Costs and outcomes of hip fracture and stroke, 1984 to 1994

Objectives. This study quantified changes in Medicare payments and outcomes for hip fracture and stroke from 1984 to 1994. Methods. We studied National Long Term Care Survey respondents who were hos pitalized for hip fracture (n = 887) or stroke (n = 878) occurring between 1984 and 1994. Changes in Medicare payment and survival were primary outcom es. We also assessed changes in functional and cognitive status. Results. Medicare payments within 6 months increased following hip fracture (103%) or stroke (51%). Survival improved for stroke(P < .001) and to a le sser extent for hip fracture (P = .16). Condition-specific improvements wer e found in functional and cognitive status. Conclusions. During the period 1984 to 1994, Medicare payments for hip frac ture and stroke rose and there were some improvements in survival and other outcomes.