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10.1038/srep42966

http://scihub22266oqcxt.onion/10.1038/srep42966
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C5324046!5324046 !28233870
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suck abstract from ncbi


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pmid28233870
      Sci+Rep 2017 ; 7 (ä): 42966
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  • Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture #MMPMID28233870
  • Choi JY ; Cho KJ ; Kim SW ; Yoon SJ ; Kang MG ; Kim KI ; Lee YK ; Koo KH ; Kim CH
  • Sci Rep 2017[Feb]; 7 (ä): 42966 PMID28233870 show ga
  • 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).
  • |*Postoperative Complications [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Area Under Curve [MESH]
  • |Female [MESH]
  • |Hip Fractures/*mortality/pathology/surgery [MESH]
  • |Humans [MESH]
  • |Kaplan-Meier Estimate [MESH]
  • |Length of Stay [MESH]
  • |Logistic Models [MESH]
  • |Male [MESH]
  • |Odds Ratio [MESH]
  • |Proportional Hazards Models [MESH]
  • |ROC Curve [MESH]
  • |Retrospective Studies [MESH]


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