ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2018
Prognostic factors and predictive model for in-hospital mortality following hip fractures in the elderly.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Epidemiology, patient outcome and complications after non-operative management of hip fracture: a systematic review.Anaesthesia · 2025Pooled it
- Systematic review and meta-analysis of preoperative predictors for early mortality following hip fracture surgery.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Pooled it
- In-hospital hip fracture mortality score: predicting mortality after surgery for proximal femoral fracture in older patients.Annals of medicine · 2026Article
- Factors affecting one-year mortality in patients over 65 years of age undergoing surgery for hip fracture.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Geriatric Assessment as an Important Tool for Post-Hip Surgery Prognosis in Seniors.Nursing reports (Pavia, Italy) · 2025Article
- FPG Score: A Rapid Admission-Based Tool for Predicting In-Hospital Mortality in Elderly Hip Fracture Patients.Orthopaedic surgery · 2025Observational
- Enhanced Nutritional and Functional Recovery in Femur Fracture Patients Post-Surgery: Preliminary Evidence of Muscle-Targeted Nutritional Support in Real-World Practice.Geriatrics (Basel, Switzerland) · 2024Article
- Proximal femoral multiple myeloma pathological fractures, impending and actual fractures - a patient survival study.BMC cancer · 2024Article
- Development and Internal Validation of a Multivariable Prediction Model for Mortality After Hip Fracture with Machine Learning Techniques.Calcified tissue international · 2024Article
- [Factors associated with physical dependency in adults with hip fracture].Revista medica del Instituto Mexicano del Seguro Social · 2024Article
- Development and validation of a prognostic nomogram for 3-year all-cause mortality risk among elderly patients undergoing surgery for osteoporotic fractures.Frontiers in medicine · 2024Article
- Pre-operative Anemia and Hyponatremia Increase the Risk of Mortality in Elderly Hip Fractures.The archives of bone and joint surgery · 2024Article
- [Financial and health impact of two models of providing prostheses in a public health systemImpacto econômico e sanitário de dois modelos de fornecimento de próteses em um sistema público de saúde].Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- A Tool to Estimate Risk of 30-day Mortality and Complications After Hip Fracture Surgery: Accurate Enough for Some but Not All Purposes? A Study From the ACS-NSQIP Database.Clinical orthopaedics and related research · 2022Article
- Bone Cement Implantation Syndrome: Incidence and Associated Factors in a United States Setting.Cureus · 2022Article
- Association between pre-operative complications, comorbidities, and in-hospital mortality in a hip fracture cohort: a register study in a tertiary hospital in Brazil.International orthopaedics · 2022Article
- Efficacy of a multidisciplinary care protocol for the treatment of operated hip fracture patients.Scientific reports · 2021Article
- Development of a prognostic model for 1-year survival after fragile hip fracture in Chinese.Journal of orthopaedic surgery and research · 2021Article
- Article
- Prognostic factors related to ambulation deterioration after 1-year of geriatric hip fracture in a Chinese population.Scientific reports · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe incidence of hip fractures is increasing within the aging population. Our objective was to identify and quantify the risk factors and develop a predictive model for the in-hospital mortality among hip fracture patients older than 65 years.
methodsThis is a prospective study conducted on 331 hip fracture patients older than 65 years admitted to our hospital from 2011 to 2014. Patients' demographics, prehospitalization residential status, prefracture comorbidity data, anti-aggregant and anticoagulant medication, preoperative hemoglobin value, type of fractures, type of treatments, time to surgery, and complications were recorded.
resultsThe average age was 83 years, 73% female, and 57% of them sustained a femoral neck fracture. In 62.8% of patients, the number of pre-fracture baseline comorbidities was ≥2. The in-hospital mortality rate was 11.4%. In multivariate analysis, age over 90 years, congestive heart failure, asthma, rheumatologic disease, lung cancer, and not taking antiaggregant medication were independently associated with in-hospital mortality. A formula and risk stratification scoring for predicting the risk for in-hospital mortality was developed. Risk-adjustment model based on these variables had acceptable accuracy for predicting in-hospital mortality (c-statistic 0.77).
conclusionAdvanced age, and five prefracture comorbidities have a strong association with in-hospital mortality in a hip fracture patient older than 65 years old. Our predictive model was specifically designed for the old hip fracture population. It has an accuracy similar to other risk models. The specificity, positive predictive value, and negative predictive value are high. In addition, it could discriminate a high risk patient from a low risk patient for in-hospital mortality.
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