A Comparative Evaluation of Nottingham Hip Fracture Score (NHFS) and Acute Physiology and Chronic Health Evaluation (APACHE) II Score to Predict 30-day Mortality in Geriatric Patients Above 60 Years Undergoing Hip Fracture Surgery.

Completed

• Conditions: Geriatric Hip Fracture
• Interventions: Other: Nottingham Hip Fracture Score (NHFS) score; Other: Acute Physiology and Chronic Health Evaluation (APACHE)-II score

• Registration Number: NCT06598566
• Lead Sponsor: Tata Main Hospital

Brief Summary

This study aims to compare the Nottingham Hip Fracture Score (NHFS) and the Acute Physiology and Chronic Health Evaluation II (APACHE II) score in predicting 30-day mortality in geriatric patients over 60 years old undergoing hip fracture surgery.

Detailed Description

The study aim to compare the Nottingham Hip Fracture Score (NHFS) and the Acute Physiology and Chronic Health Evaluation II (APACHE II) score in predicting 30-day mortality in geriatric patients over 60 years undergoing hip fracture surgery. This study was conducted at the Tata Main Hospital in Jamshedpur, India. The study was designed as a prospective observational study, with data collected from June 2022 to June 2023. The study's primary objective was to predict mortality in patients undergoing hip fracture surgery. The study also investigated secondary outcomes such as the need for postoperative ventilator and ionotropic support, the occurrence of acute kidney injury, cardiac morbidity, and the presence of pulmonary embolism and deep vein thrombosis, as well as length of stay.

Study Timeline

• Study Start: 2022-06-20
• Primary Completion: 2023-06-19
• Study Completion: 2023-06-19
• Status Verified: 2024-09
• Study First Submitted: 2024-09-15
• Study First Submitted QC: 2024-09-15
• Last Update Submitted: 2024-09-15
• Study First Posted: 2024-09-19
• Last Update Posted: 2024-09-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 182

Inclusion Criteria

Age more than or equal to 60 years, Underwent Hip fracture surgeries, of Either Sex

Exclusion Criteria

Age less than 60 years of age, Hip fractures not undergoing any invasive surgery, Implant removals planned for healed hip fractures, Re-explorations during the same admission in which primary surgery was conducted

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Geriatric patients above 60 years undergoing hip fracture surgery	Nottingham Hip Fracture Score (NHFS) score	Efficacy of NHFS and APACHE-II in predicting 30-day mortality in geriatric patients above 60 years undergoing hip fracture surgery.
Geriatric patients above 60 years undergoing hip fracture surgery	Acute Physiology and Chronic Health Evaluation (APACHE)-II score	Efficacy of NHFS and APACHE-II in predicting 30-day mortality in geriatric patients above 60 years undergoing hip fracture surgery.

Primary Outcome Measures

Name	Time	Method
Mortality	30 days	Mortality at least 30 days after surgery or death (during hospital stay or within 30 days after surgery.

Secondary Outcome Measures

Name	Time	Method
Length of Stay (LOS)	30 days	Length of Stay (LOS) in the hospital

Trial Locations

Locations (1)

Tata Main Hospital; 🇮🇳 Jamshedpur, Jharkhand, India