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Research ArticleOriginal Article
Open Access

Risk factor analysis for in-hospital death of geriatric hip fracture patients

Ping Zhang, Xinping Li, Yuan Yuan, Xiaoyu Li, Xiaoyan Liu, Bin Fan, Minghui Yang and Xinbao Wu
Saudi Medical Journal February 2022, 43 (2) 197-201; DOI: https://doi.org/10.15537/smj.2022.43.2.20210717
Ping Zhang
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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Xinping Li
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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Yuan Yuan
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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Xiaoyu Li
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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Xiaoyan Liu
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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Bin Fan
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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Minghui Yang
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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Xinbao Wu
From the Department of Geriatrics (Zhang, Li, Yuan, Li, Liu, Fan), and from Department of Orthopaedics and Traumatology (Yang, Wu), Beijing Jishuitan Hospital, Beijing, China.
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  • For correspondence: [email protected]
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    Figure 1

    - The receiver operating characteristic curve by E-PASS and NHFS scoring system to assess the risk of death in elderly patients with hip fractures. E-PASS: estimation of physiologic ability and surgical stress, solid line; NHFS: Nottingham fracture score

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    Table 1

    - General information of death group and survival group in elderly hip fractures patients.

    VariablesDeathSurvivalP-value
    BMI (kg/m2)21.56±5.9322.35±3.270.650
    Days form fracture to surgery5.89±4.704.55±2.980.261
    Hours of surgery77.22±20.7887.75±23.670.217
    Surgery bleeding (ml)238.89±121.91219.80±122.520.668
    T-value of femoral neck-2.30±3.37-2.68±0.930.745
    CCI2.39±1.611.37±1.140.048
    Mortality predicted by E-PASS(%)5.26±2.823.28±3.770.082
    Mortality predicted by NHFS(%)9.30±4.025.68±1.860.007
    • T-value: comparison of bone mass density reference values between patients and young people of the same gender and race. P-value: T-test of death group and survival group. BMI: body mass index, CCI: Charlson comorbidity index score, E-PASS: estimation of physiologic ability and surgical stress; NHFS: Nottingham fracture score

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    Table 2

    - Binary logistic regression analysis of perioperative death factors for elderly hip fractures.

    VariablesPartial regression coefficientStandard error of partial regression coefficientWald valueP-valueOR (95%CI)
    CCI1.0040.4744.4980.0342.732(1.079,6.897)
    Days form fracture to surgery0.3080.1444.5530.0331.361(1.026,1.805)
    • CCI: Charlson comorbidity index score; OR: odds ratio; CI: confidence interval

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Saudi Medical Journal: 43 (2)
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Risk factor analysis for in-hospital death of geriatric hip fracture patients
Ping Zhang, Xinping Li, Yuan Yuan, Xiaoyu Li, Xiaoyan Liu, Bin Fan, Minghui Yang, Xinbao Wu
Saudi Medical Journal Feb 2022, 43 (2) 197-201; DOI: 10.15537/smj.2022.43.2.20210717

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Risk factor analysis for in-hospital death of geriatric hip fracture patients
Ping Zhang, Xinping Li, Yuan Yuan, Xiaoyu Li, Xiaoyan Liu, Bin Fan, Minghui Yang, Xinbao Wu
Saudi Medical Journal Feb 2022, 43 (2) 197-201; DOI: 10.15537/smj.2022.43.2.20210717
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Keywords

  • hip fractures
  • in-hospital death
  • risk factor
  • risk assessment tools

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