Osteoporosis & bone health

The prediction of early mortality following hip fracture surgery in patients aged 90 years and older: the Almelo Hip Fracture Score 90 (AHFS90)

Osteoporos IntPublished Prognostic model development and validation study

Authors' conclusion

The AHFS90 accurately predicts early mortality after hip fracture surgery in patients ≥ 90 years of age. Predicted risks correspond to observed risks in most risk categories.

Study context

Population
Patients ≥ 90 years surgically treated for a hip fracture
Participants
922 patients
Outcome
Early mortality (death ≤ 30 days following hip fracture surgery)
Follow-up
≤ 30 days
Methodological detailsinternal and external validation, geographic cross validation, multiple imputation using chained equations, logistic regression
  • Internal and external validation
  • Geographic cross validation
  • Multiple imputation using chained equations
  • Logistic regression

Performance

As reported in the abstract

Died ≤ 30 days after surgery

102

11.1%

AUC for geographic cross validation

0.72

Maximal predicted early mortality

64.5%

Original publication

The prediction of early mortality following hip fracture surgery in patients aged 90 years and older: the Almelo Hip Fracture Score 90 (AHFS90). Osteoporos Int. Published 1 March 2023. doi:10.1007/s00198-023-06696-9

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