Frailty index correlated with increased mortality in patients with intertrochanteric femur fractures
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According to study results, the mortality frailty index correlated with 30-day morbidity and mortality in patients who were 50 years old or older with intertrochanteric femur fractures. Investigators found the strongest predictor of increased 30-day morbidity and mortality after surgical treatment of the intertrochanteric femur fractures was a modified frailty index of 0.27 or more.
Researchers retrospectively studied information on 229 consecutive patients 50 years old or older who presented to a level 1 trauma center for surgical treatment of an intertrochanteric femur fracture. A validated 11-point modified frailty index scale was used to determine frailty. Primary outcomes included 30-day morbidity and mortality.
Results showed 82 patients had a postoperative complication. There were 10 mortalities. Delirium and acute kidney injury were among the most common complications.
The mean modified frailty index was 0.24 for patients who developed a postoperative complication compared with 0.14 in patients who did not. There was an increase seen in the mortality rate from 0% for a modified frailty index of 0 to 11% for a modified frailty index of 0.27. Investigators noted patients with a modified frailty index of 0.27 or more compared with those with a modified frailty index of less than 0.27 were more than nine times as likely to have a mortality. – by Monica Jaramillo
Disclosures: Boissonneault reports no relevant financial disclosures. Please see the study for a list of all other authors’ relevant financial disclosures.
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