Vol. 23 No. 1 (2024)
Original Articles

Validation of the Nottingham Hip Fracture Score as a predictor of 30-day mortality after hip surgery: Nottingham Hip Fracture Score as a predictor of mortality

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  • Marcelo Bezerra Mathias,
  • Isabela de Miranda Rosa,
  • Pedro José Labronici,
  • Vinicius S. Gameiro,
  • Eduardo Branco de Sousa,
  • Rodrigo Sattamini Pires e Albuquerque
Marcelo Bezerra Mathias
Universidade Federal Fluminense
Isabela de Miranda Rosa
Universidade Federal Fluminense
Pedro José Labronici
Universidade Federal Fluminense
Eduardo Branco de Sousa
Universidade Federal Fluminense
Rodrigo Sattamini Pires e Albuquerque
Universidade Federal Fluminense
DOI: https://doi.org/10.12957/bjhbs.2024.85386

Published 2024-08-21

Keywords

  • hip fractures, risk scoring tools, mortality, older adults.

How to Cite

1.
Bezerra Mathias M, de Miranda Rosa I, Labronici PJ, S. Gameiro V, Branco de Sousa E, Pires e Albuquerque RS. Validation of the Nottingham Hip Fracture Score as a predictor of 30-day mortality after hip surgery: Nottingham Hip Fracture Score as a predictor of mortality . BJHBS [Internet]. 2024 Aug. 21 [cited 2024 Sep. 16];23(1). Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/157

Copyright (c) 2024 Brazilian Journal of Health and Biomedical Sciences

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Abstract

Purpose: To assess whether the Nottingham Hip Fracture Score (NHFS) can predict mortality in the first 30 days after surgery. Material and methods: Upon admission, 216 patients were assessed for age, sex, mobility status, bedridden, assisted or unassisted walking, living accommodations (residence or institutionalized), fracture type (intra- or extracapsular), comorbidities (cardiovascular, stroke, respiratory, renal, diabetes), malignant disease, and cognition (Mini-Mental Status Examination). We applied the NHFS, which evaluates seven factors, with scores ranging from 0 to 10, as a predictor of 30-day mortality after hip surgery. Results: Survivor scores had greater variability (CV = 0.28) than non-survivors (CV = 0.20). The receiver operating characteristic curve identified a score of 5.5 as the optimal cutoff point. At this point, the test’s sensitivity and specificity indicates the simultaneous maximum likelihood of 30-day survival or non-survival. Conclusion: NHFS is a robust predictor of 30-day mortality after hip surgery and, an updated equation, it has been validated for the patients in this sample, increasing its clinical credibility.

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