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Clinical prediction guide
The 4 item Fracture and Mortality Index predicted hip fracture and all cause mortality in elderly women

https://doi.org/10.1136/ebm.12.4.122

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    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.
    OpenUrlAbstract/FREE Full Text

    
 
 Q Can a 4 item risk model predict hip fracture and all cause mortality in elderly women?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Geriatrics ★★★★★★★

    METHODS

    Embedded ImageDesign:

    prospective cohort study to develop and validate two 4 item risk models based on 5 predefined clinical risk factors for hip fracture.

    Embedded ImageSetting:

    3 rural primary healthcare districts in Vislanda, Tingsryd, and Emmaboda, Sweden.

    Embedded ImageParticipants:

    1248 women >70 years of age (mean age 79 y) from the National Swedish Population Register. 10% women lived in residential care.

    Embedded ImageDescription 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 …

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    Footnotes

    • For correspondence: Dr D M Albertsson, FoU-centrum, Växjö, Sweden. daniel.albertsson{at}ltkronoberg.se

    • Sources of funding: R and D Centre, Kronoberg County Council.