Objective To investigate the risk factors of pressure ulcers in elderly patients with hip fracture. Method Single factor analysis was done to investigate the possible risk factor by looking into the clinical data of 147 elderly patients hospitalized in our hospital during January 2010 and December 2014 to find out the varieties with statistical significance were introduced onto Logistic regression model for multivariate analysis. Results During hospitalization, 55 patients contracted pressure ulcers, accounting for 37.4%. Seven factors including diabetes, malnutrition, conservative treatment like simple traction, obesity, pain score, hypertension and hypertlipemia, were related to the pressure ulcers in elderly patients with hip fracture. The high risk factors included malnutrition and obesity. Conclusion Malnutrition and obesity are closely related to pressure ulcers in elderly patients with hip fracture. It is indicated that we should attack importance to disease assessment and preparation to prevent the occurrence of pressure ulcers.