The charlson comorbidity index score as a predictor of 30-day mortality after hip fracture surgery

Lisa L. Kirkland, Deanne T. Kashiwagi, M. Caroline Burton, Stephen Cha, Prathibha Varkey

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

This study is a retrospective chart review to determine the association of Charlson Comorbidity Index (CCI), age, body mass index (BMI), and admission glucose with the incidence of postoperative 30-day mortality in older patients undergoing hip fracture surgery from January 1, 2000, to June 30, 2002. A total of 40 (8%) of 485 eligible patients died within 30 days after hip fracture surgery. The factors associated with 30-day mortality were age > 90 years (odds ratio [OR] = 2.74; confidence interval [CI] = 1.27-5.95; P =.012), BMI < 18.5 (OR = 3.98; CI 1.48-10.65; P =.006), and CCI ≥ 6 (OR = 2.6; CI = 1.20-5.65; P =.015). There was no relationship between admission glucose concentration and 30-day mortality. Advanced age, low BMI, and high CCI can be identified prospectively and are independently associated with postoperative 30-day mortality in older, chronically ill patients.

Original languageEnglish (US)
Pages (from-to)461-467
Number of pages7
JournalAmerican Journal of Medical Quality
Volume26
Issue number6
DOIs
StatePublished - Nov 1 2011

Fingerprint

Hip Fractures
Comorbidity
Body Mass Index
Mortality
Odds Ratio
Confidence Intervals
Glucose
Chronic Disease
Incidence

Keywords

  • Charlson
  • hip surgery
  • hyperglycemia
  • mortality
  • orthopedic
  • postoperative
  • risk factors

ASJC Scopus subject areas

  • Health Policy

Cite this

The charlson comorbidity index score as a predictor of 30-day mortality after hip fracture surgery. / Kirkland, Lisa L.; Kashiwagi, Deanne T.; Burton, M. Caroline; Cha, Stephen; Varkey, Prathibha.

In: American Journal of Medical Quality, Vol. 26, No. 6, 01.11.2011, p. 461-467.

Research output: Contribution to journalArticle

Kirkland, Lisa L. ; Kashiwagi, Deanne T. ; Burton, M. Caroline ; Cha, Stephen ; Varkey, Prathibha. / The charlson comorbidity index score as a predictor of 30-day mortality after hip fracture surgery. In: American Journal of Medical Quality. 2011 ; Vol. 26, No. 6. pp. 461-467.
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