keyword
https://read.qxmd.com/read/38450585/balancing-fracture-risk-versus-risk-of-mortality-before-fracture-among-women-aged-80%C3%A2-years-or-older
#21
JOURNAL ARTICLE
John T Schousboe, Lisa Langsetmo, Howard A Fink, Deborah M Kado, Jane A Cauley, Brent C Taylor, Kristine E Ensrud
BACKGROUND: Most fractures occur in women aged ≥80 years but competing mortality unrelated to fracture may limit the benefit of osteoporosis drug therapy for some women in late life. Our primary aim was to develop separate prediction models for non-spine fracture (NSF) and mortality before fracture to identify subsets of women with varying fracture versus mortality risks. METHODS: Separate prediction models were developed for NSF and mortality before NSF for 4895 women aged ≥80 years enrolled in the Study of Osteoporotic Fractures (SOF) or the Health Aging and Body Composition (HABC) study...
March 7, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38449856/the-correlation-between-admission-hyperglycemia-and-30-day-readmission-after-hip-fracture-surgery-in-geriatric-patients-a-propensity-score-matched-study
#22
JOURNAL ARTICLE
Wanyun Tang, Xiaomin Ni, Wei Yao, Wei Wang, Qiaomei Lv, Wenbo Ding, Renjian He
PURPOSE: This study aimed to investigate the association between admission hyperglycemia and 30-day readmission after hip fracture surgery in geriatric patients. METHODS: This retrospective study included 1253 geriatric hip fracture patients. Patients were categorized into normoglycemia(<6.10 mmol/L) and hyperglycemia groups(≥6.10 mmol/L) based on admission blood glucose. We performed multivariable logistic regression analyses and propensity score matching (PSM) to estimate adjusted odds ratios and 95% confidence intervals for 30-day readmission, controlling for potential confounding factors...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38448801/bone-mineral-density-in-lower-thoracic-vertebra-for-osteoporosis-diagnosis-in-older-adults-during-ct-lung-cancer-screening
#23
JOURNAL ARTICLE
Nandong Hu, Miaomiao Wang, Meng Yang, Xin Chen, Jiangchuan Wang, Chao Xie, Bin Zhang, Zhongqiu Wang, Xiao Chen
BACKGROUND: Quantitative computed tomography (QCT)-based lumbar bone mineral density (LBMD) has been used to diagnose osteoporosis. This study explored the value of lower thoracic BMD (TBMD) in diagnosing osteoporosis in older adults during CT lung cancer screening. METHODS: This study included 751 subjects who underwent QCT scans with both LBMD and TBMD. 141 of them was selected for a validation. Osteoporosis was diagnosed based on LBMD using the ACR criteria (gold standard)...
March 6, 2024: BMC Geriatrics
https://read.qxmd.com/read/38439172/cancer-treatment-induced-bone-loss
#24
JOURNAL ARTICLE
Yong Jun Choi
Cancer treatment-induced bone loss (CTBL) is associated with anti-tumor treatments, including endocrine therapies, chemotherapeutic treatments, radiotherapy, glucocorticoids, and tyrosine kinase inhibitors. Osteoporosis, characterized by the loss of bone mass, can increase the risk of fractures, leading to mortality and long-term disability, even after cancer remission. Cancer and osteoporosis have marked clinical and pathogenetic similarities. Both have a multifactorial etiology, affect the geriatric population, and markedly influence quality of life...
March 5, 2024: Korean Journal of Internal Medicine
https://read.qxmd.com/read/38438300/insulin-resistance-and-osteocalcin-associate-with-the-incidence-and-severity-of-postoperative-delirium-in-elderly-patients-undergoing-joint-replacement
#25
JOURNAL ARTICLE
Yang Mi, Ouyang Wen, Zhou Lei, Long Ge, Liu Xing, He Xi
AIM: While insulin sensitivity plays an important role in maintaining glucose metabolic homeostasis and cognitive function, its impact on postoperative delirium (POD) remains unclear. This study aimed to investigate the association between POD and indicators of insulin sensitivity, including insulin resistance and osteocalcin. METHODS: A total of 120 elderly patients undergoing joint replacement were recruited and divided into delirium and non-delirium groups. Plasma and cerebrospinal fluid (CSF) samples were collected for the analysis of biomarkers, including insulin, uncarboxylated osteocalcin (ucOC), total osteocalcin (tOC), and glucose...
