Perioperative medicine & outcomes

Socioeconomic status and mortality after acute hip fracture surgery in Sweden: a registry-based nationwide epidemiologic study

Br J AnaesthPublished Registry-based cohort study

Authors' conclusion

Individual socioeconomic status was associated with short- and long-term death after acute hip fracture surgery in Sweden, with education showing the strongest relationship.

Study context

Population
Patients undergoing acute hip fracture surgery in Sweden 2015–20
Participants
58,641 patients
Exposure
Socioeconomic status indicators; education <9, 9, 10-12 vs >12 yr
Outcome
Co-primary: 30-day and 2-yr all-cause mortality
Follow-up
30 days and 2 yr
Methodological detailscross-linked registries, nationwide
  • Cross-linked registries
  • Nationwide

Main finding

As reported in the abstract

2-yr mortality by level of education · 2 yr
Each group vs >12 yrAdjusted odds ratio (95% CI)P value
10-12 yr
1.16(1.08–1.24)
P < 0.001
9 yr
1.20(1.09–1.32)
P < 0.001
<9 yr
1.25(1.16–1.34)
P < 0.001
Crude 30-day mortality
7.9%
Crude 2-yr mortality
35.3%
Attributable fraction for 2-yr mortality (SE 0.022)
14.0%
Increase in absolute risk, >12 yr vs <9 yr of education
6.3% (95% CI 4.3-8.2)

Observational data: associations, not effects.

Further findings

Other SES factors, except residential area, also associated with mortality, less substantially

Original publication

Socioeconomic status and mortality after acute hip fracture surgery in Sweden: a registry-based nationwide epidemiologic study. Br J Anaesth. Published 5 August 2026. doi:10.1016/j.bja.2026.06.026

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