Comparison of the Charlson Comorbidity Index with the ASA score for predicting 12-month mortality in acute hip fracture

Injury
Lucian H QuachJack J Bell

Abstract

The ASA (American Society of Anaesthesiologists) Score is the current standard for measuring comorbidity in the Australian Hip Fracture registry, however it has never been validated for this purpose. Subsequently, a more appropriate and useful measure should be investigated. This study aimed to compare the ASA and Charlson Comorbidity Index (CCI) scores in predicting 12-month mortality following acute hip fracture. A retrospective analysis was performed on an audit database of patients who were admitted to an orthogeriatric unit in a public metropolitan hospital from November 2010 to October 2011. 12-month mortality data was linked through a dual search of Queensland Health and mortality registry data. The Charlson comorbidity index was retrospectively applied. Demographics (age, gender, admission residence) and covariates including ASA, CCI, fracture type, fixation type, cognitive impairment on admission, BMI and time to surgery were analysed with logistic regression. ROC curve analysis was performed to assess varying thresholds for each comorbidity system. A total of 320 patients were available for audit. Unadjusted bivariate analysis demonstrated significant difference between groups regarding increased age (p = 0.004), ASA ...Continue Reading

References

Mar 5, 2005·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Hong X JiangD William C Johnston
Apr 1, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Lisa L KirklandPrathibha Varkey
Sep 5, 2012·ANZ Journal of Surgery·Brahman Shankar SivakumarMichael Carl Ottley
Nov 28, 2012·Clinical Orthopaedics and Related Research·Valentin NeuhausDavid C Ring
Apr 15, 2014·British Journal of Anaesthesia·A SankarD N Wijeysundera
Feb 24, 2015·Archives of Physical Medicine and Rehabilitation·Patrocinio Ariza-VegaJose Juan Jiménez-Moleón
May 6, 2015·International Journal of Surgery·Nicholas J HackettJohn Y S Kim
Jan 11, 2016·ANZ Journal of Surgery·Jack J BellSarah L Whitehouse
Feb 6, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A Padrón-MonederoR Fernández-Cuenca
Jul 3, 2018·Anesthesia, Essays and Researches·Bindu K VasuMathew George
Sep 7, 2018·Hong Kong Journal of Occupational Therapy : HKJOT·Apple Qiao-Ling WangRaymond Ping-Hong Chin

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Citations

Oct 1, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jack J BellSarah L Whitehouse
Jun 27, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Andreas WiedlEdgar Mayr
May 18, 2021·Injury·Adrián Roche-AlberoCarlos Martín-Hernández

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