OBJECTIVES: Hip fractures are followed by increased mortality in the elderly. The study was carried out to analyse the mortality rate and predictors for mortality over 10 year period in patients over 60 years suffered from primary femoral neck fractures. METHODS: Data from patients aged 60 years and over undergoing primary surgical treatment after femoral neck fractures in the year 2000 were collected from database of Hungarian National Health Insurance Fund. The mortality was analysed for the period 2000-2010. The following risk factors were investigated: age, gender, type of fracture, comorbidities, type of surgery, time to surgery and further surgical treatment. Predictors for mortality were evaluated by Cox proportional hazard model and logistic regression analysis using yearly intervals. The patients’ survival was investigated by Kaplan-Meier analysis and log-rank test. RESULTS: CONCLUSIONS: Assessing the impact of risk factors on 10 year mortality after primary femoral neck fracture is difficult. We found associations between clinical determinants and late mortality, which require further investigations regarding the long period of time until death