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The ASA score predicts infections, cardiovascular complications, and hospital readmissions after hip fracture - A nationwide cohort study

Osteoporosis International Nov 05, 2021

Meyer AC, Eklund H, Hedström M, et al. - Researchers herein examined how the American Society of Anesthesiologists (ASA) physical status classification score at hip fracture surgery associates with severe postoperative complications in patients aged 60 and older.

  • Aging populations commonly experience hip fractures, which are associated with poor prognosis.

  • A total of 170,193 patients aged 60+ with first hip fracture between 1998 and 2017 were included by linking the Swedish National Inpatient Register with the Swedish National Registry for Hip Fractures (RIKSHÖFT).

  • Of these patients, 24% died and 39% were readmitted to hospital within 1 year.

  • Urinary tract infections, pneumonia, second hip fractures, and heart failure were the most common complications.

  • Findings revealed consistent association of higher ASA scores with higher risks of a wide range of complications including infections, cardiovascular complications, hospital readmissions, and death among both men and women.

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