The Risk-Adjusted Charlson Comorbidity Index as a New Predictor of One-year Mortality rate in Elderly Chinese Patients who underwent Hip Fracture Surgery

2021 ◽  
pp. 102860
Author(s):  
Fei Xing ◽  
Rong Luo ◽  
Wei Chen ◽  
Zhou Xiang
Keyword(s):  
Hip Fracture ◽  
Mortality Rate ◽  
Charlson Comorbidity Index ◽  
Chinese Patients ◽  
Hip Fracture Surgery ◽  
Elderly Chinese ◽  
Comorbidity Index ◽  
One Year ◽  
Fracture Surgery

The Charlson Comorbidity Index Score as a Predictor of 30-Day Mortality After Hip Fracture Surgery

2011 ◽  
Vol 26 (6) ◽  
pp. 461-467 ◽  
Author(s):  
Lisa L. Kirkland ◽  
Deanne T. Kashiwagi ◽  
M. Caroline Burton ◽  
Stephen Cha ◽  
Prathibha Varkey
Keyword(s):  
Hip Fracture ◽  
Charlson Comorbidity Index ◽  
Retrospective Chart Review ◽  
Chronically Ill ◽  
Charlson Comorbidity Index Score ◽  
Hip Fracture Surgery ◽  
Comorbidity Index ◽  
Chronically Ill Patients ◽  
Fracture Surgery ◽  
Admission Glucose

This study is a retrospective chart review to determine the association of Charlson Comorbidity Index (CCI), age, body mass index (BMI), and admission glucose with the incidence of postoperative 30-day mortality in older patients undergoing hip fracture surgery from January 1, 2000, to June 30, 2002. A total of 40 (8%) of 485 eligible patients died within 30 days after hip fracture surgery. The factors associated with 30-day mortality were age > 90 years (odds ratio [OR] = 2.74; confidence interval [CI] = 1.27-5.95; P = .012), BMI < 18.5 (OR = 3.98; CI 1.48-10.65; P = .006), and CCI ≥ 6 (OR = 2.6; CI = 1.20-5.65; P = .015). There was no relationship between admission glucose concentration and 30-day mortality. Advanced age, low BMI, and high CCI can be identified prospectively and are independently associated with postoperative 30-day mortality in older, chronically ill patients.

scholarly journals Developing a Simpler Prognosticating Tool: Comparing the Combined Assessment of Risk Encountered in Surgery Score with Deyo-Charlson Comorbidity Index and The American Society of Anesthesiologists Physical Status Score in Predicting 2 years Mortality after Hip Fracture Surgery

2021 ◽  
Vol 12 ◽  
pp. 215145932110362
Author(s):  
Eric Wei Liang Cher ◽  
John Allen Carson ◽  
Eileen Yilin Sim ◽  
Hairil Rizal Abdullah ◽  
Tet Sen Howe ◽  
...  
Keyword(s):  
Hip Fracture ◽  
High Risk ◽  
Charlson Comorbidity Index ◽  
Statistical Significance ◽  
Physical Status ◽  
Hip Fracture Surgery ◽  
Comorbidity Index ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Fracture Surgery

Background: The use of risk stratification tools in identifying high-risk hip fracture patients plays an important role during treatment. The aim of this study was to compare our locally derived Combined Assessment of Risk Encountered in Surgery (CARES) score with the the American Society of Anesthesiologists physical status (ASA-PS) score and the Deyo–Charlson Comorbidity Index (D-CCI) in predicting 2-year mortality after hip fracture surgery. Methods and Material: A retrospective study was conducted on surgically treated hip fracture patients in a large tertiary hospital from Jan 2013 through Dec 2015. Age, gender, time to surgery, ASA-PS score, D-CCI, and CARES score were obtained. Univariate and multivariable logistic regression analyses were used to assess statistical significance of scores and risk factors, and area under the receiver operating characteristic (ROC) curve (AUC) was used to compare ASA-PS, D-CCI, and CARES as predictors of mortality at 2 years. Results: 763 surgically treated hip fracture patients were included in this study. The 2-year mortality rate was 13.1% (n = 100), and the mean ± SD CARES score of surviving and demised patients was 21.2 ± 5.98 and 25.9 ± 5.59, respectively. Using AUC, CARES was shown to be a better predictor of 2-year mortality than ASA-PS, but we found no statistical difference between CARES and D-CCI. A CARES score of 23, attributable primarily to pre-surgical morbidities and poor health of the patient, was identified as the statistical threshold for “high” risk of 2-year mortality. Conclusion: The CARES score is a viable risk predictor for 2-year mortality following hip fracture surgery and is comparable to the D-CCI in predictive capability. Our results support the use of a simpler yet clinically relevant CARES in prognosticating mortality following hip fracture surgery, particularly when information on the pre-existing comorbidities of the patient is not immediately available.

scholarly journals One-Year Readmission Risk and Mortality after Hip Fracture Surgery: A National Population-Based Study in Taiwan

2017 ◽  
Vol 8 (4) ◽  
pp. 402 ◽  
Author(s):  
Tien-Ching Lee ◽  
Pei-Shan Ho ◽  
Hui-Tzu Lin ◽  
Mei-Ling Ho ◽  
Hsuan-Ti Huang ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Population Based ◽  
Population Based Study ◽  
National Population ◽  
Hip Fracture Surgery ◽  
One Year ◽  
Fracture Surgery ◽  
Readmission Risk

scholarly journals One-year results of the pilot multicentre randomised trial of preoperative focused cardiac ultrasound in hip fracture surgery

