Evidence map›Paper›PMID 42771096›Full record

ArticleEuropean geriatric medicine2026

Association between preoperative fear of falling and mortality after hip fracture surgery in older adults: a post-hoc analysis of a prospective cohort.

Feng Gao, Yimin Chen, Mingjian Bei, Yixiao Chen, Ruijiang Li, Shanbin Xu, Liunan Chen, Zhelun Tan, Gang Liu, Minghui Yang and 1 more

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Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

11 authors.

Feng Gao *Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Yimin Chen *Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Mingjian Bei *Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Yixiao ChenDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Ruijiang LiDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Shanbin XuDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Liunan ChenDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Zhelun TanDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
Gang LiuDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China. liugangjst@163.com.
Minghui YangDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China. doctyang0125@126.com.ORCID http://orcid.org/0009-0003-4020-2176
Xinbao WuDepartment of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China. wuxinbao_jst@126.com.

Funding

Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes JYY2023-11Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes JYY2023-8Beijing Scholar Training Program 2021Capital's Funds for Health Improvement and Research 2018-1-2071Capital's Funds for Health Improvement and Research 2022-1-2071National Natural Science Foundation of China 82372386
6 · The paper itself

Abstract

purposeTo examine whether preoperative fear of falling, measured with the modified Falls Efficacy Scale (mFES), is associated with short-term (30-day) and long-term (3-year) postoperative mortality in older adults undergoing hip fracture surgery.

methodsThis post-hoc analysis was based on a prospective observational cohort study. Patients aged ≥ 65 years who underwent surgery for hip fractures between November 2018 and November 2019 were included. Fear of falling was assessed at admission using the mFES. All-cause mortality was assessed by telephone follow-up at 30-day, 120-day, 1-year, and 3-year after admission. Logistic regression and Cox proportional hazards models were used to evaluate the associations between mFES score and short-term and long-term mortality.

resultsA total of 1092 patients were enrolled. The median mFES score was 8.04 (IQR 5.75-10.00). In the multivariable logistic regression analysis, higher mFES scores were independently associated with lower odds of 30-day mortality (adjusted OR 0.780, 95% CI 0.625-0.974, P = 0.028). In the multivariable Cox proportional hazards model, higher mFES scores also remained independently associated with lower long-term mortality risk during the 3-year follow-up period (adjusted HR 0.925, 95% CI 0.874-0.979, P = 0.007).

conclusionLower preoperative mFES scores were independently associated with increased postoperative mortality in older adults undergoing hip fracture surgery. The association was strongest for 30-day mortality, while a weaker but persistent association with long-term mortality was also observed over the 3-year follow-up period.

Indexed as

FallingFearHip fracturesmFESMortalityOlder adults

Identifiers

PMID42771096

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