The Geriatrics at Risk Score (GeRi-Score) for mortality prediction in geriatric patients with proximal femur fracture – a development and validation study from the Registry for Geriatric Trauma (ATR-DGU)

Osteoporos IntPublished Prognostic model development and validation study

Authors' conclusion

The GeRi-Score is an easy-to-use mortality-predicting tool with an acceptable discrimination and no significant lack of fit.

Study context

Population
Geriatric patients with proximal femur fracture from the Registry for Geriatric Trauma (ATR-DGU)
Participants
38,570 patients
Comparison
Development dataset vs Validation dataset
Outcome
In-house mortality
Methodological detailsregistry-based, development and validation datasets, logistic regression
  • Registry-based
  • Development and validation datasets
  • Logistic regression

Performance

As reported in the abstract

AUC of the final model
0.727 (95% CI 0.711 - 0.742)
Hosmer-Lemeshow test: no significant lack of fit
p = 0.07

Further findings

Predicted vs observed in-house mortality · value = GeRi-Score predicted mortality

Observed mortality

Risk stratification

GeRi-Score able to distinguish between mild, moderate and high risk groups

Original publication

The Geriatrics at Risk Score (GeRi-Score) for mortality prediction in geriatric patients with proximal femur fracture – a development and validation study from the Registry for Geriatric Trauma (ATR-DGU). Osteoporos Int. Published 9 March 2023. doi:10.1007/s00198-023-06719-5

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