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• Half of all hip fractures will occur in Asia by 2050. • This meta-analysis found in-hospital and 30-day mortality rates in Asian countries, notably Japan and Singapore are up to four-fold lower than for Australia and New Zealand. • This difference, although less marked, is sustained at 1-year with a two-fold lower mortality rate in Asia compared to Oceania. : To determine country/region-specific mortality (in-hospital, 30-day and 1-year) following hip fracture across the Asia Pacific region. : Five databases MEDLINE, PUBMED, EMBASE, Web of Science and the Cochrane Library were searched to identify studies that reported mortality following hospitalisation for low-trauma hip fracture in adults aged ≥50 years with data from 2010 to 30 September 2021. There were no restrictions on study design or language. Pooled mortality estimates for countries/regions with ≥2 studies were calculated using random-effects models. : In total 244 studies were included in the meta-analysis. 123 studies (1,382,810 patients, 13 countries/regions) reported in-hospital mortality which ranged from 1.4 % in Japan [95 %CI 1.2–1.7], Singapore [95 %CI 1.0–1.6], China [95 %CI 0.8–2.3] and Hong Kong SAR [95 %CI 0.8–2.6] to 5.5 % [95 %CI 4.1–7.2] in New Zealand. 92 studies (628,450 patients, 13 countries/regions) reported 30-day mortality which ranged from 1.2 % in Japan [95 %CI 0.9–1.5] and Thailand [95 %CI 0.7–2.0] to 7.4 % [95 %CI 7.0–7.8] in Australia. 142 studies (1,139,752 patients, 14 countries/regions) reported 1-year mortality which ranged from 10.8 % [95 %CI 9.6–12.1] in Singapore to 23.3 % [95 %CI 22.3–24.5] in Australia and 23.8 % in New Zealand. : There is substantial variation in mortality across the Asia Pacific region. Short-term mortality rates in Asian countries, notably Japan and Singapore, are up to four-fold lower than for Australia and New Zealand. This difference, although less marked, is sustained at 1-year with a two-fold lower mortality rate in Asia. This meta-analysis is the first to delineate these differences, further studies are required to understand the reasons for this variation. [ABSTRACT FROM AUTHOR]