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Geriatric fracture

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https://www.readbyqxmd.com/read/29139194/advantages-of-care-for-patients-with-hip-fractures-in-the-acute-geriatric-unit-hip-study-anoia
#1
Enric Duaso, Francesc Formiga, Patrícia Marimón, Montserrat Sandiumenge, Maria Teresa Salgado, Victor Murga, Andrés Gamboa, Carlos Rodriguez, Jaume Castellà, Enrique Escalante, Célia Lumbreras, Anna Tarrida, Ramón Sellarès
AIM: Hip fracture as a result of bone fragility is characterized by poor health outcomes in the medium and long term. Our goal was to compare a new orthogeriatric model with the old trauma model and evaluate improvements in clinical management. METHODS: We carried out a comparative unicentric study, a historical sample (trauma model) collected from 1 June 2007 to 31 May 2010, versus a prospective sample (orthogeriatric model) collected from 1 June 2010 until 31 May 2013...
November 15, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29135667/nationwide-analysis-of-femoral-neck-fractures-in-elderly-patients-a-receding-tide
#2
Derek G Ju, Sean S Rajaee, James Mirocha, Carol A Lin, Charles N Moon
BACKGROUND: Geriatric femoral neck fractures are associated with substantial morbidity and medical cost. We evaluated the incidence and management trends of femoral neck fractures in recent years in the U.S. METHODS: Patient data from 2003 through 2013 were obtained from the Nationwide Inpatient Sample database. Femoral neck fractures in patients ≥65 years old were identified and grouped using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes for internal fixation, hemiarthroplasty, or total hip arthroplasty (THA)...
November 15, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29133497/comparative-associations-between-measures-of-anti-cholinergic-burden-and-adverse-clinical-outcomes
#3
Wen-Han Hsu, Yu-Wen Wen, Liang-Kung Chen, Fei-Yuan Hsiao
PURPOSE: No consensus has been reached regarding which anticholinergic scoring system works most effectively in clinical settings. The aim of this population-based cohort study was to examine the association between anticholinergic medication burden, as defined by different scales, and adverse clinical outcomes among older adults. METHODS: From Taiwan's Longitudinal Health Insurance Database, we retrieved data on monthly anticholinergic drug use measured by the Anticholinergic Risk Scale (ARS), the Anticholinergic Cognitive Burden Scale (ACB), and the Drug Burden Index - Anticholinergic component (DBI-Ach) for 116,043 people aged 65 years and older during a 10-year follow-up...
November 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/29106548/comprehensive-geriatric-assessment-for-identifying-older-people-at-risk-of-hip-fracture-cross-sectional-study-with-comparative-group
#4
Raquel Ramírez-Martín, María Victoria Castell Alcalá, Teresa Alarcón, Rocío Queipo, Peggy Paola Ríos Germán, Ángel Otero Puime, Juan Ignacio González-Montalvo
Background: Hip fracture (HF) is by far the most common serious fragility fracture. Its care is a major challenge to all healthcare systems. Aim: To determine whether there are characteristics of older people identified via comprehensive geriatric assessment (CGA) that help identify those with an increased risk of HF. Methods: The demographic, functional, cognitive and nutritional data of a cohort of patients admitted for acute HF were compared with those of a population cohort representing community-dwelling older people in the same urban district without HF...
July 4, 2017: Family Practice
https://www.readbyqxmd.com/read/29101922/osteosarcopenia-a-new-geriatric-syndrome
#5
Ebrahim Bani Hassan, Gustavo Duque
BACKGROUND: Longevity, the increase in the ageing population and a lifestyle of minimal physical activity come with a hefty price. Consequently, two diseases are increasingly becoming a concern for the welfare of patients and the health industry: osteoporosis and sarcopenia. These conditions are usually interrelated through several mechanisms and metabolic pathways, and comprise a syndrome called osteosarcopenia. OBJECTIVE: As patients with osteosarcopenia represent an important subset of frail individuals at higher risk of institutionalisation, falls and fractures, the aim of this review is to further familiarise general practitioners with osteosarcopenia as a new geriatric syndrome that requires early diagnosis and effective therapeutic interventions...
November 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29100833/isolated-orbital-fractures-are-severe-among-geriatric-patients
#6
Miika Toivari, Anna Liisa Suominen, Satu Apajalahti, Christian Lindqvist, Johanna Snäll, Hanna Thorén
PURPOSE: The purpose of the present study was to clarify the reasons for, types of, and degree of involvement of the orbital wall and the severity of orbital fractures in geriatric patients and to compare the differences between geriatric and younger adult patients. MATERIALS AND METHODS: A retrospective case-control study of geriatric patients aged at least 65 years (n = 72) and younger controls aged 20 to 50 years (n = 58) with a diagnosis of a unilateral isolated orbital fracture was designed and implemented...
