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Metaanalysis of risk factors for mortality in patients with hip fracture.
MedLine Citation:
PMID:  23905564     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: The aim of this meta-analysis is to assess the association of three different clinical score systems with the mortality in hip fracture patients.
METHODS: A literature search was conducted on November 13, 2011 using PubMed and Embase. The search yielded 315 publications which were reviewed on the basis of the inclusion criteria.
RESULTS: Thirteen studies were included for further processing. The following clinical score systems were found to be of prognostic value for mortality in hip fracture patients: a high American Society of Anesthesiologists (ASA) score of three or above (odds ratio (OR): 3.07; 95% confidence interval (CI): 2.78-3.38; p < 0.00001, 15,625 study participants included), a Charlson Comorbidity Index (CCI) score of one or more (OR: 2.05; 95% CI: 1.79-2.34; p < 0.00001, 13,570 study participants included) and dementia (assessed with Mini Mental State Examination or obtained from journal extraction) (OR: 2.73; 95% CI: 1.64-4.57; p = 0.0001; 1,782 study participants included).
CONCLUSION: The present meta-analysis showed that the ASA score, the CCI score and assessment of preexisting dementia are useful in predicting the mortality of hip fracture patients.
Authors:
Debbie Norring-Agerskov; Anne Sofie Laulund; Jes Bruun Lauritzen; Benn Rønnow Duus; Susanne van der Mark; Mathias Mosfeldt; Henrik Løvendahl Jørgensen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Danish medical journal     Volume:  60     ISSN:  2245-1919     ISO Abbreviation:  Dan Med J     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-08-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101576205     Medline TA:  Dan Med J     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  A4675     Citation Subset:  IM    
Affiliation:
Nordre Fasanvej 155B, 2000 Frederiksberg, Denmark. debbieagerskov@outlook.com.
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