{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:54:19Z","timestamp":1791035659103,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Geriatric hip fractures carry significant risk of mortality. Early identification and mitigation of mortality risk factors in this population is crucial to improve outcomes. We assessed these risk factors within the Australian hip fracture cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective cohort study was performed using Australian and New Zealand Hip Fracture Registry (ANZHFR) data. The primary objective was to identify the pre-hospital risk factors for 30-day mortality. Secondary objectives were to assess the 1-year mortality and associated risk factors. Factors assessed included age, residence, surgical timing and reasons for delay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mortality risk factors include increasing age, male sex, altered cognitive state at hospital presentation, increasing comorbidities, usual residence in a residential aged care facility and requirement for inter-facility transfer.<\/jats:p>\n                    <jats:p>Early surgical management was independently associated with a lower mortality risk. Delays of greater than 48\u2009hours due to medical issues increased the odds of 30-day and 1-year mortality. Delays due to anticoagulation use or inter-facility transfer significantly increased the odds of 1-year mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Early surgical management is a modifiable risk factor that independently lowers mortality risk. This study supports the recent reduction in target time to surgery by the ANZHFR to improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000261487955","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:25:27Z","timestamp":1790749527000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk Factors for 30- and 1-year mortality in the Australian Hip Fracture Cohort: insights from the Australian and New Zealand Hip Fracture Registry"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0048-8029","authenticated-orcid":false,"given":"Sofia","family":"Marasco","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Box Hill Hospital, Box Hill, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Wong","sequence":"additional","affiliation":[{"name":"Eastern Health Medical School, Monash University, Box Hill, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Cheok","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Prince Charles Hospital, Chermside, Queensland, Australia"},{"name":"College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Wall","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Toowoomba Hospital, Toowoomba, Queensland, Australia"},{"name":"Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia"},{"name":"Australian and New Zealand Hip Fracture Registry, Randwick, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Hau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Box Hill Hospital, Box Hill, Victoria, Australia"},{"name":"Eastern Health Medical School, Monash University, Box Hill, Victoria, Australia"},{"name":"Department of Surgery, Melbourne Medical School, University of Melbourne, Parkville, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Australian Institute of Health and Welfare. Hip fracture care pathways in Australia https:\/\/www.aihw.gov.au\/getmedia\/dc202a83-d8b2-4477-9bbc-6890ed2e226c\/aihw-phe-336.pdf?v=20240618123107&inline=true (2023 accessed 1 June 2025)."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2022.12.008"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-020-01314-2"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2025.117453"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-014-2799-x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.104B6.BJJ-2022-0080.R1"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.105B9.BJJ-2023-0281"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-016-3834-x"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.08.001"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-33940-8"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.104B7.BJJ-2021-1806.R1"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30058-1"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B9.BJJ-2019-0295.R1"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13270"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/11207000251370293"},{"key":"e_1_3_2_17_2","unstructured":"Australian and New Zealand Hip Fracture Registry. Annual Report of hip fracture care 2024 https:\/\/anzhfr.org\/wp-content\/uploads\/2024\/09\/ANZHFR-2024-Annual-Report_PRINT-REPORT_FINAL.pdf (2024 accessed 1 June 2025)."},{"key":"e_1_3_2_18_2","unstructured":"Australian Commission on Safety and Quality in Health Care. Hip Fracture Clinical Care Standard https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/2025-07\/hip-fracture-clinical-care-standard-2023.pdf (2023 accessed 1 June 2025)."},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.08.025"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B1.35041"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B7.22446"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120700020938029"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.104B12.BJJ-2022-0172.R2"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-20-00048"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2025.03.035"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16115"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B3.36904"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17954"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000261487955","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11207000261487955","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000261487955","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:16:43Z","timestamp":1791033403000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11207000261487955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":28,"alternative-id":["10.1177\/11207000261487955"],"URL":"https:\/\/doi.org\/10.1177\/11207000261487955","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"article-number":"11207000261487955"}}