Introduction: Hip fracture is a critical clinical event due to its high morbidity and mortality and the complexity of care required. Early identification of patients at increased risk of death is essential to optimize resources and guide timely therapeutic decision-making. The Nottingham Hip Fracture Score (NHFS) has demonstrated usefulness as a predictive tool in various populations. Objective: To evaluate the predictive ability of the Nottingham Hip Fracture Score to estimate 30-day mortality in adults aged 65 years or older with hip fracture. Methods: We conducted a descriptive, observational, and longitudinal study at HGZ No. 83 in Morelia and HGR No. 1 in Charo, Michoacán. Patients aged ≥65 years with a confirmed diagnosis of hip fracture were included. The NHFS score was calculated for each participant. Discriminative performance was assessed using a receiver operating characteristic (ROC) curve. Results: A total of 169 patients were included. A cutoff point of ≥4 was identified as the threshold for high risk, with an AUC of 0.83. Overall 30-day mortality was 14.2%. The NHFS remained an independent predictor of 30-day mortality (adjusted OR 1.58; 95% CI 1.12–2.22; p = 0.009), as did frailty (adjusted OR 2.45; 95% CI 1.06–5.67; p = 0.036) and in-hospital delirium (adjusted OR 2.04; 95% CI 0.98–4.26; p = 0.057). Conclusions: The Nottingham Hip Fracture Score demonstrated good ability to predict short-term mortality in older adults with hip fracture (AUC 0.83). A cutoff score of ≥4 effectively identifies patients at higher risk.
Antecedentes. Debido al envejecimiento poblacional se ha incrementado el desarrollo de algunas patologías, como la osteoporosis, la cual aumenta el riesgo de fracturas. Una de las fracturas considerables, es la de cadera, esto se debe al elevado riesgo de morbimortalidad que genera. Existen escalas de riesgo, que nos permiten estadificar, a los individuos con mayor posibilidad de complicaciones, y ayudan a optimizar recursos. La escala de Nottingham es la escala de riesgos en fractura de cadera más utilizada a nivel mundial. Objetivo. Aplicar la escala Nottingham en pacientes de 65 años o más, hospitalizados con diagnóstico de fractura de cadera en las unidades HGZ No. 83, Morelia, y HGR No.1, Charo, Michoacán. Material y métodos. Estudio observacional, longitudinal y descriptivo. Los datos se obtuvieron con una entrevista estructurada. Se analizo la información con la paquetería SPSS de IBM versión 22.0. Resultados. Se estableció como punto de corte de alto riesgo ?4 puntos con un AUC 0.78. El 14.2% fallecieron a los 30 días tras egreso hospitalario. Conclusiones. La Escala de Nottingham demostró ser efectiva y útil para anticipar el riesgo de muerte a corto plazo en personas mayores con fractura de cadera.
