Observational studyBMC musculoskeletal disorders2025
Preoperative identification of low-risk patients for major complications after acute hip fracture surgery in geriatric patients: an observational cohort study.
Observational study in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Lower Geriatric Nutritional Risk Index is associated with increased risk of acromial stress fracture following reverse total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNot all older patients with hip fractures exhibit frailty and a high risk of complications. Identifying low-risk patients allows more cost-effective treatment strategies. This study aims to identify the patients' characteristics associated with a reduced risk of major complications following acute hip fracture surgery in elderly patients. PATIENTS AND
methodsA prospective hip fracture database was used to obtain data for this observational cohort study. Complications during hospitalization were categorized as major and minor. Both univariable and multivariable analyses were conducted to determine factors significantly correlated with a hospital stay without major complications in patients of 65 years and older.
resultsIn total, 2304 patients were analyzed, of whom 771 (33.5%) had one or more major complications. The following characteristics were associated with an uncomplicated hospital stay after hip fracture surgery; age lower than 75 years, female gender, ASA 1 and 2, no history of atrial fibrillation, nor chronic obstructive pulmonary disease, nor dementia, nor Parkinson, nor myocardial infarction, The Katz Index of Independence in activities of daily living (Katz-ADL) of 6, an albumin above 35 g/L and no use of a walking aid. Patients without major complications had significantly shorter hospital stays and lower rates of 30-day and 1-year mortality.
conclusionThis study identifies specific characteristics that can help select patients at low risk for major complications after hip fracture surgery. Patients with a low risk of complications may probably not require extensive geriatric care, enabling more efficient allocation of healthcare resources and contributing to cost reduction.
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