October 9, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29094499/emergency-medicine-in-the-extreme-geriatric-era-a-retrospective-analysis-of-patients-aged-in-their-mid-90s-and-older-in-the-emergency-department
#7
Martin Müller, Meret E Ricklin, Stefan Weiler, Aristomenis K Exadaktylos, Spyridon Arampatzis
AIM: In the coming years, older individuals will comprise an increasing share of emergency department (ED) admissions, due to the unprecedented and continuing demographic changes. The primary aim of the present study was to identify causes and risk factors for ED admission and hospitalizations in the oldest old. METHODS: We analyzed data of consecutive patients aged in their mid 90s and older (aged ≥94 years) admitted to the ED department of the University Hospital of Bern, Bern, Switzerland, between 2000 and 2010...
November 2, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29084051/ten-year-incidence-of-high-energy-geriatric-trauma-at-a-level-1-trauma-center
#8
Jason A Lowe, Jeffrey Pearson, Michael Leslie, Russell Griffin
OBJECTIVES: To examine the characteristics of high-energy geriatric trauma over time. DESIGN: Retrospective chart review SETTING:: Level 1 trauma Center PATIENTS:: Demographic, injury, and clinical characteristics were compared between 34,017 geriatric and non-geriatric high energy trauma patients from 2005-2014 using t-test, chi-square analysis and negative binomial regression for annual trend in injuries. RESULTS: High-energy geriatric trauma comprised 11...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29081829/the-applications-of-finite-element-analysis-in-proximal-humeral-fractures
#9
REVIEW
Yongyu Ye, Wei You, Weimin Zhu, Jiaming Cui, Kang Chen, Daping Wang
Proximal humeral fractures are common and most challenging, due to the complexity of the glenohumeral joint, especially in the geriatric population with impacted fractures, that the development of implants continues because currently the problems with their fixation are not solved. Pre-, intra-, and postoperative assessments are crucial in management of those patients. Finite element analysis, as one of the valuable tools, has been implemented as an effective and noninvasive method to analyze proximal humeral fractures, providing solid evidence for management of troublesome patients...
2017: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/29078902/admission-of-elderly-blunt-thoracic-trauma-patients-directly-to-the-intensive-care-unit-improves-outcomes
#10
Owen J Pyke, Jerry A Rubano, James A Vosswinkel, Jane E McCormack, Emily C Huang, Randeep S Jawa
INTRODUCTION: Blunt thoracic trauma in the elderly has been associated with adverse outcomes. As an internal quality improvement initiative, direct intensive care unit (ICU) admission of nonmechanically ventilated elderly patients with clinically important thoracic trauma (primarily multiple rib fractures) was recommended. METHODS: A retrospective review of the trauma registry at a level 1 trauma center was performed for patients aged ≥65 y with blunt thoracic trauma, admitted between the 2 y before (2010-2012) and after (2013-2015) the recommendation...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29058020/-changes-in-the-patient-population-with-proximal-femur-fractures-over-the-last-decade-incidence-age-comorbidities-and-length-of-stay
#11
Markus Muhm, Matthias Amann, Alexander Hofmann, Thomas Ruffing
BACKGROUND: Over the last decade, the percentage of people >65 years has increased from 16.6% to 20.7%. In industrialized countries, the annual incidence in people >65 years with a proximal femur fracture is about 600-900 per 100,000 population. The incidence will increase by 3-5% per year. Guidelines advocate early surgery as soon as possible but within 24 h. External quality control requires surgical treatment within 48 h. In this study, the changes in the patient population with proximal femur fractures and their treatment during the last decade were investigated...
October 20, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/29041916/early-coordinated-rehabilitation-in-acute-phase-after-hip-fracture-a-model-for-increased-patient-participation
#12
Gillian Asplin, Gunnel Carlsson, Lena Zidén, Gunilla Kjellby-Wendt
BACKGROUND: Studies have shown that patients with hip fracture treated in a Comprehensive Geriatric Care (CGC) unit report better results in comparison to orthopaedic care. Furthermore, involving patients in their healthcare by encouraging patient participation can result in better quality of care and improved outcomes. To our knowledge no study has been performed comparing rehabilitation programmes within a CGC unit during the acute phase after hip fracture with focus on improving patients' perceived participation and subsequent effect on patients' function...
October 17, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29026939/-minimally-invasive-osteosynthesis-after-ankle-fractures-in-geriatric-patients-surgical-technique-with-the-aid-of-headless-full-thread-screws
#13
REVIEW
Bernhard Karich, Kajetan Klos, Paul Simons, Thomas Mückley, Thorsten Randt, Matthias Knobe
No abstract text is available yet for this article.
November 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28988402/nutritional-markers-may-identify-patients-with-greater-risk-of-re-admission-after-geriatric-hip-fractures
#14
Austin V Stone, Alexander Jinnah, Brian J Wells, Hal Atkinson, Anna N Miller, Wendell M Futrell, Kristin Lenoir, Cynthia L Emory
PURPOSE: Osteoporotic hip fractures are increasing in prevalence with the growing elderly population. Morbidity and mortality remain high following osteoporotic hip fractures despite advances in medical and surgical treatments. The associated costs and medical burdens are increased with a re-admission following hip fracture treatment. This study sought to identify demographic and clinical values that may be a predictive model for 30-day re-admission risk following operative management of an isolated hip fracture...
