Validation of the Geriatrics at Risk Score (GeRi-Score) on 120-day follow-up, the influence of preoperative geriatric visits, and the time to surgery on the outcome of hip fracture patients: an analysis from the Registry for Geriatric Trauma (ATR-DGU)
Authors' conclusion
The GeRi-Score has predictive value for 120-day mortality. No advantage was found for surgery within 24 h. The analysis did not demonstrate a benefit of the preoperative geriatric visit, but more data are needed.
Study context
- Population
- Patients with proximal femur fractures, AltersTraumaRegister DGU®, 2017–2021
- Participants
- 38,570 patients
- Exposure
- GeRi-Score moderate- and high-risk vs low-risk
- Low-riskn = 12,673reference
- Moderate-riskn = 18,338
- High-riskn = 7,559
- Outcome
- Mortality
- Follow-up
- 120 days
Methodological detailsmatched analysis (exact GeRi-Score, preoperative walking ability, fracture type, time to surgery)
- Matched analysis (exact GeRi-Score, preoperative walking ability, fracture type, time to surgery)
Main finding
As reported in the abstract
Each group vs low-riskOdds ratio (95% CI)P value
Moderate-risk
3.19(2.68–3.79)
P < 0.001High-risk
7.82(6.51–9.93)
P < 0.001Observational data: associations, not effects.
Further findings
Surgery within 24 h
- No advantage was found for surgery within the first 24 h across all groups
Preoperative geriatric visit and in-house mortality
- Preoperative geriatric visit correlated with increased in-house mortality in the moderate- and high-risk groups
Original publication
Validation of the Geriatrics at Risk Score (GeRi-Score) on 120-day follow-up, the influence of preoperative geriatric visits, and the time to surgery on the outcome of hip fracture patients: an analysis from the Registry for Geriatric Trauma (ATR-DGU). Osteoporos Int. Published 4 July 2024. doi:10.
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