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Combined fracture and mortality risk evaluation for stratifying treatment in hip fracture patients : A feasibility study

Sezgin, Erdem Aras LU ; Markevičiute, Vetra ; Širka, Aurimas ; Tarasevičius, Šarunas LU ; Raina, Deepak Bushan LU ; Isaksson, Hanna LU orcid ; Tägil, Magnus LU and Lidgren, Lars LU (2020) In Joint Diseases and Related Surgery 31(2). p.163-168
Abstract

Objectives: This study aims to test the feasibility of the Fracture and Mortality Risk Evaluation (FAME) Index. Patients and methods: Two academic centers in Lithuania and Turkey participated in this retrospective study conducted between November 2018 and July 2019. A total of 100 consecutive patients (22 males, 78 females; mean age 78.9 years; range, 45 to 100 years) with low energy proximal femur fractures admitted for surgery were included in the study. Fracture Risk Assessment tool (FRAX) and the Sernbo scores were calculated and patients were classified into one of the nine subcategories of the FAME Index. Results: Demographics and FAME Index classifications were similar between centers. Patients with high risk of fracture and low... (More)

Objectives: This study aims to test the feasibility of the Fracture and Mortality Risk Evaluation (FAME) Index. Patients and methods: Two academic centers in Lithuania and Turkey participated in this retrospective study conducted between November 2018 and July 2019. A total of 100 consecutive patients (22 males, 78 females; mean age 78.9 years; range, 45 to 100 years) with low energy proximal femur fractures admitted for surgery were included in the study. Fracture Risk Assessment tool (FRAX) and the Sernbo scores were calculated and patients were classified into one of the nine subcategories of the FAME Index. Results: Demographics and FAME Index classifications were similar between centers. Patients with high risk of fracture and low risk of mortality accounted for 18% of all patients, which is the FAME Index subcategory to theoretically benefit from cancellous bone augmentation during internal fixation of a fragility hip fracture the most. Conclusion: The FAME Index was successfully applied in clinical emergency setting utilizing a simple form, and demonstrated promising potential in stratification of hip fractures most suitable for screw and device augmentation. Larger studies with at least one-year of follow-up are warranted to verify the validity of FAME Index.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Hip fracture, Index, Osteoporosis, Risk factors, Stratification
in
Joint Diseases and Related Surgery
volume
31
issue
2
pages
6 pages
publisher
Turkish Joint Diseases Foundation
external identifiers
  • scopus:85089473769
ISSN
2687-4784
DOI
10.5606/EHC.2020.73458
language
English
LU publication?
yes
id
4b2ee398-b74a-46cc-a3f4-b428fe3153d8
date added to LUP
2020-08-28 11:22:00
date last changed
2023-09-24 09:09:55
@article{4b2ee398-b74a-46cc-a3f4-b428fe3153d8,
  abstract     = {{<p>Objectives: This study aims to test the feasibility of the Fracture and Mortality Risk Evaluation (FAME) Index. Patients and methods: Two academic centers in Lithuania and Turkey participated in this retrospective study conducted between November 2018 and July 2019. A total of 100 consecutive patients (22 males, 78 females; mean age 78.9 years; range, 45 to 100 years) with low energy proximal femur fractures admitted for surgery were included in the study. Fracture Risk Assessment tool (FRAX) and the Sernbo scores were calculated and patients were classified into one of the nine subcategories of the FAME Index. Results: Demographics and FAME Index classifications were similar between centers. Patients with high risk of fracture and low risk of mortality accounted for 18% of all patients, which is the FAME Index subcategory to theoretically benefit from cancellous bone augmentation during internal fixation of a fragility hip fracture the most. Conclusion: The FAME Index was successfully applied in clinical emergency setting utilizing a simple form, and demonstrated promising potential in stratification of hip fractures most suitable for screw and device augmentation. Larger studies with at least one-year of follow-up are warranted to verify the validity of FAME Index.</p>}},
  author       = {{Sezgin, Erdem Aras and Markevičiute, Vetra and Širka, Aurimas and Tarasevičius, Šarunas and Raina, Deepak Bushan and Isaksson, Hanna and Tägil, Magnus and Lidgren, Lars}},
  issn         = {{2687-4784}},
  keywords     = {{Hip fracture; Index; Osteoporosis; Risk factors; Stratification}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{163--168}},
  publisher    = {{Turkish Joint Diseases Foundation}},
  series       = {{Joint Diseases and Related Surgery}},
  title        = {{Combined fracture and mortality risk evaluation for stratifying treatment in hip fracture patients : A feasibility study}},
  url          = {{http://dx.doi.org/10.5606/EHC.2020.73458}},
  doi          = {{10.5606/EHC.2020.73458}},
  volume       = {{31}},
  year         = {{2020}},
}