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2017 ; 7
(ä): 42966
Nephropedia Template TP
gab.com Text
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English Wikipedia
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).