Evidence map›Paper›PMID 30993661›Full record

Observational studyAging clinical and experimental research2019

Relationship between comorbidities and treatment decision-making in elderly hip fracture patients.

Jinxing Wei, Li Zeng, Shitong Li, Fang Luo, Zhou Xiang, Qunfang Ding

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Aging clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Delay to elective colorectal cancer surgery and implications for survival: a systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
    Pooled it
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jinxing WeiDepartment of Geriatrics, West China Hospital, Sichuan University, NO. 37 GuoXue Road, Chengdu, 610041, Sichuan, China.
Li ZengDepartment of Geriatrics, Sichuan Provincial People's Hospital, Chengdu, 610072, China.
Shitong LiDepartment of Geriatrics, West China Hospital, Sichuan University, NO. 37 GuoXue Road, Chengdu, 610041, Sichuan, China.
Fang LuoDepartment of Geriatrics, West China Hospital, Sichuan University, NO. 37 GuoXue Road, Chengdu, 610041, Sichuan, China.
Zhou XiangDepartment of Geriatrics, West China Hospital, Sichuan University, NO. 37 GuoXue Road, Chengdu, 610041, Sichuan, China.
Qunfang DingDepartment of Geriatrics, West China Hospital, Sichuan University, NO. 37 GuoXue Road, Chengdu, 610041, Sichuan, China. dingqf2013@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElderly patients are at a higher risk for hip fracture. Moreover, hospitalized elderly patients with hip fracture are vulnerable to adverse outcomes including higher mortality rate and long-term disability. Treatment decision-making with respect to surgical procedure and perioperative management of these patients is typically challenging owing to the presence of multiple comorbid conditions.

aimsThe purpose of this study was to investigate the relationship between comorbidities in elderly patients with hip fracture and the treatment decision-making.

methods884 geriatric patients (age ≥ 60 years) with hip fracture were included. Comorbidities related to age were measured using the Charlson Co-morbidity Index (CCI) and age-adjusted CCI. The CCI of each geriatric hip fracture patient was calculated based on data retrieved from the medical records. The relationship of CCI and age-adjusted CCI with surgical procedure, time-to-surgery, length of hospital stay, and perioperative management (transfusion, anti-coagulation, and analgesia) was assessed.

resultsMean age of patients was 78.01 ± 8.62 years. The mean CCI was 0.79 ± 0.036; the mean age-adjusted CCI was 4.15 ± 0.047. The CCI was significantly associated with time-to-surgery (P = 0.004), surgical treatment (P < 0.001), and transfusion (P = 0.023). The age-adjusted CCI was significantly associated with surgical treatment (P < 0.001), analgesia (P = 0.003) and transfusion (P < 0.001). The length of hospital stay was associated with both CCI (P = 0.041), age-adjusted CCI (P = 0.002), and hypertension (P = 0.012). Hospital expenses showed a significant association with CCI (P = 0.000), age-adjusted CCI (P = 0.029), osteoprosis (P = 0.007), and hypertension (P = 0.001).

conclusionIn this study, comorbidities were positively associated with surgical procedure and perioperative management of elderly patients with hip fracture.

Indexed as

Clinical Decision-MakingAgedAged, 80 and overBlood TransfusionComorbidityCross-Sectional StudiesFemaleHip FracturesHumansLength of StayMaleMiddle AgedPerioperative CareRisk FactorsTime FactorsAgingCharlson Comorbidity Index (CCI)ComorbidityHip fractureTreatment decision-making

Identifiers

PMID30993661
PMCPMC6825646

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.