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Related Experiment Video

Updated: Feb 15, 2026

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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FACTORS AFFECTING MORTALITY IN PATIENTS WITH HIP FRACTURES AND SHAH HIP FRACTURE MORTALITY SCORE: A RISK

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Hip fracture patients face high mortality risks. Key factors like age, sex, and non-operative management significantly impact survival, enabling a new predictive score for 30-day and 365-day outcomes.

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Area of Science:

  • Geriatric Medicine
  • Orthopedic Surgery
  • Public Health

Background:

  • Hip fractures are a major cause of morbidity and mortality in the elderly.
  • Mortality rates within 30 days and one year are substantial (6.2% and 22% respectively).
  • Identifying predictive risk factors is crucial for patient management and outcomes.

Purpose of the Study:

  • To identify key risk factors associated with mortality in hip fracture patients.
  • To develop a predictive score for 30-day and 365-day mortality risk.
  • To improve risk stratification and patient care following hip fractures.

Main Methods:

  • Analysis of 689 hip fracture cases managed between 2016 and 2019.
  • Inclusion of variables such as age, sex, ASA grade, ambulatory status, and treatment method.
  • Application of univariate and multivariate regression analysis to identify significant predictors.
  • Development of a 7-point (5-factor) scoring system.

Main Results:

  • Overall mortality rates were 6.7% at 30 days and 25.3% at 365 days.
  • Significant risk factors for increased mortality included older age, male sex, ASA Class IV/V, non-operative management, and housebound/bedbound status.
  • These factors were associated with increased mortality at both 30 and 365 days.

Conclusions:

  • Age, sex, ambulation, ASA grade, and non-operative management are critical determinants of hip fracture mortality.
  • Patients receiving non-operative management and those with ASA grade 4/5 face the highest mortality risk.
  • A newly devised scoring system effectively predicts 30-day and 365-day mortality with a near-linear relationship to risk.