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Hip fracture in adults

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https://www.readbyqxmd.com/read/29137594/fractures-in-kidney-transplant-recipients-a-comparative-study-between-england-and-new-york-state
#1
Julia Arnold, Jemma Mytton, Felicity Evison, Paramjit S Gill, Paul Cockwell, Adnan Sharif, Charles J Ferro
OBJECTIVES: Fractures are associated with high morbidity and are a major concern for kidney transplant recipients. No comparative analysis has yet been conducted between countries in the contemporary era to inform future international prevention trials. MATERIALS AND METHODS: Data were obtained from the Hospital Episode Statistics and the Statewide Planning and Research Cooperative databases on all adult kidney transplants performed in England and New York State from 2003 to 2013, respectively, and on posttransplant fracture-related hospitalization from 2003 to 2014...
November 15, 2017: Experimental and Clinical Transplantation
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/29126139/alendronate-use-and-the-risk-of-nonvertebral-fracture-during-glucocorticoid-therapy-a-retrospective-cohort-study
#3
Jonathan Bergman, Anna Nordström, Peter Nordström
Context: Glucocorticoids increase the risk of nonvertebral fracture, but no clinical trial has shown that nonvertebral fractures can be prevented by co-administration of an anti-osteoporotic drug. Objective: To estimate the effect of alendronate on the risk of nonvertebral fracture in older adults taking oral glucocorticoids. Design: Retrospective cohort study using national Swedish registers. Setting: Hospitalized care and ambulatory specialist care...
November 3, 2017: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29107439/effects-of-exercise-improves-muscle-strength-and-fat-mass-in-patients-with-high-fracture-risk-a-randomized-control-trial
#4
Ding-Cheng Chan, Chirn-Bin Chang, Der-Sheng Han, Cian-Hui Hong, Jawl-Shan Hwang, Keh-Sung Tsai, Rong-Sen Yang
BACKGROUND: The deterioration of the musculoskeletal system imposes significant impact on physical activity. Exercise is an important strategy which minimizes these changes. It is not clear which type of exercise provides better improvement on low physical performance, low muscle mass and low strength of sarcopenia. We aim to develop an integrated care (IC) model and compare its relative efficacy in limb fat free mass, muscle strength, and physical performance with low extremities exercise (LEE) in community dwelling older adults with high risk of fractures (Fracture Risk Assessment Tool (FRAX(®))) ≧3% for hip fracture, ≧20% for major osteoporotic fracture or 1-min osteoporosis risk test (≧1 point) or fall (≧2 falls in previous year)...
October 26, 2017: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/29075804/milk-and-other-dairy-foods-and-risk-of-hip-fracture-in-men-and-women
#5
D Feskanich, H E Meyer, T T Fung, H A Bischoff-Ferrari, W C Willett
The role of dairy foods for hip fracture prevention remains controversial. In this study, among US men and women, a glass of milk per day was associated with an 8% lower risk of hip fracture. This contrasts with a reported increased risk with higher milk intake in Swedish women. INTRODUCTION: The purpose of this study was to examine whether higher milk and dairy food consumption are associated with risk of hip fracture in older adults following a report of an increased risk for milk in Swedish women...
October 27, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/29068797/alanine-aminotransferase-blood-levels-and-rehabilitation-outcome-in-older-adults-following-hip-fracture-surgery
#6
Irina Gringauz, Jonathan Weismann, Dan Justo, Abraham Adunsky, Gad Segal
Low alanine aminotransferase (ALT) blood levels are associated with frailty and poor outcome in older adults. Therefore, we studied the association between ALT blood levels before rehabilitation and rehabilitation outcome in older adults following hip fracture surgery. A total of 490 older adults (age>60 years, mean age: 82.9±6.7 years, 82.0% women) admitted to rehabilitation following hip fracture surgery were included. The rehabilitation outcome was assessed by Functional Independence Measure (FIM) scores...
October 24, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29063216/older-men-who-sustain-a-hip-fracture-experience-greater-declines-in-bone-mineral-density-at-the-contralateral-hip-than-non-fractured-comparators
#7
A M Rathbun, J Magaziner, M D Shardell, L M Yerges-Armstrong, D Orwig, G E Hicks, M C Hochberg
Men experience declining bone mineral density (BMD) after hip fracture; however, changes attributable to fracture are unknown. This study evaluated the excess BMD decline attributable to hip fracture among older men. Older men with hip fracture experienced accelerated BMD declines and are at an increased risk of secondary fractures. INTRODUCTION: The objective was to determine whether bone mineral density (BMD) changes in men after hip fracture exceed that expected with aging. METHODS: Two cohorts were used: Baltimore Hip Studies 7th cohort (BHS-7) and Baltimore Men's Osteoporosis Study (MOST)...
October 24, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/29054483/risk-and-associates-of-incident-hip-fracture-in-type-1-diabetes-the-fremantle-diabetes-study
#8
Emma J Hamilton, Wendy A Davis, David G Bruce, Timothy M E Davis
AIMS: To determine the relative risk of incident hip fracture in patients with type 1 diabetes and matched controls, to examine baseline associates of incident hip fracture in the patients with type 1 diabetes, and to compare hip fracture rates in age- and sex-matched patients with type 1 versus type 2 diabetes. METHODS: Longitudinal observational study of 121 adults with type 1 diabetes (mean ± SD age 43.0 ± 15.5 years, 59.5% male) and 484 age- and sex-matched adults without diabetes...
