Raspopovic, Emilija Dubljanin (13613945600)Emilija Dubljanin (13613945600)RaspopovicDenić, Ljiljana Marković (6506921816)Ljiljana Marković (6506921816)DenićVujadinović, Sanja Tomanović (56029483100)Sanja Tomanović (56029483100)VujadinovićKadija, Marko (16063920000)Marko (16063920000)KadijaNedeljković, Una (35107650700)Una (35107650700)NedeljkovićIlić, Nela (37861227000)Nela (37861227000)IlićMilovanović, Darko (37063548000)Darko (37063548000)Milovanović2025-06-122025-06-122020https://doi.org/10.3390/geriatrics5040067https://www.scopus.com/inward/record.uri?eid=2-s2.0-85093874452&doi=10.3390%2fgeriatrics5040067&partnerID=40&md5=203ef1686c57e22b0dbb92390ab9c93fhttps://remedy.med.bg.ac.rs/handle/123456789/4624The aim of this study was to determine the outcome for patients who sustain a second hip fracture compared with those who sustain a first fracture, and to define the optimal measure to evaluate functional outcome after second hip fracture. Methods: 343 patients with acute hip fractures who presented during a 12 month period were included in the study. Patients with a first (318 patients, 78.10 +/− 7.53 years) and second (25 patients, 78.96 +/− 6.02) hip fracture were compared regarding all baseline variables. Regression analysis was also performed to assess the independent relationship between the presence of a second hip fracture and observed outcome variables at discharge (physical disability, complications, length of stay, and mortality) and one-year after surgery (physical disability and mortality). Results: Disability when performing instrumentalized activities of daily living (IADL) at one-year follow-up is independently related to the presence of a second hip fracture. There were no other statistically significant relationships between the presence of a second hip fracture and other observed outcome variables. Conclusions: Patients with a second hip fracture showed worse functional outcome at one-year follow-up when measured with the IADL scale. No increased short-nor long-term mortality rates were found in patients with a secondary hip fracture. IADL is a good tool to assess disability after a second hip fracture and could be thus a more reliable outcome measure when investigating differences in functional recovery in patients with a second hip fracture compared to conventionally used ADL scales. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.DementiaDisabilityHip fracturesMortalityRehabilitationSecondary hip fracture