Clinical prediction guide
The 4 item Fracture and Mortality Index predicted hip fracture and all cause mortality in elderly women
Albertsson DM, Mellstrom D, Petersson C, et al. Validation of a 4-item score predicting hip fracture and mortality risk among elderly women. Ann Fam Med 2007;5:48–56.
Q Can a 4 item risk model predict hip fracture and all cause mortality in elderly women?
Geriatrics
Key Words: geriatric assessment • hip fractures
| The first 150 words of the full text of this article appear below. |
Design:
prospective cohort study to develop and validate two 4 item risk models based on 5 predefined clinical risk factors for hip fracture.
Setting:
3 rural primary healthcare districts in Vislanda, Tingsryd, and Emmaboda, Sweden.
Participants:
1248 women >70 years of age (mean age 79 y) from the National Swedish Population Register. 10% women lived in residential care.
Description of prediction guide:
2 risk models were tested for prediction of hip fracture and mortality. The Fracture and Mortality (FRAMO) Index (range 0–4) was a summation of 4 predefined clinical risk factors (1 point for each): (1) age 
80 years, (2) weight < 60 kg, (3) previous fragility fracture (lower or upper arm, hip, or vertebrae after 40 y of age), and (4) the need to use arms to rise 5 times from sitting position. The second 4 item risk model included the first 3 risk factors from the FRAMO Index
Queen’s University,
Kingston, Ontario, Canada
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