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Description

Nijmeijer et al reported the Almelo Hip Fracture Score 90 for evaluating a patient >= 90 years of age with a hip fracture. The authors are from the Dutch Hip Fracture Audit Taskforce Indicators Group.


Patient selection: hip fracture in adult >= 90 years of age

 

Outcome: early mortality (30-day)

 

Parameters:

(1) age in years

(2) gender

(3) dementia

(4) residence

(5) ASA performance

(6) hemoglobin in mmol/L on admission to hospital

 

Parameter

Finding

Beta-Coefficient

age in years

 

0.085 * (age)

gender

male

0

 

female

-0.906

dementia

no

0

 

yes

0.586

residence

nursing home

0.593

 

other

0

ASA performance

ASA 0 or 1

0

 

ASA 3

0.836

 

ASA 4

1.704

hemoglobin

 

-0.219 * (hemoglobin)

 

value of X =

= SUM(points for all of the parameters) - 8.872

 

risk of early mortality =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.72.


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