title: The Nottingham Hip Fracture Score as a predictor of early discharge following fractured neck of femur.
abstract: BACKGROUND
  hip fracture represents a huge medical, social and financial burden on patients, their carers and the health and social care systems. For survivors, return to their own home may be a key outcome. The Nottingham Hip Fracture Score (NHFS) is a validated score, based on admission characteristics, for predicting 30-day and 1-year mortality that may be of benefit in predicting return-to-home, directly from the acute orthopaedic ward.
  
  
  OBJECTIVE
  to assess the utility of the NHFS as a predictor of return-to-home in patients following hip fracture.
  
  
  METHODS
  the NHFS was calculated for all patients admitted from their own home and the correlation between the NHFS and eventual return-to-home was calculated, as well as the probability of discharge by within 7, 14 and 21 days.
  
  
  RESULTS
  a total of 6,123 patients were available for analysis. Of which, 3,699 (60%) were discharged from acute hospital to their own home. Increasing NHFS was negatively correlated with eventual return-to-home (r(2) = 0.949) and with the proportion of patients discharged back to their own home at 7, 14 and 21 postoperative days, respectively (r(2) = 0.84, 0.94, 0.96, respectively).
  
  
  CONCLUSIONS
  the NHFS is a reliable tool for predicting return-to-home. It may be useful for discharge planning, and for the design of future research trials.
authors.affiliation: Division of Anaesthesia & Intensive Care, University of Nottingham, Queen's Medical Centre Campus, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, Nottinghamshire, UK. iain.moppett@nottingham.ac.uk
authors.forename: Iain Keith
authors.initials: IK
authors.lastname: Moppett
authors.forename: Matthew Dominic
authors.initials: MD
authors.lastname: Wiles
authors.forename: Chris G
authors.initials: CG
authors.lastname: Moran
authors.forename: Opinder
authors.initials: O
authors.lastname: Sahota
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities; D004739:England; D005260:Female; D006305:Health Status Indicators; D006620:Hip Fractures / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D006699:Home Care Services / Q000706:statistics & numerical data; D006707:Homes for the Aged; D006801:Humans; D007902:Length of Stay; D008297:Male; D009735:Nursing Homes; D010351:Patient Discharge / Q000706:statistics & numerical data; D011237:Predictive Value of Tests; D012112:Residential Facilities / Q000706:statistics & numerical data; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome