Welcome to visit Zhongnan Medical Journal Press Series journal website!

Home Articles Vol 39,2026 No.8 Detail

Research progress in nursing risk assessment tools for hip fracture in the elderly

Published on Sep. 02, 2026Total Views: 1136 times Total Downloads: 372 times Download Mobile

Author: LIU Yiru 1 JIANG Zhaoyang 1 WEI Kun 1 BAI Xue 1 ZHOU Tao 1 LI Kai 1

Affiliation: 1.Trauma Center, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China

Keywords: The elderly Hip fracture Nursing Risk assessment Review

DOI: 10.12173/j.issn.1004-4337.202512035

  • Abstract
  • Full-text
  • References
Abstract

Hip fracture in older adults is often termed the last fracture in life, imposing a significant healthcare burden on patients and society due to its high disability and mortality rate. Risk assessment tools play a crucial role in managing hip fractures among the elderly, encompassing fracture occurrence, complication prevention, functional rehabilitation, and prevention of secondary fractures. Selecting appropriate risk assessment tools is paramount for enhancing the quality of care for elderly hip fracture patients. This article reviews risk assessment tools for nursing care of elderly hip fracture patients, focusing on aspects such as physiological function, mobility, and the risk of complication development. The aim is to provide strong support for clinical nursing practice and promote the advancement of hip fracture care for the elderly towards a more refined and scientific direction.

Full-text
Please download the PDF version to read the full text: download
References

1. LeungMTY, MarquinaC, TurnerJP, et al. Hip fracture incidence and post-fracture mortality in Victoria, Australia:a state-wide cohort study[J]. Arch Osteoporos, 2023, 18(1): 56. DOI: 10.1007/s11657-023-01254-6.

2. HawleyS, InmanD, GregsonCL, et al. Predictors of returning home after hip fracture: a prospective cohort study using the UK national hip fracture database (NHFD)[J]. Age Ageing, 2022, 51(8): afac 131. DOI: 10.1093/aging/afac131.

3. 田楚伟, 谢添, 石柳, 等. 中国老年髋部骨折报告2025[J]. 重庆医科大学学报, 2026, 51(1): 1-12. [TianCW, XieT, ShiL, et al. China Geriatric Hip Fracture Report, 2025[J]. Journal of Chongqing Medical University, 2026, 51(1):1-12.DOI: 10.13406/j.cnki.cyxb.003975.

4. DanazumiMS, LightbodyN, DermodyG. Effectiveness of fracture liaison service in reducing the risk of secondary fragility fractures in adults aged 50 and older: a systematic review and meta-analysis[J]. Osteoporos Int, 2024, 35(7): 1133-1151. DOI: 10.1007/s00198-024-07052-1.

5. McCarthyCJ, KellyMA, KennyPJ. Assessment of previous fracture and anti-osteoporotic medication prescription in hip fracture patients[J]. Ir J Med Sci, 2022, 191(1): 247-252. DOI: 10.1007/s11845-021-02571-w.

6. LaysonJT, HameedD, DubinJA, et al. Patients with osteoporosis are at higher risk for periprosthetic femoral fractures and aseptic loosening following total hip arthroplasty[J]. Orthop Clin North Am, 2024, 55(3): 311-321. DOI: 10.1016/j.ocl.2024.02.001.

7. Pareja SierraT, Hünicken TorrezFL, Pablos HernándezMC, et al. A prospective, observational study of the effect of a high-calorie, high-protein oral nutritional supplement with HMB in an old and malnourished or at-risk-of-malnutrition population with hip fractures: a fracnut study[J]. Nutrients, 2024, 16(8): 1223. DOI: 10.3390/nu16081223.

8. ZhuX, DongX,WangL, et al. Screening efficacy of PhA and MNA-SF in different stages of sarcopenia in the older adults in community[J]. BMC Geriatr, 2023, 23(1): 13. DOI: 10.1186/s12877-022-03716-x.

9. HelminenH, LuukkaalaT, SaarnioJ, et al. Predictive value of the mini-nutritional assessment short form (MNA-SF) and nutritional risk screening (NRS2002) in hip fracture[J]. Eur J Clin Nutr, 2019, 73(1): 112-120. DOI: 10.1038/s41430-018-0267-y.

