How age and health status influence mortality risk after hip fracture is unknown. Among 5580 women from a large community-based, multicenter US prospective cohort of 9704 (Study of Osteoporotic Fractures) who were observed prospectively for almost 20 years, LeBlanc et al age-matched 1116 hip fracture cases with 4 control participants (n = 4464). To examine the effect of health status, the authors examined a healthy older subset (n = 960) 80 years or older who attended the 10-year follow-up examination and reported good or excellent health. The authors found that risk of death after hip fracture differed by age and health status. Overall, women aged 65 to 69 years had a 5-fold increased mortality risk in the first year after hip fracture, while women who were 80 years or older had no increased risk. However, when the authors only examined women who were 80 years or older with good or excellent health, risk of death was increased nearly 3-fold in the first year. Women aged 65 to 69 years continued to have increased mortality risk for up to 5 to 10 years after hip fracture, while women 70 years or older return to previous risk levels after a year.