2019 ◽  
Vol 47 (2) ◽  
pp. 207-208 ◽  
Author(s):  
David J Canty ◽  
Johan Heiberg ◽  
Yang Yang ◽  
Alistair G Royse ◽  
Swaroop Margale ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Randomised Trial ◽  
Cardiac Ultrasound ◽  
Focused Cardiac Ultrasound ◽  
Hip Fracture Surgery ◽  
One Year ◽  
Fracture Surgery

scholarly journals DELIRIUM MOTOR SUBTYPES AND ONE-YEAR MORTALITY AFTER HIP FRACTURE SURGERY

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1317-1318
Author(s):  
L. Carnevali ◽  
P. Mazzola ◽  
M. Corsi ◽  
G. Bellelli ◽  
G. Annoni
Keyword(s):  
Hip Fracture ◽  
Hip Fracture Surgery ◽  
One Year ◽  
Fracture Surgery

scholarly journals Geriatric scores as single-handed tools in the risk of 30-day mortality after hip fracture

2020 ◽  
Author(s):  
Carmen da Casa ◽  
Carmen Pablos-Hernández ◽  
Alfonso González-Ramírez ◽  
Juan F Blanco
Keyword(s):  
Hip Fracture ◽  
Mortality Rate ◽  
Barthel Index ◽  
Inflection Point ◽  
Binary Logistic Regression ◽  
High Energy ◽  
Red Cross ◽  
Hip Fracture Surgery ◽  
Katz Index ◽  
Fracture Surgery

Abstract Background The 30-day mortality rate after hip fracture surgery has been considered as an indirect indicator of the quality of care. This work aims to validate the Barthel Index, Katz Index, Lawton-Brody Index, and Physical Red Cross Scale analyzed in the Comprehensive Geriatric Assessment at admission as predictors of 30-day mortality after hip fracture surgery. Methods Prospective study including 899 hip fracture patients over 65. Bed-ridden, non- surgically treated patients, and high energy trauma or tumoral etiology fractures were excluded. Variables distribution were assessed by χ2, and we performed binary logistic regression for risk assessment. P < 0.05 was considered statistically significant. Results We noted a 30-day mortality rate of 5.9%. We related Barthel Index (OR = 0.986 [0.975–0.996], p = 0.010), Katz Index (OR per point = 1.254 [1.089–1.444], p = 0.002), Lawton-Brody Index (OR = 0.885 [0.788–0.992], p = 0.037), and Physical Red Cross Scale (OR = 1.483 [1.094–2.011], p = 0.011) with the 30-day mortality of patients after hip fracture surgery. We also validate the Barthel Index inflection point (0–55) (ORBI(0−55) = 2.428 [1.379–4.275], p = 0.002) and Katz Index inflection point (A-B) (ORKI(A−B) = 0.493 [0.273–0.891], p = 0.019) for the assessment of the highest risked patients. Conclusions The geriatric scores would be useful multifunctional tools in the assessment of hip fracture patients as singly predictors of 30-day mortality.

scholarly journals Factors influencing early and long-term survival following hip fracture among nonagenarians

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Laurence Weinberg ◽  
Bobby Ou Yang ◽  
Luka Cosic ◽  
Sarah Klink ◽  
Peter Le ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Postoperative Complications ◽  
Mortality Rate ◽  
Cox Proportional Hazards ◽  
Hazard Ratio ◽  
Adjusted Hazard Ratio ◽  
Term Survival ◽  
Hip Fracture Surgery ◽  
The Relationship ◽  
Fracture Surgery

Abstract Background The outcomes of nonagenarian patients undergoing orthopaedic surgery are not well understood. We investigated the 30-day mortality after surgical treatment of unilateral hip fracture. The relationship between postoperative complications and mortality was evaluated. Methods We performed a single-centre retrospective cohort study of nonagenarian patients undergoing hip fracture surgery over a 6-year period. Postoperative complications were graded according to the Clavien–Dindo classification. Correlation analyses were performed to evaluate the relationship between mortality and pre-specified mortality risk predictors. Survival analyses were assessed using Cox proportional hazards regression modelling. Results The study included 537 patients. The 30-day mortality rate was 7.4%. The mortality rate over a median follow-up period of 30 months was 18.2%. Postoperative complications were observed in 459 (85.5%) patients. Both the number and severity of complications were related to mortality (p < 0.001). Compared to patients who survived, deceased patients were more frail (p = 0.034), were at higher ASA risk (p = 0.010) and were more likely to have preoperative congestive heart failure (p < 0.001). The adjusted hazard ratio for mortality according to the number of complications was 1.3 (95% CI 1.1, 1.5; p = 0.003). Up to 21 days from admission, any increase in complication severity was associated significantly greater mortality [adjusted hazard ratio: 3.0 (95% CI 2.4, 3.6; p < 0.001)]. Conclusion In a nonagenarian cohort of patients undergoing hip fracture surgery, 30-day mortality was 7.4%, but 30-month mortality rates approached one in five patients. Postoperative complications were independently associated with a higher mortality, particularly when occurring early.

Sign in / Sign up

Export Citation Format

Share Document