Frailty and Nottingham Hip Fracture Score to Predict 90-Day Death Risk in Older Adults Having Hip Fracture Surgery

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 persons 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.

Frailty and Nottingham Hip Fracture Score for Predicting 90-Day Mortality After Hip Fracture Surgery