Evidence map›Paper›PMID 35526015›Full record

SynthesisJournal of orthopaedic surgery and research2022

Application of POSSUM and P-POSSUM scores in the risk assessment of elderly hip fracture surgery: systematic review and meta-analysis.

Feng Wanjiang, Zhang Xiaobo, Wu Xin, Meng Ye, Huang Lihua, Wang Jianlong

Abstract readMeta-AnalysisSystematic Review
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Synthesis in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

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0cells of the map it votes in
10citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  3. Review
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  5. Article
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Feng WanjiangDepartment of Orthopedics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
Zhang XiaoboDepartment of Orthopedics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
Wu XinDepartment of Orthopedics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
Meng YeDepartment of Orthopedics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
Huang LihuaCenter for Experimental Medicine, Third Xiangya Hospital of Central South University, No.138 Tongzipo Road, Changsha, 410013, Hunan, China. 1430647643@qq.com.
Wang JianlongDepartment of Orthopedics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China. 600528@csu.edu.cn.

Funding

Changsha City Science and Technology Bureau kq1901125Hunan Province Science and Technology Department 2020JJ8050
6 · The paper itself

Abstract

backgroundSince Mohamed et al. analyzed 2326 orthopedic cases in 2002 and believed that the POSSUM formula can be directly used to predict postoperative morbidity and mortality in orthopedic patients, applications of POSSUM and P-POSSUM scores in the hip fracture surgery have been mostly reported in the field of orthopedics, but there are still some inconsistencies in the related reports.

methodsThe electronic library was searched for all literature that met the purpose from its inception to 2021. Relative risk (RR) was selected to evaluate whether the model could be used to assess the risk of surgery in patients with elderly hip fractures. Finally, sensitivity analyses and subgroup analyses were performed.

resultsThirteen studies were finally included, including 9 retrospective and 4 prospective studies.The morbidity analysis includes 11 studies, and the result was RR = 1.07 (95% CI 0.93-1.24), The mortality analysis includes 11 studies on POSSUM and 5 studies on P-POSSUM. The results of mortality by POSSUM and by P-POSSUM were RR = 1.93 (95% CI 1.21-3.08) and RR = 1.15 (95% CI 0.89-1.50), respectively. POSSUM had more accuracy to predict mortality for sample < 200 subgroup(RR = 2.45; 95% CI 0.71-8.42) than sample > 200 subgroup(RR = 1.59; 95% CI 1.06-2.40), and in the subgroup of hip fractures that did not distinguish between specific fracture types(RR = 1.69, 95% CI 0.87-3.32) than intertrochanteric neck fracture subgroup(RR = 5.04, 95% CI 1.07-23.75) and femoral femoral fracture subgroup(RR = 1.43,95% CI 1.10-1.84).

conclusionPOSSUM can be used to predict morbidity in elderly hip fractures. The P-POSSUM was more accurate in predicting mortality in elderly hip fracture patients compared to the POSSUM, whose predictive value for mortality was influenced by the sample size and type of fracture studied. In addition, we believe that appropriate improvements to the POSSUM system are needed to address the characteristics of orthopedic surgery.

Indexed as

Hip FracturesAgedHumansMorbidityProspective StudiesRetrospective StudiesRisk AssessmentHip fractureMeta-analysisMorbidityMortalityPOSSUMP-POSSUM

Identifiers

PMID35526015
PMCPMC9077349

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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.