10. MaloneA, MogensenKM. Key approaches to diagnosing malnutrition in adults[J].Nutr Clin Pract, 2022, 37(1): 23-34. DOI: 10.1002/ncp.10810.

11. Sánchez-TorralvoFJ, Pérez-Del-RíoV, García-OlivaresM, et al. Global subjective assessment and mini nutritional assessment short form better predict mortality than GLIM malnutrition criteria in elderly patients with hip fracture[J]. Nutrients, 2023, 15(8): 1828. DOI: 10.3390/nu15081828.

12. AraiH, IkegawaN, NozoeM, et al. Association between skeletal muscle mass index and convalescent rehabilitation ward achievement index in older patients[J]. Prog Rehabil Med, 2022, 7: 20220003. DOI: 10.2490/prm.20220003.

13. CederholmT, JensenGL, CorreiaMITD, et al. GLIM criteria for the diagnosis of malnutrition-a consensus report from the global clinical nutrition community[J]. Clin Nutr, 2019, 38(1): 1-9. DOI: 10.1016/j.clnu.2018.08.002.

14. DyerSM, CrottyM, FairhallN, et al. A critical review of the long-term disability outcomes following hip fracture[J]. BMC Geriatr, 2016, 16(1): 158. DOI: 10.1186/s12877-016-0332-0.

15. MagazinerJ, FredmanL, HawkesW, et al. Changes in functional status attributable to hip fracture: a comparison of hip fracture patients to community-dwelling aged[J]. Am J Epidemiol, 2003, 157(11): 1023-1031. DOI: 10.1093/aje/kwg081.

16. ArcolinI, GodiM, GiardiniM, et al. Minimal clinically important difference of the functional independence measure in older adults with hip fracture[J]. Disabil Rehabil, 2024, 46(4): 812-819. DOI: 10.1080/09638288.2023.2175386.

17. PeirisCL, TaylorNF, WattsJJ, et al. Mapping the functional independence measure to a multi-attribute utility instrument for economic evaluations in rehabilitation: a secondary analysis of randomized controlled trial data[J]. Disabil Rehabil, 2020, 42(21): 3024-3032. DOI: 10.1080/09638288.2019.1582720.

18. D'AndreaA, Le PeilletD, FassierT, et al. Functional independence measure score is associated with mortality in critically ill elderly patients admitted to an intermediate care unit[J]. BMC Geriatr, 2020, 20(1): 334. DOI: 10.1186/s12877-020-01729-y.

19. SoukkioPK, SuikkanenSA, AartolahtiEM, et al. Effects of home-based physical exercise on days at home, health care utilization, and functional independence among patients with hip fractures: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2021, 102(9): 1692-1699. DOI: 10.1016/j.apmr.2021.04.004.

20. BarryE, GalvinR, KeoghC, et al. Is the timed up and go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis[J]. BMC Geriatr, 2014, 14: 1-14. DOI: 10.1186/1471-2318-14-14.

21. Ortega-BastidasP, GómezB, AquevequeP, et al. Instrumented timed up and go test (iTUG)-more than assessing time to predict falls: a systematic review[J]. Sensors (Basel), 2023, 23(7): 3426. DOI: 10.3390/s23073426.

22. GuttenbergM, ArgentoG, McInerneyD, et al. Does the timed-up-and-go test predict length of stay after total hip arthroplasty? A retrospective study[J]. HSS J, 2024, 20(2): 182-186. DOI: 10.1177/15563316231212919.

23. BaiF, LengM, ZhangY, et al. Effectiveness of intensive versus regular or no exercise in older adults after hip fracture surgery: a systematic review and meta-analysis[J]. Braz J Phys Ther, 2023, 27(1): 100482. DOI: 10.1016/j.bjpt.2023.100482.

24. WangT, GuoJ, LongY, et al. Risk factors for preoperative deep venous thrombosis in hip fracture patients: a meta-analysis[J]. J Orthop Traumatol, 2022, 23(1): 19. DOI: 10.1186/s10195-022-00639-6.

25. PanS, ZhouS, RuzeXY, et al. Preoperative prevalence and risk factors for calf muscular vein thrombosis in elderly patients with hip fracture[J]. Orthop Surg, 2023, 15(7): 1806-1813. DOI: 10.1111/os.13761.

