The Sernbo score as a predictor of 1-year mortality after hip fracture: a registry study on 55,716 patients

Purpose Patients sustaining a hip fracture have a high mortality rate during the first postoperative year and the Sernbo score may stratify patients into a high, intermediate and low risk of death during this period. We assessed its predictive properties on patients from the National Swedish Hip Fra...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2021-12, Vol.47 (6), p.2043-2048
Main Authors: Mellner, Carl, Hedström, Margareta, Hommel, Ami, Sköldenberg, Olof, Eisler, Thomas, Mukka, Sebastian
Format: Article
Language:English
Subjects:
Clinical outcomes
Critical Care Medicine
Elderly
Emergency Medicine
Female
Femoral neck fracture
Fractures
Health risks
Hip fracture
Hip Fractures - surgery
Hip joint
Humans
Intensive
Male
Medical prognosis
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Mortality
Older people
Original
Original Article
Orthopaedics
Orthopedics
ortopedi
Postoperative Period
Registries
Risk Factors
ROC Curve
Score
Sports Medicine
Surgery
Surgical Orthopedics
Surgical outcomes
Traumatic Surgery
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Summary:Purpose Patients sustaining a hip fracture have a high mortality rate during the first postoperative year and the Sernbo score may stratify patients into a high, intermediate and low risk of death during this period. We assessed its predictive properties on patients from the National Swedish Hip Fracture Register. Patients and methods 55,716 hip fracture patients, 69% women older than 65 years at surgery (registered between 2010 and 2015) with complete Sernbo scores and mortality data were studied. Receiver-operating characteristics analyses (ROC) were used. Validation of Sernbo score was performed. Results The overall 1-year mortality rate was 26%—and 17%, 27.4% and 55.6% in the low, intermediate and high-risk groups, respectively. The ROC analysis indicated a predictive ability of the Sernbo score, with an AUC of 0.69 (CI 0.68–0.69). Conclusion In this registry-based study, the easy-to-use Sernbo scoring system proved to be appropriate and useful way to identify hip fracture patients with a high-risk mortality during the first postoperative year.
ISSN:1863-9933
1863-9941
1863-9941
DOI:10.1007/s00068-020-01375-4