March 3, 2026

Factors Affecting Mortality in Patients With Hip Fractures and Shah Hip Fracture Mortality Score: A Risk Quantification Tool.

Q: What does this research mean for the field?

Non-operative management and ASA grade 4/5 are associated with the highest 30- and 365-day mortality in hip fracture patients, and the newly devised Shah Hip Fracture Mortality Score can linearly predict this mortality risk. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Key Result

Non-operative management and ASA grade 4/5 are linked to highest 30- and 365-day mortality; Shah Hip Fracture Mortality Score predicts mortality risk linearly.

Key Points

Mortality rates increase significantly with non-operative management and ASA grade 4/5, highlighting serious risk factors.
The devised scoring system reveals a linear relationship between mortality risk and the score based on key factors involved.
Identified factors include age, sex, ambulation status, ASA grade, and type of management, all influencing mortality outcomes.
This findings may aid in predicting outcomes, but external validation is needed for practical application.

Structured PICO

Can a scoring system based on age, sex, ambulation, ASA grade, and management type predict 30-day and 365-day mortality in patients with hip fractures?

Population

Patients with hip fractures

Outcome

30-day and 365-day mortalityhard clinical

The newly devised Shah Hip Fracture Mortality Score can predict 30-day and 365-day mortality in patients with hip fractures.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

This study identified Age, Sex, ambulation, ASA grade and non-operative management as key factors influencing 30 and 365-day mortality. Patients with the non-operative management and ASA grade 4/5 had the worst mortality risk. We devised a scoring system to predicts the 30-day and 365-day mortality which shows an almost linear relationship between the score and mortality rates.

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