Prognostic Value of CCI and HALP Score in Geriatric Femur Fractures: One-Year Emergency Department Experience

Objective: The objective of this study was to assess and contrast the predictive accuracy of the Charlson Comorbidity Index (CCI) and HALP (Hemoglobin-Albumin-Lymphocyte-Platelet) score in predicting short-term (30-day) and long-term (1-year) mortality in elderly individuals presenting to the emergency department with proximal femur fractures.Methods: This retrospective cohort study comprised 122 patients aged 65 years and older who had radiologically verified femoral neck or intertrochanteric fractures, who underwent surgical treatment between January 2023 and December 2023. Data regarding demographics, clinical features, and laboratory results were retrieved from electronic medical systems. The primary outcomes were short-term (30-day) and long-term (1-year) mortality. Statistical analyses were performed to assess associations between mortality and CCI, HALP, and other clinical variables.Results: The mortality rates of 30 day and 1-year were 9.8% and 29.5%. One-year mortality showed a strong correlation with increased age (p