OBJECTIVES: The aim of the study is to analyze the early mortality rate after bilateral hip and femur fractures over 60 in Hungary. METHODS: In this retrospective study the data derive from the financial database of the National Health Insurance Fund of Hungary. For the analysis we used code S7200 of the International Classification of Diseases (ICD) tenth revision. The patients included into the study had femoral neck fracture and being discharged from the hospital after the primary treatment in 2000. The patients with polytrauma were excluded from the study. The follow up was 8 years. The patients were categorized according to sex, age, fracture type, surgical methods, presence of accompanying diseases and day of hospital admission. We analyzed the early mortality rate within 30 days after treatment of bilateral hip and femur fracture. RESULTS: Altogether 347 patients were included into the study. The national average of mortality was 7.5 %. We demonstrated the following early mortality rate according to risk factors: Sex: male: 13.2 %, female: 6.5 %. Age groups: 60-69y: 5.4 %, 70-79y: 5.9 %, 80y-: 8.9 %. Type of fractures: femoral neck fractures: 4.2 %, pertrochanteric fractures: 15.5 %, femur fractures: 5.9 %. Surgical techniques: arthroplasty: 3.1 %, osteosynthesis: 7.8 %. Accompanying diseases: yes: 8.1 %, no: 2.6 %. Day of hospital admission: weekday: 7.4 %, weekend: 7.7 %. CONCLUSIONS: The early mortality rate increased with the age of patients. In the analysis according to sex, type of fracture and presence of accompanying diseases we found higher mortality in male, in patient with pertrochanteric fracture and in patient with accompanying diseases. According to surgical intervention early mortality rate is higher in patient with osteosynthesis. Many other factors can influence this mortality, which will be analyzed in our further studies.