's not just the mortality. It's not just the risk of death that we see from hip fracture. It's the risk of disability.
When we talk about the difference between.
Lifespan and health span.
Patients don't want to extend the amount of time that they're spending in a nursing home. They want to extend the amount of time that they're not spending in a nursing home. They want to expend the amount of time that they're out vacationing and taking cool selfies and learning, you know, about the world and going to college. But those are the kinds of things these people want to do. The problem is, when you fall and break your hip, less than 20% of people will reach the level of activity.
That they had before.
Their hip fracture. And a lot of these people were already pretty compromised because they wouldn't have.