Goldman score, but not Detsky or Lee indices, predicts mortality 6 months after hip fracture.

Autor: Azevedo PS; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil. paulasa@fmb.unesp.br., Gumieiro DN; Surgery and Orthopedic Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil., Polegato BF; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil., Pereira GJ; Surgery and Orthopedic Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil., Silva IA; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil., Pio SM; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil., Junior CP; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil., Junior EL; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil., de Paiva SA; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil., Minicucci MF; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil., Zornoff LA; Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
Jazyk: angličtina
Zdroj: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2017 Apr 04; Vol. 18 (1), pp. 134. Date of Electronic Publication: 2017 Apr 04.
DOI: 10.1186/s12891-017-1480-x
Abstrakt: Background: Over the past years, several cardiac risk indices were evaluated and modified, including Goldman, Detsky, and Lee scores. The predictive capacity of these scores in hip fracture patients is lacking. Thus, our objective was to compare the Goldman, Detsky, and Lee scores as predictors of mortality in 6 months after hip fracture.
Methods: We prospectively evaluated 80 consecutive patients with hip fractures, over the age of 65 admitted to an orthopedic ward at Botucatu Medical School. Patient demographic information, Goldman, Detsky and Lee scores were recorded. All patients were followed for 6 months after hip fracture, and mortality was recorded. Multiple logistic regression analyses were performed for mortality prediction.
Results: The mortality rate was 23% after a 6-month follow-up period. Patients who died had advanced age and the majority of them were male. They also had lower values of handgrip strength, and higher values of creatinine and urea. In the multiple logistic regression models when adjusted by age, gender, handgrip strength and creatinine, Goldman's score (OR:3.025; 95%CI:1.022-8.953; p:0.046), but not Detsky (OR:2.328; 95%CI:0.422-12.835; p:0.332) and Lee (OR:1.262; 95%CI:0.649-2.454; p:0.494), was associated with mortality 6 months after hip fracture. Each 1 category increase in Goldman score increased the mortality to more than 3-fold.
Conclusions: In conclusion, our data suggest that Goldman score, but not Detsky or Lee indices, predicts mortality associated with hip fracture at up to 6 months post-injury.
Databáze: MEDLINE
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