Key result
A higher Comorbidity Polypharmacy Score was independently associated with lower Barthel Index efficiency (β = -0.100) and a longer length of hospital stay in older patients with hip fractures.
Why the study?
Does the Comorbidity Polypharmacy Score predict clinical outcomes in older patients with hip fractures undergoing surgery?
Cohort (n=11,564)
Yes
Does the Comorbidity Polypharmacy Score predict clinical outcomes in older patients with hip fractures undergoing surgery?
Answers are grounded in this paper and cite their sources.
The Comorbidity Polypharmacy Score can serve as a useful predictor for functional recovery and hospital stay duration in older patients undergoing hip fracture surgery.
BACKGROUND: The Comorbidity Polypharmacy Score (CPS) is calculated by the number of drugs carried plus the number of comorbidities on admission and divided into three categories (minor, 0-7; moderate, 8-14; and severe, 15+). This study investigates whether CPS can predict the clinical outcomes in older patients with hip fractures undergoing surgery. METHODS: This retrospective longitudinal study used a multicenter hospital-based database containing the Diagnosis Procedure Combination. Consecutive patients with hip fractures (ICD-10 codes S720 and S721) who were aged ≥65 years between April 2014 and August 2020 were included. We evaluated the predictive association between the CPS and Barthel Index (BI) efficiency. The primary outcome was defined as the BI efficiency, and the secondary outcome was the length of hospital stay. CONCLUSIONS: An increased CPS score is associated with low BI efficiency and longer length of hospital stay in patients with hip fractures.
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Maki et al. (2023) conducted a cohort in Hip fracture undergoing surgery (n=11,564). Comorbidity Polypharmacy Score (CPS) vs. Lower CPS scores was evaluated on Barthel Index (BI) efficiency (β = -0.100, 95% CI -0.040, -0.029, p=<0.001). A higher Comorbidity Polypharmacy Score was independently associated with lower Barthel Index efficiency (β = -0.100) and a longer length of hospital stay in older patients with hip fractures.
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