26. CongY, WangB, FeiC, et al. Dynamic observation and risk factors analysis of deep vein thrombosis after hip fracture[J]. PLoS One, 2024,19(6): e0304629. DOI: 10.1371/journal.pone. 0304629.

27. HayssenH, Cires-DrouetR, EnglumB, et al. Systematic review of venous thromboembolism risk categories derived from Caprini score[J]. J Vasc Surg Venous Lymphat Disord, 2022, 10(6): 1401-1409. DOI: 10.1016/j.jvsv.2022.05.003.

28. AutarR. Calculating patients risk of deep vein thrombosis[J]. Br J Nurs, 1998, 7(1): 7-12. DOI: 10.12968/bjon.1998.7.1.5787.

29. SilveiraPC, IpIK, GoldhaberSZ, et al. Performance of wells score for deep vein thrombosis in the inpatient setting[J]. JAMA Intern Med, 2015, 175(7): 1112-1117. DOI: 10.1001/jamainternmed.2015.1687.

30. TrihanJE, AdamM, JidalS, et al. Performance of the wells score in predicting deep vein thrombosis in medical and surgical hospitalized patients with or without thromboprophylaxis: the R-WITT study[J]. Vasc Med, 2021, 26(3): 288-296. DOI: 10.1177/1358863X21994672.

31. PavonJM, SloaneRJ, PieperCF, et al. Automated versus manual data extraction of the Padua Prediction Score for venous thromboembolism risk in hospitalized older adults[J]. Appl Clin Inform, 2018, 9(3): 743-751. DOI: 10.1055/s-0038-1670678.

32. OrakF, SaadatM, Saki MalehiA, et al. Comparison of the Pauda and the Autar DVT risk assessment scales in prediction of venous thromboembolism in ICU patients[J]. Med J Islam Repub Iran, 2024, 38: 48. DOI: 10.47176/mjiri.38.48.

33. 黄玉凤, 方成成, 童玲, 等. 三种量表预测下肢骨折患者术后深静脉血栓形成的准确度分析[J]. 中国骨与关节杂志, 2024, 13(7): 555-560.HuangYF, FangCC, TongL, et al. Analysis of the accuracy of three scales in predicting postoperative deep vein thrombosis in patients with lower limb fractures[J]. Chinese Journal of Bone and Joint, 2024, 13(7): 555-560. DOI: 10.3969/j.issn.2095-252X.2024.07.014.

34. KottnerJ, CuddiganJ, CarvilleK, et al. Prevention and treatment of pressure ulcers/injuries: the protocol for the second update of the international Clinical Practice Guideline 2019[J]. J Tissue Viability, 2019, 28(2): 51-58. DOI: 10.1016/j.jtv.2019.01.001.

35. KwongE, PangS, WongT, et al. Predicting pressure ulcer risk with the modified Braden, Braden, and Norton scales in acute care hospitals in mainland China[J]. Appl Nurs Res, 2005, 18(2): 122-128. DOI: 10.1016/j.apnr.2005.01.001.

36. Preventing pressure ulcers with the Braden Scale[J]. Am J Nurs, 2024, 124(1): 38-40. DOI: 10.1097/01.NAJ.0001004932.50928.b3.

37. KaganskyN, StamblerI, MizrahiEH. Is there an association between Norton Scale and cognitive impairment in hip fractured elderly patients?[J]. Dement Geriatr Cogn Disord, 2021, 50(6): 535-540. DOI: 10.1159/000520852.

38. ShiHY, ChenHL. Optimized Norton Scale for pressure injury risk assessment: need for additional predictive validity analysis[J]. J Wound Ostomy Continence Nurs, 2021, 48(2): 174-175. DOI: 10.1097/WON.0000000000000743.

39. GurkanA, KirtilI, AydinYD, et al. Pressure injuries in surgical patients: a comparison of Norton, Braden and Waterlow risk assessment scales[J]. J Wound Care, 2022, 31(2): 170-177. DOI: 10.12968/jowc.2022.31.2.170.

40. WangJW, SmithP, SarkerSJ, et al. Can Waterlow score predict 30-day mortality and length of stay in acutely admitted medical patients (aged ≥65 years)? Evidence from a single centre prospective cohort study[J]. BMJ Open, 2019, 9(11): e032347. DOI: 10.1136/bmjopen-2019-032347.

