Evidence map›Paper›PMID 30054670›Full record

ArticleInternational orthopaedics2019

Predictive factors for thirty day mortality in geriatric patients with hip fractures: a prospective study.

Cristiana Forni, Domenica Gazineo, Fabio D'Alessandro, Ambra Fiorani, Mattia Morri, Tania Sabattini, Elisa Ambrosi, Paolo Chiari

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In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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 · 2024
    Pooled it
  2. Article
  3. [Factors associated with physical dependency in adults with hip fracture].Revista medica del Instituto Mexicano del Seguro Social · 2024
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  7. Can C-reactive protein-based biomarkers be used as predictive of 30-day mortality in elderly hip fractures?A retrospective study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Cristiana ForniRizzoli Orthopedic Institute, Via Pupilli 1, 40136, Bologna, Italy.
Domenica GazineoCentro Studi EBN, Azienda Ospedaliero-Universitaria, Via Albertoni 15, 40138, Bologna, Italy.
Fabio D'AlessandroRizzoli Orthopedic Institute, Via Pupilli 1, 40136, Bologna, Italy.
Ambra FioraniRizzoli Orthopedic Institute, Via Pupilli 1, 40136, Bologna, Italy.
Mattia MorriRizzoli Orthopedic Institute, Via Pupilli 1, 40136, Bologna, Italy.
Tania SabattiniRizzoli Orthopedic Institute, Via Pupilli 1, 40136, Bologna, Italy.
Elisa AmbrosiDepartment of Medical and Surgical Sciences, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy. elisa.ambrosi2@unibo.it.ORCID http://orcid.org/0000-0003-0336-5956
Paolo ChiariDepartment of Medical and Surgical Sciences, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors.

methodsA prospective multicentric study was performed. All patients aged ≥ 65 years, with fragility hip fractures, consecutively admitted in two Italian hospitals were included. Patients with periprosthetic or pathological fractures were excluded. Logistic regression was used to identify patient and patient care variables that independently influenced the 30-day mortality and receiver operating characteristic (ROC) curve analysis to assess their predictive capacity on the outcome.

resultsOf the patients, 728 met the inclusion criteria, of whom approximately 5% died within 30 days after admission. The 45.7% of the deceased patients died while hospitalized. Multivariate analysis showed that advancing age was the only independent predictor of 30-day mortality (OR = 1.084, 95% CI = 1.024-1.147), while a higher presence of informal caregivers was a protective factor (OR = 0.988, 95% CI = 0.979-0.997). The area under the ROC curve of the model was 0.723 (CI95% 0.676-0.770) for 30-day mortality in elderly hip fractures patients.

conclusionsPatients with an advanced age need careful follow-up, especially within 30 days following operation for hip fracture; at the same time, the presence of informal caregivers at the patient's bedside should be promoted.

Indexed as

Hip FracturesAged, 80 and overFemaleHumansIncidenceLogistic ModelsMaleProspective StudiesRisk FactorsROC Curve30-day mortalityGeriatricsHip fracturesProspective studiesRisk factors

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.