Evidence map›Paper›PMID 38963451›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2024

Validation of the Geriatrics at Risk Score (GeRi-Score) on 120-day follow-up, the influence of preoperative geriatric visits, and the time to surgery on the outcome of hip fracture patients: an analysis from the Registry for Geriatric Trauma (ATR-DGU).

Laura Heuser, Carsten Schoeneberg, Katherine Rascher, Sven Lendemans, Matthias Knobe, Rene Aigner, Steffen Ruchholtz, Carl Neuerburg, Bastian Pass, Registry for Geriatric Trauma (ATR-DGU)

Abstract readValidation Study
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In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

2 · The registry

The trial behind it

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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

2 citing papers in PubMed.

  1. Article
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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.

Laura HeuserDepartment of Orthopedic and Emergency Surgery, Alfried Krupp Hospital, 45276, Essen, Germany.
Carsten SchoenebergDepartment of Orthopedic and Emergency Surgery, Alfried Krupp Hospital, 45276, Essen, Germany.
Katherine RascherAUC, Academy for Trauma Surgery (AUC), Munich, Germany.
Sven LendemansDepartment of Orthopedic and Emergency Surgery, Alfried Krupp Hospital, 45276, Essen, Germany.
Matthias KnobeDepartment of Orthopaedic Trauma, Hospital Westmünsterland, Ahaus, Germany.
Rene AignerCenter for Orthopedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Steffen RuchholtzCenter for Orthopedics and Trauma Surgery, University Hospital Giessen and Marburg, Marburg, Germany.
Carl NeuerburgDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany.
Bastian PassDepartment of Orthopedic and Emergency Surgery, Alfried Krupp Hospital, 45276, Essen, Germany. bastian.Pass@krupp-krankenhaus.de.ORCID http://orcid.org/0000-0002-2901-0208
Registry for Geriatric Trauma (ATR-DGU)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A validation of the GeRi-Score on 120-day mortality, the impact of a pre-operative visit by a geriatrician, and timing of surgery on the outcome was conducted. The score has predictive value for 120-day mortality. No advantage was found for surgery within 24 h or a preoperative geriatric visit. PURPOSE: Numerous tools predict mortality among patients with hip fractures, but they include many variables, require time-consuming assessment, and are difficult to calculate. The GeRi-Score provides a quick method of pre-operative assessment. The aim of this study is to validate the score in the 120-day follow-up and determine the impact of a pre-operative visit by a geriatrician and timing of surgery on the patient outcome.

methodsA retrospective analysis of the AltersTraumaRegister DGU

resultsThe study included 38,570 patients, divided into 12,673 low-risk, 18,338 moderate-risk, and 7,559 high-risk patients. The moderate-risk group had three times the mortality risk of the low-risk group (OR 3.19 (95% CI 2.68-3.79; p<0.001)), while the high-risk group had almost eight times the mortality risk than the low-risk group (OR 7.82 (95% CI 6.51-9.93; p<0.001)). No advantage was found for surgery within the first 24 h across all groups. There was a correlation of a preoperative geriatric visit and mortality showing an increase in the moderate and high-risk group on in-house mortality.

conclusionsThe GeRi-Score has predictive value for 120-day mortality. No advantage was found for surgery within 24 h. The analysis did not demonstrate a benefit of the preoperative geriatric visit, but more data are needed.

Indexed as

Geriatric AssessmentHip FracturesOsteoporotic FracturesPreoperative CareRegistriesTime-to-TreatmentAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleRetrospective StudiesRisk AssessmentHip fractureMortality predictionProximal femur fractureRegistryRisk-score

Identifiers

PMID38963451

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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.