New Scoring System Predicts 1 year survival in Hip Fracture Patients Save

A prospective study was conducted in Germany to establish predictors of 1 year survival after a hip fracture in elderly people.

The need for such study arose from the fact that patient outcomes remain disappointing within the first year after the fracture, regardless of advanced surgical care.

Patients over 60 years old with a history of fracture were enrolled in this prospective study. At enrollment, the type of fracture, American Society of Anesthesiologists (ASA) score, health-related quality of life scores (EQ-5D index) and Mini-Mental State Examination (MMSE) scores, along with standard demographic information was collected.

A total 391 hip fracture patients were enrolled and eligible. After correlation analysis was performed, independent predictors of 1-year survival were lower ASA score, higher pre-fracture EQ-5D index, higher MMSE score, and female gender. The final score, which ranged from 0 to 10 points, was developed by converting the β-coefficients of each variable from the multivariate analysis into a scoring system.

Although further validation studies are needed, this new quality of life score (based on 4 instruments) represents a useful tool for estimating 1-year survival in elderly patients with hip fractures.