Performance of the Nottingham hip fracture score (NHFS) as a predictor of 30-day mortality after proximal femur fracture in an older people Brazilian cohort

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorDuke University School of Medicine-
Autor(es): dc.contributorUniversity of Manitoba-
Autor(es): dc.contributorQueen Mary University of London-
Autor(es): dc.contributorBarts Health NHS Trust-
Autor(es): dc.contributorNottingham University Hospitals NHS Trust-
Autor(es): dc.creatorFerro, Flávio Cruz-
Autor(es): dc.creatorCampos, Marcos Adriano Garcia-
Autor(es): dc.creatorPicolli, Thais Caroline Silva-
Autor(es): dc.creatorde Sá Mayoral, Vania-
Autor(es): dc.creatorSoares, Victoria Moralez-
Autor(es): dc.creatorFerreira, Jessica Caroline-
Autor(es): dc.creatorPeres, Lucas Dias Borges-
Autor(es): dc.creatorTibeau, Theodor Terra Mayer-
Autor(es): dc.creatorBernardi, Victor El Chihimi-
Autor(es): dc.creatorPereira, David Nascimento-
Autor(es): dc.creatorGumieiro, David Nicoletti-
Autor(es): dc.creatorCurcelli, Emilio Carlos-
Autor(es): dc.creatorNavarro e Lima, Lais Helena-
Autor(es): dc.creatordo Nascimento Junior, Paulo-
Autor(es): dc.creatorLazzarin, Taline-
Autor(es): dc.creatorBallarin, Raquel Simões-
Autor(es): dc.creatorOkoshi, Marina Politi-
Autor(es): dc.creatorMinicucci, Marcos Ferreira-
Autor(es): dc.creatorde Paiva, Sergio Alberto Rupp-
Autor(es): dc.creatorGordon, Adam Lee-
Autor(es): dc.creatorSahota, Opinder-
Autor(es): dc.creatorPereira, Filipe Welson Leal-
Autor(es): dc.creatorAzevedo, Paula Schmidt-
Data de aceite: dc.date.accessioned2025-08-21T17:24:55Z-
Data de disponibilização: dc.date.available2025-08-21T17:24:55Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2025-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1038/s41598-025-89869-2-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/297441-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/297441-
Descrição: dc.descriptionPerioperative risk assessment helps inform clinical practice for older people with hip fractures. This is a cohort study, where perioperative risk screening, including NHFS, was performed at admission, followed by an evaluation of 30-day outcomes. 503 patients were included, 73% female, 79.4 ± 9.3 years old; 58% presented extracapsular and 42% intracapsular fractures, with a 30-day mortality of 9%. The NHFS was higher in the patients who died at 5.6 ± 1.1 compared to survivals at 4.3 ± 1.5 (p-value < 0.001). NHFS > 4 was associated with 30-day mortality observed by Cox regression adjusted by fracture type: HR 4.55 (95% CI 2.10–9.82) (p-value < 0.001) and Kaplan-Meyer Curve (HR 3.94; 95% CI 2.19–7.07; p-value < 0.001). ROC curve showed the accuracy of NHFS in explaining 30-day mortality (AUC 0.74; 95% CI 0.67–0.81). Complications were higher among patients with NHFS > 4. The performance of NHFS was better than the traditional perioperative risk ASA score. Therefore, NHFS can be implemented in real-world clinical practice to estimate the 30-day mortality risk for hip fracture in older patients in Brazil. NHFS > 4 is critical for 30-day mortality and complications; this cutoff helps inform clinical practice. The present study might motivate other centers to consider NHFS in their perioperative risk assessment routine.-
Descrição: dc.descriptionInternal Medicine Department Medical School São Paulo State University (UNESP), Prof. Mário Rubens Guimarães Montenegro Avenue, SP-
Descrição: dc.descriptionGlobal Emergency Medicine Innovation and Implementation Research Center Department of Emergency Medicine Duke University School of Medicine-
Descrição: dc.descriptionHospital das Clínicas da Faculdade de Medicina de Botucatu Secretaria de Saúde do Estado de São Paulo-
Descrição: dc.descriptionSurgery and Orthopedics Department São Paulo State University (UNESP) Medical School-
Descrição: dc.descriptionDepartment of Anaesthesiology Perioperative and Pain Medicine University of Manitoba-
Descrição: dc.descriptionDepartment of Surgical Specialties and Anaesthesiology Medical School São Paulo State University (UNESP)-
Descrição: dc.descriptionWolfson Institute of Population Health Queen Mary University of London-
Descrição: dc.descriptionAcademic Centre for Healthy Ageing Whipps Cross Hospital Barts Health NHS Trust-
Descrição: dc.descriptionNottingham University Hospitals NHS Trust-
Descrição: dc.descriptionInternal Medicine Department Medical School São Paulo State University (UNESP), Prof. Mário Rubens Guimarães Montenegro Avenue, SP-
Descrição: dc.descriptionHospital das Clínicas da Faculdade de Medicina de Botucatu Secretaria de Saúde do Estado de São Paulo-
Descrição: dc.descriptionSurgery and Orthopedics Department São Paulo State University (UNESP) Medical School-
Descrição: dc.descriptionDepartment of Surgical Specialties and Anaesthesiology Medical School São Paulo State University (UNESP)-
Idioma: dc.languageen-
Relação: dc.relationScientific Reports-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectFemur fracture-
Palavras-chave: dc.subjectHip fracture-
Palavras-chave: dc.subjectMortality-
Palavras-chave: dc.subjectOlder people-
Palavras-chave: dc.subjectRisk-
Palavras-chave: dc.subjectSurgery-
Título: dc.titlePerformance of the Nottingham hip fracture score (NHFS) as a predictor of 30-day mortality after proximal femur fracture in an older people Brazilian cohort-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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