Why the study?
Surgical repair of hip fracture carries substantial risks, and a tool to accurately estimate patient-specific risks of surgery could improve informed consent and shared decision-making for frail or high-risk patients.
Population
82,168 patients aged 18 years and older undergoing surgery for hip fracture in ACS-NSQIP
Design
Comparative risk prediction model development and validation study
Follow-up
30 days
Authors
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Supports use for shared decision-making but not access restriction after hip fracture repair; leaves open need for prospective impact studies.
A newly developed risk prediction model for 30-day mortality and complications after hip fracture surgery showed good to fair discrimination but high false discovery rates, making it useful for shared decision-making but not for restricting surgical access.
Harris et al. (2022) studied this question.
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