Development and validation of a preoperative scoring system to predict 30 day mortality in patients undergoing hip fracture surgery.
M J Maxwell, C G Moran, I K Moppett
https://pubmed.ncbi.nlm.nih.gov/18723517Actively Recruiting
Age: 60Years +
All Genders
ID07481188
Frailty and Nottingham Hip Fracture Score for Predicting 90-Day Mortality After Hip Fracture Surgery in Older Adults: A Prospective Observational Cohort Study
Led by Trakya University · Updated on 2026-03-31
200
Participants Needed
1
Research Sites
N/A
Total Duration
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AI-Summary
What this Trial Is About
Hip fractures are serious injuries mainly affecting older adults, often leading to health problems or death in the months after surgery. Doctors use the Nottingham Hip Fracture Score (NHFS) to estimate death risk after surgery, but this score does not fully capture a person's physical vulnerability. This study aims to find out if measuring frailty with the Clinical Frailty Scale (CFS), which looks at independence and physical function before the fracture, can better predict death after hip fracture surgery. The study will observe older adults aged 60 and above who have surgery for proximal femoral fractures. Frailty will be assessed using the CFS when participants are admitted to the hospital. Researchers will collect clinical data already recorded during routine care, including NHFS variables. No interventions will be given since this is an observational study, and participants will be followed to assess outcomes. Participants will be monitored for survival at 30 and 90 days after surgery by reviewing hospital records and possibly contacting them or their relatives. The study will also examine postoperative complications and length of hospital stay. The goal is to see if adding frailty assessment improves mortality prediction and helps doctors identify higher-risk patients to plan better care after surgery.
CONDITIONS
Brief Title
Frailty and Nottingham Hip Fracture Score for Predicting 90-Day Mortality After Hip Fracture Surgery
Who Can Participate
Age: 60Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Age 60 years or older
- Admission for acute proximal femoral fracture (femoral neck, intertrochanteric, or subtrochanteric fracture)
- Scheduled for surgical treatment of hip fracture
- Ability to obtain clinical data needed for Nottingham Hip Fracture Score and frailty assessment
You will not qualify if you...
- Pathological fractures
- Periprosthetic fractures
- Hip fractures caused by high-energy trauma or multiple injuries
- Non-operative treatment of hip fracture
- Second hip fracture occurring in the same patient during the study period
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Monitoring
Duration - Up to 90 days after surgery
Participants who undergo surgical treatment for proximal femoral fractures are observed. Frailty is assessed at hospital admission using the Clinical Frailty Scale, and clinical data are collected to calculate the Nottingham Hip Fracture Score. Mortality and postoperative complications are tracked.
Assessments at hospital admission and follow-up visits up to 90 days post-surgery
Trial Site Locations
Total: 1 location
1
Trakya University
Edirne, Turkey (Türkiye)
Actively Recruiting
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Research Team
E
Eşref SELÇUK Asst Prof, MD
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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Published Research Related To This Trial
Clinical Frailty Scale is a good predictor of mortality after proximal femur fracture: A cohort study of 30-day and one-year mortality.
Siddarth Narula, Adam Lawless, Peter D'Alessandro...
https://pubmed.ncbi.nlm.nih.gov/33215137The Clinical Frailty Scale is a valid and independent predictor of one-year survival in patients sustaining a hip fracture : scottish Hip Fracture Audit data from 8,092 patients.
Matthew J Kennedy, Rose S Penfold, Lorraine Donaldson...
https://pubmed.ncbi.nlm.nih.gov/41338245