41. DelawderJM, LeontieSL, MaduroRS, et al. Predictive validity of the Cubbin-Jackson and Braden skin risk tools in critical care patients: a multisite project[J]. Am J Crit Care, 2021, 30(2): 140-144. DOI: 10.4037/ajcc2021669.

42. ZhangY, ZhuangY, ShenJ, et al. Value of pressure injury assessment scales for patients in the intensive care unit: systematic review and diagnostic test accuracy meta-analysis[J].Intensive Crit Care Nurs, 2021, 64: 103009. DOI: 10.1016/j.iccn.2020.103009.

43. JingP, LiuH, CaiJ, et al. Postoperative anxiety and depression in elderly hip fracture patients: prevalence and their association with functional rehabilitation outcomes[J]. Psychiatry Clin Psychopharmacol, 2025, 36(1): 84-92. DOI: 10.5152/pcp.2025.251178.

44. Izadi-AvanjiFS, SafaA, Abedzadeh-KalahroudiM, et al. Fear of falling and its related factors in older adults following a fall in Kashan, Iran (2023-2024)[J]. BMC Geriatr, 2024, 24(1): 965. DOI: 10.1186/s12877-024-05560-7.

45. Scheffers-BarnhoornMN, Sharma-VirkM, van BalenR, et al. Coping strategies of older adults with a recent hip fracture within inpatient geriatric rehabilitation[J]. Aging Ment Health, 2022, 26(7): 1436-1443. DOI: 10.1080/13607863.2021.1891199.

46. ToussaintA, HüsingP, GumzA, et al. Sensitivity to change and minimal clinically important difference of the 7-item Generalized Anxiety Disorder Questionnaire (GAD-7)[J]. J Affect Disord, 2020, 265: 395-401. DOI: 10.1016/j.jad.2020.01.032.

47. KalemM, KocaoğluH, DumanB, et al. Prospective associations between fear of falling, anxiety, depression, and pain and functional outcomes following surgery for intertrochanteric hip fracture[J]. Geriatr Orthop Surg Rehabil, 2023, 14: 21514593231193234. DOI: 10.1177/21514593231193234.

48. YardleyL, BeyerN, HauerK, et al. Development and initial validation of the Falls Efficacy Scale-International (FES-I)[J]. Age Ageing, 2005, 34(6): 614-619. DOI: 10.1093/ageing/afi196.

49. UlusY, DurmusD, AkyolY, et al. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons[J]. Arch Gerontol Geriatr, 2012, 54(3): 429-433. DOI: 10.1016/j.archger.2011.06.010.

50. GusevaOV, ZhukovaNG. Strakh padeniya patsienta s bolezn'yu Parkinsona (Fear of falling in patients with Parkinson's disease)[J]. Zh Nevrol Psikhiatr Im S S Korsakova, 2025, 125(11): 57-61. DOI: 10.17116/jnevro202512511157.

51. 麻笑生, 刘巍, 王思丽, 等. 电子健康记录数据挖掘技术研究进展[J]. 世界科技研究与发展, 2024, 46(6): 831-849.MaXS, LiuW, WangSL, et al. Research progress of electronic health record mining technology[J]. World Sci-Tech R & D, 2024, 46(6): 831-849. DOI: 10.16507/j.issn.1006-6055.2024.01.001.

52. XueTM, PanW, TsumuraH, et al. Impact of dementia on long-term hip fracture surgery outcomes: an electronic health record analysis[J]. J Am Med Dir Assoc, 2023, 24(2): 235-241. DOI: 10.1016/j.jamda.2022.11.006.

53. Solis-NavarroL, GismeroA, Fernández-JanéC, et al. Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis[J]. Age Ageing, 2022, 51(11): afac243. DOI: 10.1093/ageing/afac243.

54. PolMC, Ter RietG, van HartingsveldtM, et al. Effectiveness of sensor monitoring in a rehabilitation programme for older patients after hip fracture: a three-arm stepped wedge randomised trial[J]. Age Ageing, 2019, 48(5): 650-657. DOI: 10.1093/ageing/afz074.

Popular papers
Last 6 months