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Importance Examining trends in mortality following hip fracture and its associated factors is important for population health surveillance and for developing preventive interventions. Objective To examine temporal trends in, and risk factors associated with, mortality following hip fracture over 18 years in Singapore. Design, Setting, and Participants This retrospective, population-based cohort study included men and women aged 50 years and older admitted to Singapore hospitals for first hip fracture identified and followed up from 2000