March 4, 2024: Geriatrics & Gerontology International
https://read.qxmd.com/read/38428194/the-mobile-x-ray-service-and-hip-fractures-the-impact-of-the-mobile-x-ray-service-on-the-hip-fast-track
#26
JOURNAL ARTICLE
S L Sundland, B Møller-Christensen
INTRODUCTION: Hip fracture is a serious affliction that requires fast care and an X-ray examination, which are provided by an ambulance and a visit to the radiology department, respectively. If a well-functioning mobile X-ray service could be developed, by examining the patient in their own home, both the work strain of hospital workers and patient suffering could be reduced. The purpose of this study was to determine if the mobile X-ray service could be a supplement to the fast-track process that is utilised by the ambulance service...
February 29, 2024: Radiography
https://read.qxmd.com/read/38426150/fix-or-replace-patient-preferences-for-the-treatment-of-geriatric-lower-extremity-fractures-a-discrete-choice-experiment
#27
JOURNAL ARTICLE
John T Richards, Nathan N O'Hara, Kathleen Healy, Nicolas Zingas, Natasha McKibben, Caroline Benzel, Gerard P Slobogean, Robert V O'Toole, Marcus F Sciadini
INTRODUCTION: When considering treatment options for geriatric patients with lower extremity fractures, little is known about which outcomes are prioritized by patients. This study aimed to determine the patient preferences for outcomes after a geriatric lower extremity fracture. MATERIALS AND METHODS: We administered a discrete choice experiment survey to 150 patients who were at least 60 years of age and treated for a lower extremity fracture at a Level I trauma center...
2024: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/38424514/low-physical-activity-is-a-risk-factor-for-sarcopenia-a-cross-sectional-analysis-of-two-exercise-trials-on-community-dwelling-older-adults
#28
JOURNAL ARTICLE
Onni Hämäläinen, Anna Tirkkonen, Tiina Savikangas, Markku Alén, Sarianna Sipilä, Arto Hautala
BACKGROUND: Physical inactivity is an important factor in the development of sarcopenia. This cross-sectional study explores the prevalence of sarcopenia and associations of physical activity (PA) with sarcopenia in two exercise trial populations. These study groups are clinically meaningful community-dwelling populations at increased risk for sarcopenia: older adults not meeting the PA guidelines and those with a recent hip fracture (HF). METHODS: Data from 313 older adults who did not meet the PA guidelines (60% women; age 74...
February 29, 2024: BMC Geriatrics
https://read.qxmd.com/read/38421551/relationships-between-obesity-markers-and-bone-parameters-in-community-dwelling-older-adults
#29
JOURNAL ARTICLE
L Lemoine, F Buckinx, A Aidoud, V Leroy, B Fougère, M Aubertin-Leheudre
BACKGROUND: Osteoporosis is an age-related condition that can lead to fragility fractures and other serious consequences. The literature data on the impact of obesity on bone health are contradictory. The main reasons for this discrepancy could be the imperfect nature of the body mass index (BMI) as a marker of obesity, the metabolic status (inflammation and metabolically healthy obesity), and/or heterogeneity in bone variables and architecture or sex. AIMS: To examine the relationship between bone variables and three validated obesity criteria...
February 29, 2024: Aging Clinical and Experimental Research
https://read.qxmd.com/read/38420738/bone-health-evaluations-and-secondary-fragility-fractures-in-hip-fracture-patients
#30
JOURNAL ARTICLE
Emily M Pflug, Ariana Lott, Sanjit R Konda, Philipp Leucht, Nirmal Tejwani, Kenneth A Egol
PURPOSE: This study sought to examine the utilization of bone health evaluations in geriatric hip fracture patients and identify risk factors for the development of future fragility fractures. MATERIALS AND METHODS: A consecutive series of patients ≥55 years who underwent surgical management of a hip fracture between September 2015 and July 2019 were identified. Chart review was performed to evaluate post-injury follow-up, performance of a bone health evaluation, and use of osteoporosis-related diagnostic and pharmacologic treatment...
