Mortality Risk Model of Lo et al for an Elderly Patient with a Hip Fracture

Description

Lo et al evaluate mortality rates in elderly patients who have a had a hip fracture. These can help to identify a patient who may benefit from more aggressive management. The authors are from Fooyin University and Kaohsiung Veterans General Hospital in Kaohsiung, Taiwan.

Patient selection: age > 60 years with hip fracture

Outcome: first year survival

Parameters:

(1) renal disease (renal failure in section 2.3 Covariates)

(2) age in years

(3) management (operative vs nonoperative)

(4) sex

(5) cardiovascular disease (hypertension, ischemic heart, cardiomyopathy, heart failure)

If the patient has renal disease, then the survival rate is 10%.

For patients without renal disease, the mortality rate is determined by the following table.

Age	Management	Sex	Cardiovascular Disease	Survival Rate
> 60 to 66	NA	NA	NA	67%
> 66 to 74	nonoperative	NA	NA	37%
> 66 to 74	operative	female	NA	60%
> 66 to 74	operative	male	NA	43%
> 74	nonoperative	NA	NA	23%
> 74	operative	male	NA	29%
> 74 to 81	operative	female	yes	53%
> 74 to 81	operative	female	no	45%
> 81	operative	female	NA	33%

where:

• Not sure why females 74 to 81 years with operative management had better survival with cardiovascular disease than without.

To read more or access our algorithms and calculators, please log in or register.

Mortality Risk Model of Lo et al for an Elderly Patient with a Hip Fracture

Description

Specialty