OBJECTIVES: The aim of this retrospective study is to evaluate the connection between 5 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. Patients over 60 years being discharged in 2000 after primary treatment of femoral neck fracture were included into the study. Patients with polytrauma were not included into the study. We evaluated data according to sex, age, co-morbidities, type of fracture, type of operation, early complications, progressivity level 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 calculated the hazard ratios by multivariate regression analysis according to risk factors [95 % confidence interval, CI] and (p value) are also given. Sex: (female/male) 0,848 [0,772; 0,931] (0,000). Age: (70-79/60-69 year) 1,187 [1,028; 1,369] (0,018); (80-89/60-69 year) 1,264 [1,094; 1,460] (0,001); (90+/60-69 year) 1,724 [1,452 ; 2,048] (0). Co-morbidity: (yes/no) 1,199 [1,007; 1,428] (0,041). Type of fracture: (medial/lateral) 0,874 [0,773; 0,988] (0,032). Typy of operation: (osteosynthesis/arthroplasty) 1,129 [0,981; 1,300] (0,088). Early complication: (yes/no) 1,173 [0,892; 1,541] (0,252). Progressivity level of care: (county/Budapest) 0,948 [0,844; 1,064] (0,368); (national and university/Budapest) 0,787 [0,677; 0,914] (0,001); (city/Budapest) 0,906 [0,807; 1,017] (0,096). Day of surgery: (weekend/weekday) 1,049 [0,949; 1,159] (0,348). Surgical delay: (6-12h/0-6h) 1,026 [0,901; 1,168] (0,691); (12-24h/0-6h) 1,12 [0,984; 1,274] (0,085); (24-48h/0-6h) 1,232 [1,052; 1,442] (0,009); (48+h/0-6h) 1,139 [1,013; 1,281] (0,028). CONCLUSION: 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 5 years mortality.