Evidence map›Paper›PMID 35386750›Full record

ArticleClinical interventions in aging2022

The Predictive Value of the "Identification of Seniors at Risk" Score on Mortality, Length of Stay, Mobility and the Destination of Discharge of Geriatric Hip Fracture Patients.

Tom Knauf, Benjamin Buecking, Lukas Geiger, Juliana Hack, Ruth Schwenzfeur, Matthias Knobe, Daphne Eschbach, Steffen Ruchholtz, Rene Aigner, Registry for Geriatric Trauma DGU

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. [Pertrochanteric fractures].Unfallchirurgie (Heidelberg, Germany) · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

10 authors at 3 institutions in 2 countries.

Tom KnaufCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Benjamin BueckingDepartment for Trauma Surgery, Klinikum Hochsauerland, Arnsberg, Germany.
Lukas GeigerCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Juliana HackCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Ruth SchwenzfeurWorking Committee on Geriatric Trauma Registry of the German Trauma Society (DGU), München, Germany.
Matthias KnobeDepartment of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Daphne EschbachCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Steffen RuchholtzCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Rene AignerCenter for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Registry for Geriatric Trauma DGU
Universitätsklinikum Gießen und Marburg · DEKlinikum Arnsberg · DEUniversity of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The German Society for Geriatrics recommends the "ISAR" questionnaire as a screening tool for patients ≥70 for geriatric screening in emergency rooms. Although the ISAR-score is collected routinely in the "AltersTraumaRegister DGU Patients and Methods: Currently, 84 clinics participate in the ATR-DGU. This evaluation is limited to the subgroup of proximal femur fractures from 2016-2018. Patients ≥70 years, who underwent surgery for a hip fracture are included in the ATR-DGU. In this evaluation, the influence of the "ISAR"-score on mortality, length of stay, mobility and the destination of discharge was examined. Results: Overall 10,098 patients were included in the present study. The median age was 85 years (interquartile range (IQ) 80-89 years). According to the ISAR-score 80.6% (n=8142) of the patients were classified as geriatric patients (cut off "ISAR"-score ≥2 points). These group of patients had a length of stay of 16 days (IQ10.1-22.1) compared to the non-geriatric patient cohort showing a length of stay of 15 days (IQ10.1-20.1). Patients showing an ISAR-score ≥2 had an increased risk of being discharged to a nursing home (OR 8.25), not being able to walk (OR 12.52) and higher risk of mortality (OR 3.45). Conclusion: The "ISAR"-score shows predictive power for the length of stay, mobility, hospital mortality and discharge after hospital in the collective of geriatric trauma patients. It therefore seems suitable as a screening tool for geriatric trauma patients in the emergency department and should be considered in this context.

Indexed as

Hip FracturesPatient DischargeAgedAged, 80 and overGeriatric AssessmentHumansLength of StayRisk Factorsgeriatric patienthip fractureidentification of seniors at riskISAR-score

Identifiers

PMID35386750
PMCPMC8979564
OpenAlexW4220738980

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.