Days at Home After Hip Fracture Among Older Adults With and Without Dementia
By
Rebecca Rodin
Alexander K. Smith
Siqi Gan
Edie Espejo
John Boscardin
Lauren J. Hunt
Carmen E. Quatman
R. Sean Morrison
June 16, 2026
Clinical Scorecard: Home Recovery Duration Following Hip Fracture in Elderly Individuals With and Without Dementia
At a Glance
Category Detail
Condition Hip Fracture in Older Adults Key Mechanisms Association with high mortality, functional decline, and healthcare expenditures; impact of dementia on recovery outcomes. Target Population Community-dwelling older adults (aged 65 years or older) with and without dementia. Care Setting Home and institutional settings (hospitals, rehabilitation facilities, nursing homes).
Key Highlights
Hip fractures are nearly twice as frequent in individuals with dementia. Days at home is a validated outcome measure post-fracture. Study utilized 100% Medicare claims data for analysis. Minimum clinically important differences for days at home established. Survival outcomes assessed within 1 year post-fracture. Guideline-Based Recommendations
Diagnosis
Dementia status determined using validated ICD-9 and ICD-10 codes. Management
Focus on postfracture rehabilitation and care planning for individuals with dementia. Monitoring & Follow-up
Track days at home as a continuous variable post-fracture. Risks
High mortality and functional decline associated with hip fractures, particularly in dementia patients. Patient & Prescribing Data
Older adults (aged 65 years or older) with hip fractures.
Consideration of individual factors influencing recovery and days at home.
Clinical Best Practices
Utilize validated methods for assessing dementia and hip fracture outcomes. Incorporate days at home in care planning discussions. Assess survival and place of death to inform end-of-life care. Related Resources & Content
