The role of tissue fibrosis on stiffness of the digit

P. Sorooshian, R. Wong, J. Wong
2016 International Journal of Surgery  
The Nottingham Hip Fracture Score (NHFS) is a pre-operative scoring system originally developed to assess the risk of mortality at 30 days after hip fracture. We performed an independent validation of the NHFS in a South Manchester population, aiming to define levels of high and low-risk within the NHFS. We assessed its ability to predict length of stay, 90-day mortality, and probability of return to pre-fracture residence (PFR). Observed and predicted 30-day mortality was compared for each
more » ... mpared for each level of the NHFS. In the 1037 hip fractures included in the study, the NHFS was found to reliably predict 30-day mortality and is responsive to change for up to 90 days after hip fracture. We divided our cohort into low (NHFS 0 to 3), medium (4 to 6) and high (7 to 9) risk groups. Low-risk patients were found to have a significantly shorter length of stay (15 days vs 28 days, p <0.001) and a higher probability of return to PFR (0.97 vs 0.89, p <0.001) than the medium risk group. We have validated this outcome score in our population in South Manchester and have proposed a model of risk stratification, which could be a useful tool for discharge planning. http://dx.
doi:10.1016/j.ijsu.2016.08.530 fatcat:2vayg76vdrh2povus7h4bvaada