Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture

Carmen da Casa,1 Carmen Pablos-Hernández,1,2 Alfonso González-Ramírez,1,2 Juan F Blanco1,3 1Instituto de investigación biomédica de Salamanca (IBSAL), Salamanca, Spain; 2Othogeriatric Unit, Hospital Universitario de Salamanca, Salamanca, Spain;...

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Autores principales:	da Casa C, Pablos-Hernández C, González-Ramírez A, Blanco JF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	comprehensive geriatric assessment hip fracture mortality geriatric scores. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/df93c9d61f3045369802bd1d08b0b368
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spelling	oai:doaj.org-article:df93c9d61f3045369802bd1d08b0b3682021-12-02T14:52:06ZFunctional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture1178-1998https://doaj.org/article/df93c9d61f3045369802bd1d08b0b3682021-04-01T00:00:00Zhttps://www.dovepress.com/functional-status-geriatric-scores-single-handed-tools-for-30-day-mort-peer-reviewed-fulltext-article-CIAhttps://doaj.org/toc/1178-1998Carmen da Casa,1 Carmen Pablos-Hernández,1,2 Alfonso González-Ramírez,1,2 Juan F Blanco1,3 1Instituto de investigación biomédica de Salamanca (IBSAL), Salamanca, Spain; 2Othogeriatric Unit, Hospital Universitario de Salamanca, Salamanca, Spain; 3Trauma and Orthopedic Surgery Department, Hospital Universitario de Salamanca, Salamanca, SpainCorrespondence: Juan F BlancoTrauma and Orthopedic Surgery Department, Hospital Universitario de Salamanca, Paseo San Vicente, 58-182, Salamanca, 37007, SpainTel +34 923291100 ext. 55390Email jfblanco@usal.esBackground: 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 appraise the Barthel Index, Katz Index, Lawton-Brody Index, and Physical Red Cross Scale registered in the Comprehensive Geriatric Assessment at admission on the of 30-day death probability 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, U-Mann Whitney and we performed binary logistic regression and equal tailed Jeffreys 95% CI 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=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 validated 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.Conclusion: The geriatric functional status scores would be useful multifunctional and standalone tools in the assessment of hip fracture patients as singly predictors of 30-day mortality.Keywords: comprehensive geriatric assessment, hip fracture, mortality, geriatric scoresda Casa CPablos-Hernández CGonzález-Ramírez ABlanco JFDove Medical Pressarticlecomprehensive geriatric assessmenthip fracturemortalitygeriatric scores.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 721-729 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	comprehensive geriatric assessment hip fracture mortality geriatric scores. Geriatrics RC952-954.6
spellingShingle	comprehensive geriatric assessment hip fracture mortality geriatric scores. Geriatrics RC952-954.6 da Casa C Pablos-Hernández C González-Ramírez A Blanco JF Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture
description	Carmen da Casa,1 Carmen Pablos-Hernández,1,2 Alfonso González-Ramírez,1,2 Juan F Blanco1,3 1Instituto de investigación biomédica de Salamanca (IBSAL), Salamanca, Spain; 2Othogeriatric Unit, Hospital Universitario de Salamanca, Salamanca, Spain; 3Trauma and Orthopedic Surgery Department, Hospital Universitario de Salamanca, Salamanca, SpainCorrespondence: Juan F BlancoTrauma and Orthopedic Surgery Department, Hospital Universitario de Salamanca, Paseo San Vicente, 58-182, Salamanca, 37007, SpainTel +34 923291100 ext. 55390Email jfblanco@usal.esBackground: 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 appraise the Barthel Index, Katz Index, Lawton-Brody Index, and Physical Red Cross Scale registered in the Comprehensive Geriatric Assessment at admission on the of 30-day death probability 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, U-Mann Whitney and we performed binary logistic regression and equal tailed Jeffreys 95% CI 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=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 validated 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.Conclusion: The geriatric functional status scores would be useful multifunctional and standalone tools in the assessment of hip fracture patients as singly predictors of 30-day mortality.Keywords: comprehensive geriatric assessment, hip fracture, mortality, geriatric scores
format	article
author	da Casa C Pablos-Hernández C González-Ramírez A Blanco JF
author_facet	da Casa C Pablos-Hernández C González-Ramírez A Blanco JF
author_sort	da Casa C
title	Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture
title_short	Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture
title_full	Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture
title_fullStr	Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture
title_full_unstemmed	Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture
title_sort	functional status geriatric scores: single-handed tools for 30-day mortality risk after hip fracture
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/df93c9d61f3045369802bd1d08b0b368
work_keys_str_mv	AT dacasac functionalstatusgeriatricscoressinglehandedtoolsfor30daymortalityriskafterhipfracture AT pabloshernandezc functionalstatusgeriatricscoressinglehandedtoolsfor30daymortalityriskafterhipfracture AT gonzalezramireza functionalstatusgeriatricscoressinglehandedtoolsfor30daymortalityriskafterhipfracture AT blancojf functionalstatusgeriatricscoressinglehandedtoolsfor30daymortalityriskafterhipfracture
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Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture

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