Related Experiment Video
Updated: May 9, 2026
Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
Metaanalysis of risk factors for mortality in patients with hip fracture
Debbie Norring-Agerskov1, Anne Sofie Laulund, Jes Bruun Lauritzen
1Department of Ortopaedic Surgery, Bispebjerg Hospital. debbieagerskov@outlook.com
Introduction:
The aim of this meta-analysis is to assess the association of three different clinical score systems with the mortality in hip fracture patients.
Methods:
A literature search was conducted on November 13, 2011 using PubMed and Embase. The search yielded 315 publications which were reviewed on the basis of the inclusion criteria.
Results:
Thirteen studies were included for further processing. The following clinical score systems were found to be of prognostic value for mortality in hip fracture patients: a high American Society of Anesthesiologists (ASA) score of three or above (odds ratio (OR): 3.07; 95% confidence interval (CI): 2.78-3.38; p < 0.00001, 15,625 study participants included), a Charlson Comorbidity Index (CCI) score of one or more (OR: 2.05; 95% CI: 1.79-2.34; p < 0.00001, 13,570 study participants included) and dementia (assessed with Mini Mental State Examination or obtained from journal extraction) (OR: 2.73; 95% CI: 1.64-4.57; p = 0.0001; 1,782 study participants included).
Conclusion:
The present meta-analysis showed that the ASA score, the CCI score and assessment of preexisting dementia are useful in predicting the mortality of hip fracture patients.
