The Geriatrics at Risk Score (GeRi-Score) for mortality prediction in geriatric patients with proximal femur fracture – a development and validation study from the Registry for Geriatric Trauma (ATR-DGU)
Authors' conclusion
The GeRi-Score is an easy-to-use mortality-predicting tool with an acceptable discrimination and no significant lack of fit.
Study context
- Population
- Geriatric patients with proximal femur fracture from the Registry for Geriatric Trauma (ATR-DGU)
- Participants
- 38,570 patients
- Comparison
- Development dataset vs Validation dataset
- Outcome
- In-house mortality
Methodological detailsregistry-based, development and validation datasets, logistic regression
- Registry-based
- Development and validation datasets
- Logistic regression
Performance
As reported in the abstract
- AUC of the final model
- 0.727 (95% CI 0.711 - 0.742)
- Hosmer-Lemeshow test: no significant lack of fit
- p = 0.07
Further findings
Predicted vs observed in-house mortality · value = GeRi-Score predicted mortality
Observed mortality
Risk stratification
- GeRi-Score able to distinguish between mild, moderate and high risk groups
Original publication
The Geriatrics at Risk Score (GeRi-Score) for mortality prediction in geriatric patients with proximal femur fracture – a development and validation study from the Registry for Geriatric Trauma (ATR-DGU). Osteoporos Int. Published 9 March 2023. doi:10. 1007/ s00198-023-06719-5
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