Validation of the American College of Surgeons National Surgical Quality Improvement Programme surgical risk calculator in predicting geriatric outcomes in patients with neck of femur fractures

Abstract

Background: Hip fractures are associated with poor functional outcomes and increased mortality. The American College of Surgeons National Surgical Quality Improvement Programme (NSQIP) surgical risk calculator is an open access tool that estimates the probability of postoperative outcomes. Aims: To externally validate the calculator in predicting geriatric outcomes (delirium, functional decline, pressure injury), 30-day inpatient mortality and discharge destination in patients aged 65 and older undergoing surgical fixation of neck of femur fractures. Methods: A retrospective single-centre cohort study of patients admitted from July 2022 to June 2023 to a large, metropolitan health service in..