title: Goldman score, but not Detsky or Lee indices, predicts mortality 6 months after hip fracture.
abstract: Over the past years, several cardiac risk indices were evaluated and modified, including Goldman, Detsky, and Lee scores. The predictive capacity of these scores in hip fracture patients is lacking. Thus, our objective was to compare the Goldman, Detsky, and Lee scores as predictors of mortality in 6 months after hip fracture.
  
  
  
  We prospectively evaluated 80 consecutive patients with hip fractures, over the age of 65 admitted to an orthopedic ward at Botucatu Medical School. Patient demographic information, Goldman, Detsky and Lee scores were recorded. All patients were followed for 6 months after hip fracture, and mortality was recorded. Multiple logistic regression analyses were performed for mortality prediction.
  
  
  
  The mortality rate was 23% after a 6-month follow-up period. Patients who died had advanced age and the majority of them were male. They also had lower values of handgrip strength, and higher values of creatinine and urea. In the multiple logistic regression models when adjusted by age, gender, handgrip strength and creatinine, Goldman's score (OR:3.025; 95%CI:1.022-8.953; p:0.046), but not Detsky (OR:2.328; 95%CI:0.422-12.835; p:0.332) and Lee (OR:1.262; 95%CI:0.649-2.454; p:0.494), was associated with mortality 6 months after hip fracture. Each 1 category increase in Goldman score increased the mortality to more than 3-fold.
  
  
  
  In conclusion, our data suggest that Goldman score, but not Detsky or Lee indices, predicts mortality associated with hip fracture at up to 6 months post-injury.
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil. paulasa@fmb.unesp.br.
authors.forename: Paula Schmidt
authors.initials: PS
authors.lastname: Azevedo
authors.affiliation: Surgery and Orthopedic Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil.
authors.forename: David Nicoletti
authors.initials: DN
authors.lastname: Gumieiro
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Bertha Furlan
authors.initials: BF
authors.lastname: Polegato
authors.affiliation: Surgery and Orthopedic Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil.
authors.forename: Gilberto José Cação
authors.initials: GJ
authors.lastname: Pereira
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Igor Almonfrey
authors.initials: IA
authors.lastname: Silva
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Stephan Milhorini
authors.initials: SM
authors.lastname: Pio
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Cacionor Pereira Cunha
authors.initials: CP
authors.lastname: Junior
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Edson Luiz Favero
authors.initials: EL
authors.lastname: Junior
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Sergio Alberto Rupp
authors.initials: SA
authors.lastname: de Paiva
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Marcos Ferreira
authors.initials: MF
authors.lastname: Minicucci
authors.affiliation: Internal Medicine Department, Botucatu Medical School, UNESP - Univ Estadual Paulista, Rubião Júnior s/n, ZipCode: 18618-970, Botucatu, SP, Brazil.
authors.forename: Leonardo Antonio Mamede
authors.initials: LA
authors.lastname: Zornoff
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006305:Health Status Indicators; D006620:Hip Fractures / Q000401:mortality*; D006801:Humans; D008297:Male; D011446:Prospective Studies
keywords: Cardiovascular score; Hip fracture; Mortality; Perioperative assessment