First of all, a disclaimer: I make no predictions about Pelosi’s recovery from a hip fracture she sustained in a fall the other day. But anything is possible.
I read these musings:
Statistically, when a woman in her mid-80s breaks her hip, the consequences are cataclysmic. Up to 33% of older adults with hip fractures die within a year. 50% are unable to bathe, feed, wipe their butts, or dress themselves.
About one in five end up in a long-term care facility.
During the first three months after a hip fracture, older adults have a five to eight times higher risk of dying. And this elevated mortality rate lasts nearly a decade.
An untreated hip fracture is even worse. 70% of victims are dead within a year.
It’s not a trivial thing.
Often, it’s not that the broken hip itself is so medically dangerous, but it’s an overall indicator of physical frailty: if your grip-strength, stamina, balance, and bone density have all severely deteriorated, you’re more likely to fall and break your hip. It could be more correlation than causation.
All that may be true, but I don’t see it as having much relevance to Pelosi’s situation. A great many people who fracture their hips are already in bad shape, and it’s not my impression that that’s the case for her. The article actually points this out.
But what I’m thinking about is my own mother. She fell and fractured her hip (or did she fracture her hip and then fall?; sometimes it’s that way around) at the age of 96, and that was a couple of years after having a stroke. She was pretty darn frail at the time, although she could still walk with a walker.
At 96 her prognosis was awful. The hospital hesitated to even operate, which would have left her in terrible shape. They did a bunch of tests on her cardiovascular system and pronounced her strong enough to at least withstand the surgery, and so some sort of hip replacement was performed.
She bounced back. It was uncanny. There was a 65-year-old woman with a similar injury sharing a room with her who had a lot more post-op pain and a slower recovery. And it’s not that my mother was so cooperative with rehab; she was not. She just recovered quickly and no one knew why.
I remember being stopped in the hallway of the hospital by one of her doctors, who said in a between-you-and-me way: “You know, your mother is a very strong woman.”
My answer was, “I guess she is, but I never knew it before.”
My mother lived to be 98, and during those two years, up until the final month or two, she was walking around as before with her walker. The broken hip didn’t seem to have much effect on her.
That’s just one person. And of course, she did die two years later. But considering the age she was when she broke her hip, that amount of survival was a pretty good deal.