 Within this group of elderly patients a high-risk group exist. The Nottingham hip fracture score NHFS is a validated scoring system that predicts patients at increased risk of both 30 day and 1-year mortality. A NHFS 5 was associated with a mortality of 13.7 vs. 3.5 at 30 days P0.001 and 45.5 vs. 15.9 at 1 year P0.001. It is assumed that this high-risk group with an increased mortality rate also have an increased complication rate, and hence any effective intervention would have a greater impact on outcomes. 