MDCalc

Nottingham Hip Fracture Score (NHFS)

Predicts 30-day mortality after hip fracture surgery.

Several versions of this tool have been published (notably the 2008 original model and subsequent 2012 and 2015 updates). This calculator uses the 2012 version, as it has been widely validated in external cohorts and is the version cited in the Association of Anaesthetists guidelines.

Age, years

Sex

Hemoglobin at admission, g/dL

See Evidence for more details.

Living in an institution

E.g., nursing home

Number of comorbidities

Malignancy

Result:

Please fill out required fields.
Advice
  • Results from this tool should not be the sole determinant of treatment.
  • Use results in conjunction with a thorough clinical evaluation, complementary surgical risk tools, and clinical expertise to support: 
    • Shared decision-making with the patient and family about the risks and benefits of operative versus non-operative management.
    • Timing of surgery.
    • Decisions about appropriate level of care before and after surgery.