ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
The possibility of using the APACHE II score in prognosis of the development of postoperative complications in the elderly with hip fractures.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Development and validation of a routine blood test-based model to predict in-hospital postoperative pulmonary infection in older patients with hip fracture.BMC geriatrics · 2026Article
- First-week postoperative caloric intake predicts mortality, complications and functional recovery in elderly patients with hip fracture and compromised nutritional status.Journal of health, population, and nutrition · 2026Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA large number of patients with hip fractures develop postoperative complications. The APACHE II score has been shown its usefulness in surgical patients. We undertook a study to establish the ability of the APACHE score to assess the prediction of postoperative complications in patients over 65 years old with hip fractures, and to compare them with specific scoring systems developed for orthopaedic patients, and the general ASA Score and the Charlson Comorbidity Index (CCI).
methodsIn order to test the score, we used a prospective, cohort study in a tertiary care hospital with 410 consecutive patients aged ≥65 years old with hip fractures. The ASA score, CCI, the Nottingham Hip Fracture Score (NHFS), the POSSUM-P and the Acute Physiology and Chronic Health Evaluation (APACHE) II scores were tested. All complications up to 6 months post-operatively were registered. We categorized the complications according to the Clavien-Dindo score as minor (1-2) or major (3-5), and we analysed the major post-operative complications.
resultsThe sensitivity and specificity of APACHE score and the P-POSSUM scores were 53.2 and 90.0, and 73.8 and 72.9, respectively. The area beneath the ROC curve was better for P-POSSUM than for APACHE II, but the difference was not statistically significant. Both the P-POSSUM and APACHE II scores were statistically significantly better than ASA, the Nottingham score, and CCI.
conclusionThis study showed that APACHE II and POSSUM-P can be used to predict postoperative complications in elderly people with hip fractures.
Indexed as
Identifiers
40366477What OpenQuestion holds
Registered trials
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.