Back to Search
Start Over
Development and Internal Validation of a Prediction Model for In-Hospital Mortality in Geriatric Patients With a Hip Fracture.
- Source :
-
Journal of orthopaedic trauma [J Orthop Trauma] 2020 Dec 01; Vol. 34 (12), pp. 656-661. - Publication Year :
- 2020
-
Abstract
- Objective: To develop and validate a prediction model for in-hospital mortality in patients with hip fracture 85 years of age or older undergoing surgery.<br />Design: A multicenter prospective cohort study.<br />Setting: Six Dutch trauma centers, level 2 and 3.<br />Participants: Patients with hip fracture 85 years of age or older undergoing surgery.<br />Intervention: Hip fracture surgery.<br />Main Outcome Measurements: In-hospital mortality.<br />Results: The development cohort consisted of 1014 patients. In-hospital mortality was 4%. Age, male sex, American Society of Anesthesiologists classification, and hemoglobin levels at presentation were independent predictors of in-hospital mortality. The bootstrap adjusted performance showed good discrimination with a c-statistic of 0.77.<br />Conclusion: Age, male sex, higher American Society of Anesthesiologists classification, and lower hemoglobin levels at presentation are robust independent predictors of in-hospital mortality in patients with geriatric hip fracture and were incorporated in a simple prediction model with good accuracy and no lack of fit.<br />Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.<br />Competing Interests: The authors report no conflict of interest.<br /> (Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1531-2291
- Volume :
- 34
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedic trauma
- Publication Type :
- Academic Journal
- Accession number :
- 32502058
- Full Text :
- https://doi.org/10.1097/BOT.0000000000001851