October 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28986161/screening-of-the-frail-patient-in-the-emergency-department-a-systematic-review
#15
Rasmus Jørgensen, Mikkel Brabrand
BACKGROUND: Several frailty rating scales have been developed to detect and screen for the level of frailty. It is uncertain what diagnostic value screening of frailty level have in the emergency department. AIM: To assess the accuracy of the screening tools used in the emergency department to detect frailty in patients≥65years by their ability to identify the risk of adverse outcomes. METHODS: An extensive medical literature search of Embase and PubMed was conducted, to identify studies using frailty screening scales in the emergency department...
October 3, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/28977869/prognostic-value-of-the-c-reactive-protein-prognostic-nutritional-index-ratio-after-hip-fracture-surgery-in-the-elderly-population
#16
Hanru Ren, Lianghao Wu, Wankun Hu, Xiuzhang Ye, Baoqing Yu
BACKGROUND: More and more older patients receive the surgery after hip fracture. However, the mortality rate is high. Prognostic nutritional index (PNI) is associated with prognosis in hip fracture patients. In the current study, we proposed a novel prognostic score, named c-reactive protein/PNI ratio (CRP/PNI ratio), for predicting the prognosis for geriatric orthopedic population. METHODS: This is a prospective study. Eighty cases of hip fracture surgery in the elderly population were studied to reveal the relationship between the CRP/PNI ratio and the clinicopathological characteristics of the elderly patients...
September 22, 2017: Oncotarget
https://www.readbyqxmd.com/read/28974207/study-of-the-variations-of-fall-induced-hip-fracture-risk-between-right-and-left-femurs-using-ct-based-fea
#17
Tanvir R Faisal, Yunhua Luo
BACKGROUND: Hip fracture of elderly people-suffering from osteoporosis-is a severe public health concern, which can be reduced by providing a prior assessment of hip fracture risk. Image-based finite element analysis (FEA) has been considered an effective computational tool to assess the hip fracture risk. Considering the femoral neck region is the weakest, fracture risk indicators (FRI) are evaluated for both single-legged stance and sideways fall configurations and are compared between left and right femurs of each subject...
October 3, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28956102/prolonged-pre-operative-hospital-stay-as-a-predictive-factor-for-early-outcomes-and-mortality-after-geriatric-hip-fracture-surgery-a-single-institution-open-prospective-cohort-study
#18
Goran Tulic, Emilija Dubljanin-Raspopovic, Sanja Tomanovic-Vujadinovic, Jelena Sopta, Aleksandar Todorovic, Radovan Manojlovic
INTRODUCTION: The aim of this open prospective cohort study was to determine if a prolonged pre-operative hospital stay is a true predictor of higher morbidity or mortality in geriatric patients with hip fractures. MATERIALS AND METHODS: We analysed early outcome parameters, such as functional independence measure (FIM), at discharge and four months post-operatively, peri-operative nonsurgical complications, intra-hospital and one year mortality compared with prolonged pre-operative hospital stay in 308 patients from a continuous cohort of 344...
September 27, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28953670/poor-prognosis-after-surgery-for-intertrochanteric-fracture-in-elderly-patients-with-clopidogrel-treatment-a-cohort-study
#19
Jianzheng Zhang, Xiaobin Chen, Juan Wang, Zhi Liu, Xiaowei Wang, Jixin Ren, Tiansheng Sun
Choice of surgical approach in patients under clopidogrel treatment is controversial. Intertrochanteric fractures are common in the elderly, who also suffer from a number of comorbidities.The aim of this study is to assess the prognosis of elderly patients with clopidogrel treatment after surgery for intertrochanteric fracture.This was a cohort study of 238 elderly patients who underwent proximal femur intramedullary nailing for intertrochanteric fracture between January 2012 and December 2013 at the Geriatric Trauma Center of the Beijing Army General Hospital...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28930900/retrospective-evaluation-of-the-impact-of-a-geriatric-trauma-institute-on-fragility-hip-fracture-patient-outcomes
#20
Elizabeth D Katrancha, Jami Zipf, Nancy Abrahams, Richard Schroeder
BACKGROUND: Fragility hip fractures occur in the older than 65-year population at an alarming rate. It is estimated that 260,000 hip fractures occur annually. Patient outcomes following hip fractures are devastating. One of every 5 patients dies within 1 year of injury, and 1 of 3 remains in a nursing home for years after the injury. Published literature recommends an interdisciplinary approach to caring for hip-fractured patients and expediting surgery to improve outcomes. PURPOSE: The purpose of this study was to retrospectively evaluate the impact of the Geriatric Trauma Institute (GTI) on fragility hip fracture patient outcomes...
September 2017: Orthopaedic Nursing
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