Development And Internal Validation Of A Prediction Model For In-Hospital Mortality In Geriatric Patients With A Hip Fracture
JOURNAL OF ORTHOPAEDIC TRAUMA(2020)
摘要
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.Design: A multicenter prospective cohort study.Setting: Six Dutch trauma centers, level 2 and 3.Participants: Patients with hip fracture 85 years of age or older undergoing surgery.Intervention: Hip fracture surgery.Main Outcome Measurements: In-hospital mortality.Results: The development cohort consisted of 1014 patients. Inhospital 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.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.
更多查看译文
关键词
hip fracture, geriatric, trauma surgery, geriatric traumatology, prediction model, mortality
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要