March 1, 2024: Hip & Pelvis
https://read.qxmd.com/read/38420520/optimizing-outcomes-after-operative-treatment-bicondylar-tibial-plateau-fractures-time-for-innovation
#31
REVIEW
Mihir S Dekhne, Derek Stenquist, Nishant Suneja, Michael J Weaver, Michael Moerk Petersen, Upender Martin Singh, Arvind Von Keudell
Bicondylar tibial plateau fractures are technically demanding fractures that have a high complication rate. We sought to review the recent literature with the aim to summarize the development of new classification systems that may enhance the surgeon's understanding of the fracture pattern and injury. We highlight the best methods for infection control and touch on new innovative solutions using 3D printer models and augmented mixed reality to provide potentially personalized solutions for each specific fracture configuration...
2024: Archives of Bone and Joint Surgery
https://read.qxmd.com/read/38420358/association-between-preoperative-albumin-levels-and-postoperative-delirium-in-geriatric-hip-fracture-patients
#32
JOURNAL ARTICLE
Wei Wang, Wei Yao, Wanyun Tang, Yuhao Li, Qiaomei Lv, Wenbo Ding
OBJECTIVE: This study aims to examine the association between preoperative serum albumin levels and postoperative delirium (POD) in geriatric patients who have undergone hip fracture surgery, with the goal of offering novel insights for clinical interventions targeting POD. METHODS: A retrospective analysis was conducted on the medical records of patients who underwent hip fracture surgery in a tertiary medical institution from January 2013 to November 2023. The patients were classified based on hypoalbuminemia (defined as a serum albumin level < 35 g/L) and clinical threshold...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38420294/a-national-database-retrospective-review-of-short-term-postoperative-mortality-in-the-geriatric-population-a-comparison-between-emergency-spine-fractures-and-hip-fractures
#33
JOURNAL ARTICLE
Bongseok Jung, Alex Ngan, Sarah Trent, Austen Katz, Sohrab Virk, David Essig
BACKGROUND: Mortality rates following emergency spine fracture surgery are high, especially in the elderly. However, how the postoperative mortality rate following spine fractures compares to other geriatric fractures such as hip fractures remains unclear. Therefore, this retrospective cohort study aimed to compare 30-day mortality rates and risk factors between emergency spine fracture versus hip fracture surgery in the elderly. METHODS: The National Surgical Quality Improvement Program (NSQIP) database was queried between 2011 and 2021 for emergency spine fractures and hip fractures in the elderly...
February 2024: Curēus
https://read.qxmd.com/read/38418713/factors-associated-with-concerns-about-falling-and-activity-restriction-in-older-adults-after-hip-fracture-a-mixed-methods-systematic-review
#34
REVIEW
Stefanny Guerra, Toby Ellmers, Ruqayyah Turabi, Magda Law, Aishwarya Chauhan, Rhian Milton-Cole, Emma Godfrey, Katie J Sheehan
PURPOSE: To investigate factors contributing to concerns about falling and activity restriction in the community among older adults who had a hip fracture. METHODS: A mixed method systematic review with a convergent segregated approach. We searched Medline, Embase, PsycInfo, PEDRo, CINAHL and the Cochrane library. Results were synthesised narratively considering physical, psychological, environmental, care, and social factors and presented in tables. Critical appraisal was completed in duplicate...
February 28, 2024: European Geriatric Medicine
https://read.qxmd.com/read/38418712/the-value-of-preoperative-diagnostic-testing-and-geriatric-assessment-in-frail-institutionalized-elderly-with-a-hip-fracture-a-secondary-analysis-of-the-frail-hip-study
#35
JOURNAL ARTICLE
Miliaan L Zeelenberg, Dennis Den Hartog, Esther M M Van Lieshout, Hugo H Wijnen, Hanna C Willems, Taco Gosens, Jeroen Steens, Romke Van Balen, Rutger G Zuurmond, Sverre A I Loggers, Pieter Joosse, Michael H J Verhofstad
PURPOSE: The aim of this study was to provide a comprehensive overview of (preoperative and geriatric) diagnostic testing, abnormal diagnostic tests and their subsequent interventions, and clinical relevance in frail older adults with a hip fracture. METHODS: Data on clinical consultations, radiological, laboratory, and microbiological diagnostics were extracted from the medical files of all patients included in the FRAIL-HIP study (inclusion criteria: hip fracture, > 70 years, living in a nursing home with malnourishment/cachexia and/or impaired mobility and/or severe co-morbidity)...
