ArticleGeriatric orthopaedic surgery & rehabilitation2018
Charlson Comorbidity Index Predicts 5-Year Survivorship of Surgically Treated Hip Fracture Patients.
Article in Geriatric orthopaedic surgery & rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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33 citing papers in PubMed, 54 citations in OpenAlex.
- Age-stratified mortality after hip fracture surgery: A retrospective cohort study comparing hemiarthroplasty and osteosynthesis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Adolescent Obesity and Charlson Comorbidity Index in Young Adults.Journal of clinical medicine · 2025Article
- Observational
- Epidemiology and factors associated with the perioperative course of patients undergoing hip fracture during the initial phase of the state of emergency declared in 2020.Frontiers in medicine · 2025Article
- Comorbidities, acute kidney injury and long-term mortality in elderly patients hospitalized because of hip fracture: a moderation analysis.Aging clinical and experimental research · 2024Article
- Article
- Creatinine-Based Definition of Kidney Disease in the Charlson Comorbidity Index May Underestimate Prognosis in Males Compared to an Estimated Glomerular Filtration Rate Definition.Journal of clinical medicine · 2024Article
- Pre-operative Anemia and Hyponatremia Increase the Risk of Mortality in Elderly Hip Fractures.The archives of bone and joint surgery · 2024Article
- Correlation Between Anesthesia Methods and Adverse Short-Term Postoperative Outcomes Depending on Frailty: A Prospective Cohort Study.Clinical interventions in aging · 2024Observational
- Influencing factors on morbidity and mortality in intertrochanteric fractures.Scientific reports · 2023Article
- Age‑adjusted Charlson comorbidity index and in‑hospital mortality in critically ill patients with cardiogenic shock: A retrospective cohort study.Experimental and therapeutic medicine · 2023Article
- The impact of Charlson Comorbidity Index on surgical complications and reoperations following simultaneous bilateral total knee arthroplasty.Scientific reports · 2023Article
- Age-adjusted Charlson comorbidity index predicts postoperative mortality in elderly patients with hip fracture: A prospective cohort.Frontiers in medicine · 2023Article
- Predictors of 10-year Mortality After Hip Fracture Surgery in a Pre-Pandemic Cohort.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- High risk of osteoporosis and fracture following solid organ transplantation: a population-based study.Frontiers in endocrinology · 2023Article
- Perception of Goals and Expected Outcomes in Older Hip Fracture Patients and Their Medical Staff: A Cross Sectional Study.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- The postoperative prognosis of older intertrochanteric fracture patients as evaluated by the Chang reduction quality criteria.BMC geriatrics · 2022Article
- Prognostic value of orthogeriatric assessment parameters on mortality: a 2-year follow-up.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- High Charlson Comorbidity Index Score is associated with early fracture-related complication for internal fixation of neck of femur fractures.Scientific reports · 2022Article
- Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study aims to assess the correlation of the age-adjusted Charlson comorbidity index (ACCI) with 5-year mortality in a surgically treated hip fracture population. MATERIALS AND
methodsA retrospective analysis was performed on 1057 patients aged 60 years and above who underwent surgery for hip fracture with a minimum of 5-year follow-up (92.2% 5-year follow-up rate) in a tertiary hospital. Manual review of patients' electronic hospital records was performed to record demographic data, comorbidities, and length of stay. Mortality data were extracted from the hospital's electronic medical records and corroborated with the National Electronic Health Record.
resultsOf the 1057 patients, 283 (26.8%) were male. The majority of patients were 80 years of age and above (42.5%), with the oldest patient operated on age 102 with a mean age of 77.8 (8.6) years. Four hundred eighteen (39.5%) patients sustained extracapsular intertrochanteric fractures. The mean follow-up duration was 8 years and 3 days with an overall survivorship of 37.2%. A multiple regression model constructed with ACCI, age, gender, and fracture pattern demonstrated satisfactory predictive ability with a concordance statistic of 0.68. Patients with a higher ACCI category (≥6) had an increased 5-year mortality rate (41.8%) with an odds ratio of 13.6 (6.7-31.8, DISCUSSION: The study demonstrates that ACCI correlated with 5-year mortality after surgical treatment of hip fracture. This information is pertinent in the counseling of patients with regard to their midterm survival following hip fracture surgery and may inform policy makers of the varied midterm survival rates in patients with differing ACCI scores and educate the allocation of health-care resources.
conclusionThe ACCI correlates with 5-year mortality after surgical treatment of hip fracture.
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