The Charlson Comorbidity Index Score as a Predictor of 30-Day Mortality After Hip Fracture Surgery

被引：107

作者：

Kirkland, Lisa L. ^{[1
]}

Kashiwagi, Deanne T. ^{[1
]}

Burton, M. Caroline ^{[1
]}

Cha, Stephen ^{[1
]}

Varkey, Prathibha ^{[1
]}

机构：

[1] Mayo Clin, Rochester, MN USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2011年 / 26卷 / 06期

关键词：

postoperative; risk factors; mortality; Charlson; hyperglycemia; orthopedic; hip surgery; BODY-MASS INDEX; ELDERLY-PATIENTS; MYOCARDIAL-INFARCTION; RISK; HYPERGLYCEMIA; ADMISSION; OUTCOMES; COMPLICATIONS; METAANALYSIS; MORBIDITY;

D O I：

10.1177/1062860611402188

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This study is a retrospective chart review to determine the association of Charlson Comorbidity Index (CCI), age, body mass index (BMI), and admission glucose with the incidence of postoperative 30-day mortality in older patients undergoing hip fracture surgery from January 1, 2000, to June 30, 2002. A total of 40 (8%) of 485 eligible patients died within 30 days after hip fracture surgery. The factors associated with 30-day mortality were age > 90 years (odds ratio [OR] = 2.74; confidence interval [CI] = 1.27-5.95; P = .012), BMI < 18.5 (OR = 3.98; CI 1.48-10.65; P = .006), and CCI >= 6 (OR = 2.6; CI = 1.20-5.65; P = .015). There was no relationship between admission glucose concentration and 30-day mortality. Advanced age, low BMI, and high CCI can be identified prospectively and are independently associated with postoperative 30-day mortality in older, chronically ill patients.

引用

页码：461 / 467

页数：7

共 26 条

[1] Body Mass Index and Risk of Adverse Cardiac Events in Elderly Patients with Hip Fracture: A Population-Based Study [J].