Pre-operative indicators for mortality following hip fracture surgery: a systematic review and meta-analysis

Smith, Toby; Pelpola, Kelum; Ball, Martin J.; Ong, Alice; Myint, Phyo Kyaw

doi:10.1093/ageing/afu065

Cited by 318 publications

(235 citation statements)

References 27 publications

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“…6 Many parameters are significant predictors of associated clinical outcome and mortality. These include type of injury and surgery, 7 postoperative delirium, 8 timing of rehabilitation, 9 and surgical technique.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Some of these scores can predict complication rates and others better predict short-term mortality. 4,6 ORIGINAL ARTICLE C M E (P=0.031). The total Charlson comorbidity score (P<0.001) and Charlson comorbidity score (P=0.010) were significantly associated with 30-day mortality.…”

Section: Reported a 5-to 8-fold Increasedmentioning

confidence: 99%

“…[6][7][8][9][10][11] Among all these scores, the Nottingham Hip Fracture Score (NHFS) is one of the most well-known for the prediction of short-and long-term mortality in geriatric hip fracture patients, and has been validated in both western and Asian populations. [12][13][14] This excellent score includes patient age, sex, admission haemoglobin level, Mini-Mental State Examination (MMSE) score, previous institution, number of comorbidities, and also presence of malignancy.…”

Section: 使用查爾森合併症評分評估華籍老年患者髖骨骨折的術後短期及長期死亡風險mentioning

confidence: 99%

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Assessment of postoperative short-term and long-term mortality risk in Chinese geriatric patients for hip fracture using the Charlson comorbidity score

2015

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Section: Discussionmentioning

confidence: 99%

Section: Reported a 5-to 8-fold Increasedmentioning

confidence: 99%

Section: 使用查爾森合併症評分評估華籍老年患者髖骨骨折的術後短期及長期死亡風險mentioning

confidence: 99%

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Assessment of postoperative short-term and long-term mortality risk in Chinese geriatric patients for hip fracture using the Charlson comorbidity score

2015

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“…As in the CCI, the ASA is not a method specifically designed for hip fractures. In a meta-analysis, studies related to 1-year follow-up of hip fractures were examined and it was found that both higher ASA grade and higher CCI score were statistically significant indicators of mortality at 12 months following hip fracture 27 . In the current study, AUC for ASA in RC analysis was 0.63 and patients with higher ASA scores had a higher risk of mortality.…”

Section: Discussionmentioning

confidence: 99%

Is ACE-27 a reliable method for predicting mortality of hip fractures treated with hemiarthroplasty in the elderly?

Tahta¹,

Bulut²,

Öztürk³

et al. 2016

MMJ

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“…impairment or level of activity were shown to be associated with an increased mortality risk in these patients [3,4] . Moreover, several laboratory parameters such as haemoglobin, albumin, creatinine, c-reactive protein (CRP) and 25-hydroxyvitamin D (25(OH)D) were found to be associated with an increased mortality after hip fracture [5][6][7] .…”

Section: Influence Of Internal Fixation and Cemented Hemiarthroplastymentioning

confidence: 93%

Influence of Internal Fixation and Cemented Hemiarthroplasty on 1-Year Mortality in Geriatric Hip Fracture Patients

Fakler

Gräfe

Dercks

et al. 2017

International Journal of Orthopaedics

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AIM:Results after cemented Hemiarthoplasty (HA) in elderly patients with a femoral neck fracture improved over the last 20 years. We conducted this study in order to evaluate the influence of modern cemented HA compared to IF with a sliding hip screw (SHS) with regard to one year mortality. PATIENTS AND METHODS: 183 patients with a low-energy medial femoral neck fracture (AO/OTA 31-B) either treated with a SHS (n = 67) or cemented HA (n = 116) were included. Follow-up was performed at 6 and 12 months. A multivariate Cox regression analysis including nine confounding variables (age, ASA score, body mass index (BMI), cognitive function, time from admission to surgery, creatinine, c-reactive protein (CRP), 25-hydroxyvitamin D (25(OH)D) was performed. RESULTS: Patients in the HA group were significantly older (p < 0.001) and had more severe comorbidities according to the ASAScore (p = 0.017). The time interval from admission to surgery (skin incision) was beyond 48h in 6.0% of SHS patients and 17.2% in HA patients (p < 0.001). Despite of detrimental prerequisites for cemented HA, mortality rates at 1 year for HA (23.3%) showed no significant difference (p = 0.58) to IF (19.4%). After correcting for confounding variables mortality risk at one year was significantly higher in patients treated with a SHS (HR = 2.5, 95%CI 1.1-5.7; p = 0.027). CONCLUSION: We conclude that elderly patients with a femoral neck fracture might benefit from cemented HA compared to IF with a SHS in terms of 1-year mortality. New randomised controlled trials considering modern cementing techniques are needed to validate these results.

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Pre-operative indicators for mortality following hip fracture surgery: a systematic review and meta-analysis

Abstract: CRD42012002107.

Cited by 318 publications

References 27 publications

Assessment of postoperative short-term and long-term mortality risk in Chinese geriatric patients for hip fracture using the Charlson comorbidity score

Assessment of postoperative short-term and long-term mortality risk in Chinese geriatric patients for hip fracture using the Charlson comorbidity score

Is ACE-27 a reliable method for predicting mortality of hip fractures treated with hemiarthroplasty in the elderly?

Influence of Internal Fixation and Cemented Hemiarthroplasty on 1-Year Mortality in Geriatric Hip Fracture Patients

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