Predictor | Outcome | Frequency of studies reporting association | Studies |
---|---|---|---|
Socio-economic Factors | |||
Age | Greater mortality with increasing age | 20/20 | [48,49,50,51,52,53,54, 56, 59, 63, 65,66,67,68,69,70, 76, 79, 81, 93] |
Gender | Males have higher mortality | 15/15 | |
Institutional care homes residence | Greater mortality in institutional care homes | 4/4 | |
Medical Factors | |||
Co-morbidities | • Greater mortality with multiple co-morbidities | 14/15 | |
• Greater mortality with less co-morbidities | 1/15 | [93] | |
American Society of Anesthesiologists (ASA) | • Greater mortality with higher ASA score • ASA does not predict mortality | 8/9 1/9 | [49, 52, 62, 63, 68, 70, 72, 88] [71] |
Cognitive impairment | Greater mortality with cognitive impairment | 9/9 | |
Pre-fracture functional status | Greater mortality with poor pre-fracture functional status | 7/7 | |
Functional level at discharge | Greater mortality with poor functional status at discharge | 3/3 | |
Cardiac diseases | Greater mortality with cardiac diseases | 4/4 | |
Frailty | Greater mortality with frailty | 2/2 | |
Cancer | Greater mortality with cancer | 2/2 | |
Renal failure | Greater mortality with renal failure | 2/2 | |
Cerebrovascular accident | Greater mortality with cerebrovascular accident | 2/2 | |
Delirium | Greater mortality with delirium | 1/1 | [93] |
Diabetes mellitus | Greater mortality with diabetes mellitus | 1/1 | [67] |
Malnutrition | Greater mortality with malnutrition | 1/1 | [49] |
Hemoglobin levels | Greater mortality with lower hemoglobin level | 1/1 | [95] |
Surgical Factors | |||
Delay in operation | • Greater mortality with delay in surgery • No difference in mortality based on time of day the surgery or delay in surgery | 5/8 2/8 | |
• Greater mortality with delay in surgery among patients with a Charlson comorbidity index (CCI) of 0 or 1 but improved survival for those with a CCI > = 3. | 1/8 | [82] | |
Non-operative management | Greater mortality with non-operative management | 2/2 | |
Fracture type | Greater mortality with extra-capsular fractures | 3/3 | |
Perioperative fracture | Greater mortality with perioperative fractures | 1/1 | [81] |
Local Factors | |||
Lower case-volume centers | Greater mortality with lower case-volume centers | 2/2 | |
Poor nurse staffing | Greater mortality with poor nurse staffing | 1/1 | [73] |
Inappropriate prescription | Greater mortality with inappropriate medication prescribing | 1/1 | [56] |