Nomogram of Wu et al for Predicting 1-Year Survival for an Older Adult with a Hip Fracture

Description

Wu et al reported a nomogram for predicting 1-year survival after surgical repair of a hip fracture in an older adult. This can help to identify a patient who may require more aggressive management. The authors are from Chia-Yi Christin Hospital in Taiwan.

Patient selection: adult >=50 years old with hip fracture

Parameters:

(1) age of the patient in years

(2) sex

(3) length of stay in days

(4) number of RBC transfusions

(5) hemoglobin in g/dL

(6) eGFR in mL per min per 1.73 square meters

(7) platelet count per microliter

Parameter	Finding	Points
age in years	< 85 years	0
	>= 85 years	50
sex	female	0
	male	65
length of stay	< 15 days	0
	>= 15 days	100
number of RBC transfusions	< 2	0
	>= 2	24.8
hemoglobin	>= 10 g/dL	0
	< 10 g/dL	30.8
eGFR	>= 60	0
	< 60	60.5
platelet count	>= 100,000 per µL	0
	< 100,000 per µL	61.3

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 392.4

value of X =

= 3.35 - (0.01439 * (score))

probability of 1 year survival =

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

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Nomogram of Wu et al for Predicting 1-Year Survival for an Older Adult with a Hip Fracture

Description

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