About this trial
Hip fractures are serious injuries that occur mostly in older adults. Many people experience health problems or may die in the months after surgery. Doctors try to identify patients who have a higher risk of poor outcomes as early as possible.
Doctors often use the Nottingham Hip Fracture Score (NHFS) to estimate the risk of death after hip fracture surgery. This score uses information such as age and other health conditions. However, it does not fully reflect how physically vulnerable a person may be.
Another important concept is frailty. Frailty describes how strong or weak a person's overall health and physical reserve are. In this study, frailty will be measured using the Clinical Frailty Scale (CFS). This scale evaluates a person's level of independence and physical function before the fracture.
The purpose of this study is to determine whether measuring frailty can improve the prediction of death after hip fracture surgery.
Older adults with hip fractures who undergo surgery will be invited to participate in the study. Researchers plan to include about 200 participants or all eligible patients enrolled within one year, whichever occurs first. Health information that is already collected during routine hospital care will be recorded. Frailty will be assessed when participants are admitted to the hospital.
Participants will be followed for 30 days and 90 days after surgery to determine survival status. Researchers will review hospital records and may contact participants or their relatives by phone if needed.
The results of this study may help doctors better identify patients at higher risk and improve care planning after hip fracture surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 60 years or older
Admission for acute proximal femoral fracture (femoral neck, intertrochanteric, or subtrochanteric fracture)
Surgical treatment for hip fracture
Ability to obtain clinical data required for NHFS and frailty assessment
Disqualifiers
Pathological fractures
Periprosthetic fractures
Hip fractures resulting from high-energy trauma or polytrauma
Non-operative treatment
Trial population
Older adults admitted with proximal femoral fractures who undergo surgical treatment at Trakya University Hospital.
Trial design
Cohort
Prospective
Treatments tested in this trial
No Intervention: Observational Cohort
Other interventionno intervention
Treatment groups
Trial outcomes
Primary outcomes
90 Day All Cause Mortality
All cause mortality occurring within 90 days after hip fracture surgery.
Secondary outcomes
30 Day All Cause Mortality
All cause mortality occurring within 30 days after hip fracture surgery.
Postoperative complications
Length of hospital stay
Sponsors and contacts
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