OBJECTIVES: The aim of this study is to evaluate the connection between five years mortality of patients with femoral neck fracture and its different risk factors. METHODS: The data derive from the financial database of the Hungarian National Health Insurance Fund Administration, based on the 10th revision of the International Classification of Diseases (ICD) with ICD code S7200. We evaluated data according to sex, age, co-morbidities, type of fracture, type of operation, early complications, hospital type of care, day of operation, surgical delay. Statistical analysis was performed by Cox logistic regression method. RESULTS: A total of 3783 patients met selection criteria. During the postoperative 5 years 61.88 % of patients died. We demonstrated the significant hazard ratios by multivariate regression analysis according to risk factors [95 % confidence interval, CI] and (p value<0.05) are also given. Sex: (female/male ) 0.848 [0.772 ; 0.931]. Age: - ( 70-79 / 60-69 year ) 1.187 [1.028 ; 1.369]; - ( 80-89 / 60-69 year ) 1.264 [1.094 ; 1.460]; - ( 90+ / 60-69 year ) 1.724 [1.452 ; 2.048]. Co-morbidity: ( yes / no ) 1.199 [1.007 ; 1.428]. Type of fracture: ( medial / lateral ) 0.874 [0.773 ; 0.988]. Hospital type of care: - ( national and university / Budapest ) 0.787 [0.677 ; 0.914]. Surgical delay: - ( 24-48h / 0-6h ) 1.232 [1.052 ; 1.442]; - ( 48+h / 0-6h ) 1.139 [1.013 ; 1.281]. ) 0.787 [0.677 ; 0.914]. : - ( 24-48h / 0-6h ) 1.232 [1.052 ; 1.442]; CONCLUSIONS: Our findings confirmed the significant effect of female gender, higher age-groups, co-morbidities, lateral type fracture, lower progressivity level of care and surgical delay on five years mortality. In further studies one has to analyse the effect of the type of co-morbidities, general mental and physical state, late postoperative complications and mobilization on mortality.