Archives of Osteoporosis

, 14:97 | Cite as

Mortality and physical dependence following fragility hip fracture: data from a regional hip fracture registry in Sri Lanka

  • Sarath LekamwasamEmail author
  • Saumyarika Sabapathippillai
Original Article



This study based on 306 hip fracture patients admitted to a tertiary care center in Sri Lanka showed higher inpatient (6.1% vs 2.8%) and post-discharge (26% vs 20% at 24 months) mortality among men compared with women. Furthermore, 58% had impaired activities of daily living at 12 months.


Data related to the outcome of patients admitted following fragility hip fracture are not found in Sri Lanka. We assessed the mortality and physical dependence of hip fracture survivors in our region.


All patients admitted with new hip fracture to Teaching Hospital, Karapitiya, Galle, Sri Lanka, during June 2014 to Feb 2015 were followed up for 24 months. Readmissions and old fractures were excluded and patients were followed up during the hospital stay and subsequently for 24 months.


The registry included 309 patients (women = 211) and mean (SD) age of men and women were 75.1 (11.3) and 76.8 (8.9) years, respectively. Majority (n = 285, 92%) had been physically independent and were able to walk indoors unaided prior to fracture. Based on the 10-item Barthel Index, only 37.6% were physically independent (score of 100) at 3 months after discharge. This number increased to 40% at 6 months but 58% had impaired activities of daily living at 12 months, post-fracture. Mortality rates, both inpatient hospital (6.1% vs 2.8%) and post-discharge from hospital (26% vs 20% at 24 months) were higher in men compared with women. Most deaths (66.6% in men and 73.1% in women) occurred within the first 12 months. When compared with age- and sex-matched national mortality rates, at 24 months, the relative risks of death in men and women were 3.4 and 3.7, respectively.


There is an increased risk of death following hip fracture and the risk was higher in the first 12 months compared with the next 12 months. Men had higher crude mortality compared with women and 58% patients had limitations in daily activities at 12 months, post-fracture.


Hip fracture Fracture registry Mortality Sri Lanka 


Author’s Contributions

S Sabapathipilli: Designing of the study, data collection, and preparation of the manuscript.

S Lekamwasam: Designing of the study, supervision of data collection, data analysis, and preparation of the manuscript.

Compliance with ethical standards

The Ethics Review Committee of the Faculty of Medicine, University of Ruhuna gave ethical approval for the study.

Conflict of interest



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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2019

Authors and Affiliations

  • Sarath Lekamwasam
    • 1
    Email author
  • Saumyarika Sabapathippillai
    • 2
  1. 1.Population Health Research Center, Department of Medicine, Faculty of MedicineGalleSri Lanka
  2. 2.Teaching Hospital, KarapitiyaGalleSri Lanka

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