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Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture

High mortality and dependent living after hip fracture pose a significant public health concern. Retrospective study was conducted with 481 hip fracture patients (≥65 years of age) undergoing surgery from March 2009 to May 2014. The Hip-MFS was calculated by Comprehensive Geriatric Assessment (CGA)....

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Autores principales: Choi, Jung-Yeon, Cho, Kwan-Jae, Kim, Sun-wook, Yoon, Sol-Ji, Kang, Min-gu, Kim, Kwang-il, Lee, Young-Kyun, Koo, Kyung-Hoi, Kim, Cheol-Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2017
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324046/
https://www.ncbi.nlm.nih.gov/pubmed/28233870
http://dx.doi.org/10.1038/srep42966
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author Choi, Jung-Yeon
Cho, Kwan-Jae
Kim, Sun-wook
Yoon, Sol-Ji
Kang, Min-gu
Kim, Kwang-il
Lee, Young-Kyun
Koo, Kyung-Hoi
Kim, Cheol-Ho
author_facet Choi, Jung-Yeon
Cho, Kwan-Jae
Kim, Sun-wook
Yoon, Sol-Ji
Kang, Min-gu
Kim, Kwang-il
Lee, Young-Kyun
Koo, Kyung-Hoi
Kim, Cheol-Ho
author_sort Choi, Jung-Yeon
collection PubMed
description High mortality and dependent living after hip fracture pose a significant public health concern. Retrospective study was conducted with 481 hip fracture patients (≥65 years of age) undergoing surgery from March 2009 to May 2014. The Hip-MFS was calculated by Comprehensive Geriatric Assessment (CGA). The primary outcome was the 6-month all-cause mortality rate. The secondary outcomes were 1-year all-cause mortality, postoperative complications and prolonged hospital stay, and institutionalization. Thirty-five patients (7.3%) died within 6 months after surgery (median [interquartile range], 2.9 [1.4–3.9] months). The fully adjusted hazard ratio per 1 point increase in Hip-MFS was 1.458 (95% confidence interval [CI]: 1.210–1.758) for 6-months mortality and odds ratio were 1.239 (95% CI: 1.115–1.377), 1.156 (95% CI: 1.031–1.296) for postoperative complications and prolonged total hospital stay, respectively. High-risk patients (Hip-MFS > 8) showed higher risk of 6-month mortality (hazard ratio: 3.545, 95% CI: 1.466–8.572) than low-risk patients after adjustment. Hip-MFS successfully predict 6-month mortality, postoperative complications and prolonged hospital stay in elderly hip fracture patients after surgery. Hip-MFS more precisely predict 6-month mortality than age or existing tools (P values of comparison of ROC curve: 0.002, 0.004, and 0.044 for the ASA classification, age and NHFS, respectively).
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spelling pubmed-53240462017-03-01 Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture Choi, Jung-Yeon Cho, Kwan-Jae Kim, Sun-wook Yoon, Sol-Ji Kang, Min-gu Kim, Kwang-il Lee, Young-Kyun Koo, Kyung-Hoi Kim, Cheol-Ho Sci Rep Article High mortality and dependent living after hip fracture pose a significant public health concern. Retrospective study was conducted with 481 hip fracture patients (≥65 years of age) undergoing surgery from March 2009 to May 2014. The Hip-MFS was calculated by Comprehensive Geriatric Assessment (CGA). The primary outcome was the 6-month all-cause mortality rate. The secondary outcomes were 1-year all-cause mortality, postoperative complications and prolonged hospital stay, and institutionalization. Thirty-five patients (7.3%) died within 6 months after surgery (median [interquartile range], 2.9 [1.4–3.9] months). The fully adjusted hazard ratio per 1 point increase in Hip-MFS was 1.458 (95% confidence interval [CI]: 1.210–1.758) for 6-months mortality and odds ratio were 1.239 (95% CI: 1.115–1.377), 1.156 (95% CI: 1.031–1.296) for postoperative complications and prolonged total hospital stay, respectively. High-risk patients (Hip-MFS > 8) showed higher risk of 6-month mortality (hazard ratio: 3.545, 95% CI: 1.466–8.572) than low-risk patients after adjustment. Hip-MFS successfully predict 6-month mortality, postoperative complications and prolonged hospital stay in elderly hip fracture patients after surgery. Hip-MFS more precisely predict 6-month mortality than age or existing tools (P values of comparison of ROC curve: 0.002, 0.004, and 0.044 for the ASA classification, age and NHFS, respectively). Nature Publishing Group 2017-02-24 /pmc/articles/PMC5324046/ /pubmed/28233870 http://dx.doi.org/10.1038/srep42966 Text en Copyright © 2017, The Author(s) http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
spellingShingle Article
Choi, Jung-Yeon
Cho, Kwan-Jae
Kim, Sun-wook
Yoon, Sol-Ji
Kang, Min-gu
Kim, Kwang-il
Lee, Young-Kyun
Koo, Kyung-Hoi
Kim, Cheol-Ho
Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture
title Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture
title_full Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture
title_fullStr Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture
title_full_unstemmed Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture
title_short Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture
title_sort prediction of mortality and postoperative complications using the hip-multidimensional frailty score in elderly patients with hip fracture
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324046/
https://www.ncbi.nlm.nih.gov/pubmed/28233870
http://dx.doi.org/10.1038/srep42966
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