February 28, 2024: European Geriatric Medicine
https://read.qxmd.com/read/38417298/association-between-handgrip-strength-weakness-and-asymmetry-with-incident-hip-fracture-among-older-chinese-adults
#36
JOURNAL ARTICLE
Shengliang Zhou, Haibo Si, Limin Wu, Yuan Liu, Linbo Peng, Mingyang Li, Bin Shen
BACKGROUND: To evaluate the association between handgrip strength (HGS) weakness and asymmetry with incident hip fracture among older Chinese adults. METHODS: Data was obtained from the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study (CHARLS). HGS weakness was defined as maximal HGS 〈 28 kg in men and < 18 kg in women. HGS asymmetry was defined as the HGS ratio < 0.9 or 〉 1.1. Participants were categorized into normal HGS, weakness only, asymmetry only, and both weakness and asymmetry...
February 23, 2024: Archives of Gerontology and Geriatrics
https://read.qxmd.com/read/38413428/-treatment-of-proximal-femoral-fractures-principles-tips-and-tricks
#37
REVIEW
Matthias Gatz, Klemens Horst, Frank Hildebrand
Proximal femoral fractures occur at an annual incidence of approximately 200/100,000 inhabitants and mortality rates range up to 30% especially in geriatric patients where complications are not necessarily associated to surgery. In nearly all cases surgical treatment is required. Procedures to preserve the femoral head have to be performed as early as possible (as specified by the Federal Joint Committee, GBA, within 24 h). For joint-preserving approaches in medial femoral neck fractures a time to surgery within 6 h is considered to be advantageous...
February 27, 2024: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/38409524/a-quasi-experimental-evaluation-of-the-association-between-implementation-of-quality-based-procedures-funding-for-hip-fractures-and-improvements-in-processes-and-outcomes-for-hip-fracture-patients-in-ontario-an-interrupted-time-series-analysis
#38
JOURNAL ARTICLE
Hui Yu Zhang, Reva R Ramlogan, Robert Talarico, George Grammatopolous, Steven Papp, Daniel I McIsaac
PURPOSE: In 2013, Ontario introduced a patient-based funding model for hip fracture care (Quality-Based Procedures [QBP]). The association of QBP implementation with changes in processes and outcomes has not been evaluated. METHODS: We conducted a quasi-experimental study using linked health data for adult hip fractures as an interrupted time series. The pre-QBP period was from 2008 to 2012 and the post-QBP period was from 2014 to 2018; 2013 was excluded as a wash-in period...
February 26, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38407336/dogs-and-bones-incidence-and-outcomes-following-femoral-fractures-due-to-dog-related-activities
#39
JOURNAL ARTICLE
Ngwe Nyunt, Llinos Williams, Maya Adhiyaman, Richard Davies, Vedamurthy Adhiyaman
No abstract text is available yet for this article.
February 26, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38407299/love-and-frailty-and-an-avalanche-of-missteps
#40
JOURNAL ARTICLE
Lodovico Balducci
A retired oncologist describes the unexpected death of his wife, Claudia, who spent 25 years as head of the geriatrics service of a major VA hospital. The couple drew comfort in their orchestration of a "good death"; nevertheless they understood that her death was hastened by a number of missteps. In the 2 months following a hip fracture, a chain of complications that required five surgical interventions led to massive hemorrhage from necrotizing esophagitis. Claudia lacked resilience to recover from a sequence of traumas sustainable by a younger person-but even the most experienced geriatrician might not have identified or even suspected her risk...
February 26, 2024: Journal of the American Geriatrics Society
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