Do current comorbidity indices accurately predict adverse events after operative fixation of hip fractures? A retrospective database review
Current Orthopaedic Practice Mar 04, 2020
Sivasundaram L, et al. - A retrospective database review was designed to evaluate whether current comorbidity indices accurately predict adverse events after operative fixation of hip fractures. Researchers carried out this review to distinguish individuals with a femoral neck fracture or intertrochanteric femoral fracture between 2002-2014. This study recruited a sum of 477,648 hip fractures. They designed multivariable logistic regression models, with either the Elixhauser Comorbidity Measure (ECM) or Charlson Comorbidity Index (CCI) to prognosticate inpatient mortality and adverse events. Utilizing the C-statistic, the predictive discrimination of each model was assessed. It is indicated that a combined model that includes basic demographic variables and the ECM exceeds either the CCI or ECM in isolation for prognosticating inpatient mortality and adverse events after hip fractures.
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