BAR Could Predict Mortality After Hip Fracture
Preoperative lab ratio shows stronger association with short-term mortality risk vs other biomarkers.
By
Andrea Surnit
May 1, 2026
Clinical Scorecard: BAR Could Predict Death After Hip Fracture
At a Glance
Category Detail
Condition Hip Fracture Key Mechanisms Blood urea nitrogen-to-albumin ratio (BAR) reflects metabolic stress, renal perfusion, and nutritional status. Target Population Patients aged 65 years and older undergoing surgery for intertrochanteric femur fractures. Care Setting Single-center surgical setting.
Key Highlights
Higher preoperative BAR associated with increased 30-day mortality. 10.5% of patients died within 30 days post-surgery. BAR value of 9 or greater linked to 2.7 times the odds of mortality. BAR showed 79% sensitivity and 72% specificity for predicting mortality. Other biomarkers did not remain independently associated with mortality. Guideline-Based Recommendations
Diagnosis
Utilize BAR as a preoperative risk stratification tool. Management
Monitor BAR values in elderly patients with hip fractures. Monitoring & Follow-up
Assess metabolic stress and nutritional status through BAR. Risks
Consider potential confounding factors such as hydration status and frailty. Patient & Prescribing Data
Elderly patients (65+) with intertrochanteric hip fractures.
Preoperative BAR can guide clinical decision-making and risk assessment.
Clinical Best Practices
Incorporate BAR measurement in preoperative evaluations. Use BAR in conjunction with clinical judgment for patient management. References
