Introduction: These common geriatric conditions most frequently occur in individuals with comorbidities related to advanced age and result in a fragile physiological state. The objective of our study was to analyze the impact of comorbidities on mortality and functional outcomes.

Materials and Methods: This was a retrospective, observational, cross-sectional study conducted over 2 years, during which we enrolled 52 patients aged 75 years and older with a proximal femur fracture. The mean age (± standard deviation) was 82.0 ± 6.0 years, with a clear predominance of women (59.6%). We assessed mobility using the Parker score, which we modified and adapted to our context. We examined the impact of comorbidities on mortality and functional outcomes.

Results: High blood pressure and diabetes were the most common comorbidities, at 67.3% and 34.6%, respectively. We recorded 12 deaths, including 2 that occurred during hospitalization. We found no statistically significant association between comorbidities and death.
At a mean follow-up (± standard deviation) of 9.0 ± 4.1 months, the mean Parker score (± standard deviation) decreased from 7.7 ± 1.4 preoperatively to 6.8 ± 1.3 postoperatively. We found no statistically significant association between comorbidities and the Parker score.

Conclusion: Proximal femur fractures most commonly occur in older adults with comorbidities. These comorbidities should be considered because they influence patient management.