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How does the multidimensional frailty score compare with grip strength for predicting outcomes after hip fracture surgery in older patients? A retrospective cohort study
DC Field | Value | Language |
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dc.contributor.author | Choi, Jung-Yeon | - |
dc.contributor.author | Kim, Jin-Kak | - |
dc.contributor.author | Kim, Kwang-il | - |
dc.contributor.author | Lee, Young-Kyun | - |
dc.contributor.author | Koo, Kyung-Hoi | - |
dc.contributor.author | Kim, Cheol-Ho | - |
dc.date.accessioned | 2021-06-29T04:32:34Z | - |
dc.date.available | 2021-06-29T13:34:39Z | - |
dc.date.issued | 2021-04-07 | - |
dc.identifier.citation | BMC Geriatrics. 2021 Apr 07;21(1):234 | ko_KR |
dc.identifier.issn | 1471-2318 | - |
dc.identifier.uri | https://hdl.handle.net/10371/174636 | - |
dc.description.abstract | Background
Frailty and low handgrip strength (HGS) are associated with adverse outcomes after hip fracture (HF) surgery. We aimed to compare the predictive role of frailty and HGS for adverse outcome in HF patients. Methods We included older patients (age≥65 years) who underwent HF surgery to compare the predictive role of HGS and hip-multidimensional frailty score (Hip-MFS) for postoperative complications and mortality. The Hip-MFS was calculated based on comprehensive geriatric assessment (CGA), and HGS was measured with a hand dynamometer. The primary outcome was a composite of postoperative complications (e.g., pneumonia, urinary tract infection, delirium, acute pulmonary thromboembolism, and unplanned intensive care unit admission). The secondary outcomes were 6-month mortality and mortality at the end of follow-up. Results The median observation time was 620.5 days (interquartile range: 367.0–784.8 days). Among the 242 patients (mean age: 81.5±6.7 years, 73.1% women), 106 (43.8%) experienced postoperative complications. The 6-month mortality and mortality at the end of follow-up were 7.4% (n = 18) and 20.7% (n = 50), respectively. The Hip-MFS (odds ratio [OR], 1.250; 95% confidence interval [CI], 1.092–1.432) and HGS (OR, 1.147; 95% CI, 1.082–1.215) could predict postoperative complications. The Hip-MFS could predict both 6-month mortality (hazard ratio [HR], 1.403; 95% CI, 1.027–1.917) and mortality at the end of follow-up (HR, 1.493; 95% CI, 1.249–1.769) after adjustment, while HGS was only associated with mortality at the end of follow-up (HR, 1.080; 95% CI, 1.024–1.139). For mortality at the end of follow-up, predictive models with the Hip-MFS were superior to those with HGS in the time-dependent receiver-operating curve analysis after adjustment (p = 0.017). Furthermore, the addition of Hip-MFS or HGS to the American Society of Anesthesiologists (ASA) classification improved its prognostic ability. Conclusions Both the Hip-MFS and HGS could predict postoperative complications and improve prognostic utility when combined with the ASA classification. The Hip-MFS was a stronger predictor of mortality than HGS after HF surgery. HGS could be a useful pre-screening tool to identify patients at a high risk of postoperative complications and those who may benefit from further CGA. | ko_KR |
dc.description.sponsorship | This research was supported by the grants from the Seoul National University Bundang Hospital (SNUBH) Research Fund [grant number 14–2017-023]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | Frailty | - |
dc.subject | Grip strength | - |
dc.subject | Hip fracture | - |
dc.subject | Multidimensional frailty score | - |
dc.subject | Postoperative complication | - |
dc.title | How does the multidimensional frailty score compare with grip strength for predicting outcomes after hip fracture surgery in older patients? A retrospective cohort study | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 최정연 | - |
dc.contributor.AlternativeAuthor | 김진각 | - |
dc.contributor.AlternativeAuthor | 김광일 | - |
dc.contributor.AlternativeAuthor | 이영균 | - |
dc.contributor.AlternativeAuthor | 구경회 | - |
dc.contributor.AlternativeAuthor | 김철호 | - |
dc.identifier.doi | 10.1186/s12877-021-02150-9 | - |
dc.citation.journaltitle | BMC Geriatrics | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s) | - |
dc.date.updated | 2021-04-12T08:06:51Z | - |
dc.citation.number | 1 | ko_KR |
dc.citation.startpage | 234 | ko_KR |
dc.citation.volume | 21 | ko_KR |
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