Fracture Risk Assessment in Long-term Care (FRAiL): Development and Validation of a Prediction Model.

ABSTRACT:

Background

Strategies used to predict fracture in community-dwellers may not be useful in the nursing home (NH). Our objective was to develop and validate a model (Fracture Risk Assessment in Long-term Care [FRAiL]) to predict the 2-year risk of hip fracture in NH residents using readily available clinical characteristics.

Methods

The derivation cohort consisted of 419,668 residents between May 1, 2007 and April 30, 2008 in fee-for service Medicare. Hip fractures were identified using Part A diagnostic codes. Resident characteristics were obtained using the Minimum Data Set and Part D claims. Multivariable competing risk regression was used to model 2-year risk of hip fracture. We validated the model in a remaining 1/3 sample (n = 209,834) and in a separate cohort in 2011 (n

SUBMITTER: Berry SD 

PROVIDER: S-EPMC5946931 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature