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Predictors of O’Daly et al for Survival After Hip Fracture in an Older Adult

Description

O’Daly et al identified predictors of survival following hip fracture in an older adult. This can help to identify a patient who may benefit from more aggressive management. The authors are from St. Vincent’s University Hospital and the National University of Ireland Maynooth in Ireland.


 

Patient selection: older adult with hip fracture

 

Outcome: survival

 

Parameters on hospital admission:

(1) age in years

(2) serum albumin in g/dL

(3) total (absolute) lymphocyte count per microliter

 

The older the patient the worse the survival. A worse survival tended to be seen in adults over 80 years of age.

 

Serum Albumin

Absolute Lymphocyte Count

Prognostic Group

>= 3.5 g/dL

>= 1,500 per µL

A

>= 3.5 g/dL

< 1,500 per µL

B

< 3.5 g/dL

>= 1,500 per µL

C

< 3.5 g/dL

< 1,500 per µL

D

 

where:

• Serum albumin and total (absolute) lymphocyte counts are measures of nutrition.

 

The best survival was seen in a relatively young adult with neither of the other 2 risk factors (12 months survival over 90%).

 

The worst surivvial was seen in an older adult with both of the other 2 risk factors (12 month survival around 60%)..

 


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