October 18, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29034571/association-between-subclinical-thyroid-dysfunction-and-change-in-bone-mineral-density-in-prospective-cohorts
#9
D Segna, D C Bauer, M Feller, C Schneider, H A Fink, C E Aubert, T-H Collet, B R da Costa, K Fischer, R P Peeters, A R Cappola, M R Blum, H A van Dorland, J Robbins, K Naylor, R Eastell, A G Uitterlinden, F Rivadeneira Ramirez, A Gogakos, J Gussekloo, G R Williams, A Schwartz, J A Cauley, D A Aujesky, H A Bischoff-Ferrari, N Rodondi
BACKGROUND: Subclinical hyperthyroidism (SHyper) has been associated with increased risk of hip and other fractures, but the linking mechanisms remain unclear. OBJECTIVE: To investigate the association between subclinical thyroid dysfunction and bone loss. METHODS: Individual participant data analysis was performed after a systematic literature search in MEDLINE/EMBASE (1946-2016). Two reviewers independently screened and selected prospective cohorts providing baseline thyroid status and serial bone mineral density (BMD) measurements...
October 16, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29030774/effects-of-growth-hormone-therapy-on-bone-density-and-fracture-risk-in-age-related-osteoporosis-in-the-absence-of-growth-hormone-deficiency-a-systematic-review-and-meta-analysis
#10
Maya Barake, Asma Arabi, Nancy Nakhoul, Ghada El-Hajj Fuleihan, Sarah El Ghandour, Anne Klibanski, Nicholas A Tritos
PURPOSE: In adults, growth hormone deficiency (GHD) has been associated with low bone mineral density (BMD), an effect counteracted by growth hormone (GH) replacement. Whether GH is beneficial in adults with age-related bone loss and without hypopituitarism is unclear. METHODS: We conducted a systematic literature search using Medline, Embase and the Cochrane Register of Controlled Trials. We extracted and analyzed data according to the bone outcome included [bone mineral content (BMC), BMD, and bone biomarker, fracture risk]...
October 13, 2017: Endocrine
https://www.readbyqxmd.com/read/29028268/relationship-between-the-mediterranean-dietary-pattern-and-musculoskeletal-health-in-children-adolescents-and-adults-systematic-review-and-evidence-map
#11
Jean V Craig, Diane K Bunn, Richard P Hayhoe, Will O Appleyard, Elizabeth A Lenaghan, Ailsa A Welch
An understanding of the modifiable effects of diet on bone and skeletal muscle mass and strength over the life course will help inform strategies to reduce age-related fracture risk. The Mediterranean diet is rich in nutrients that may be important for optimal musculoskeletal health. The aim of this systematic review was to investigate the relationship between a Mediterranean diet and musculoskeletal outcomes (fracture, bone density, osteoporosis, sarcopenia) in any age group. Ten electronic databases were searched...
October 1, 2017: Nutrition Reviews
https://www.readbyqxmd.com/read/29019343/the-association-between-dietary-inflammatory-properties-and-bone-mineral-density-and-risk-of-fracture-in-us-adults
#12
M Mazidi, N Shivappa, M D Wirth, J R Hebert, H Vatanparast, A P Kengne
BACKGROUND/OBJECTIVES: To examine the associations of dietary inflammatory index (DII) with bone mineral density (BMD) and fracture risk in adult Americans.Subjects/Method:The United States National Health and Nutrition Examination Survey participants during 2005-2010 were included if they had measured data on dietary intake and BMD. DII scores were calculated from estimated micro- and macronutrients from a single 24-h dietary recall. BMD was measured using dual-energy X-ray absorptiometry densitometers...
November 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29017476/the-relationship-between-preoperative-american-society-of-anesthesiologists-physical-status-classification-scores-and-functional-recovery-following-hip-fracture-surgery
#13
Li-Huan Chen, Jersey Liang, Min-Chi Chen, Chi-Chuan Wu, Huey-Shinn Cheng, Hsiu-Ho Wang, Yea-Ing Lotus Shyu
BACKGROUND: Little is known about the relationship of the American Society of Anesthesiologists Physical Status Classification scores (ASA scores) on patient outcomes following hip fracture surgery in Asian countries. Therefore, this study explored the association of patients' preoperative ASA scores on trajectories of recovery in physical functioning and health outcomes during the first year following postoperative discharge for older adults with hip-fracture surgery in Taiwan. METHODS: The data for this study was generated from three prior studies...
October 10, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28991122/peripheral-nerve-blocks-for-hip-fractures-a-cochrane-review
#14
Joanne Guay, Martyn J Parker, Richard Griffiths, Sandra L Kopp
BACKGROUND: This review focuses on the use of peripheral nerve blocks as preoperative analgesia, as postoperative analgesia, or as a supplement to general anesthesia for hip fracture surgery and tries to determine if they offer any benefit in terms of pain on movement at 30 minutes after block placement, acute confusional state, myocardial infarction/ischemia, pneumonia, mortality, time to first mobilization, and cost of analgesic. METHODS: Trials were identified by computerized searches of Cochrane Central Register of Controlled Trials (2016, Issue 8), MEDLINE (Ovid SP, 1966 to 2016 August week 1), Embase (Ovid SP, 1988 to 2016 August week 1), and the Cumulative Index to Nursing and Allied Health Literature (EBSCO, 1982 to 2016 August week 1), trials registers, and reference lists of relevant articles...
October 4, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28990979/mortality-after-high-energy-pelvic-fractures-in-patients-of-age-65-or-older
#15
Dayley S Keil, Steven Gross, Rachel B Seymour, Stephen Sims, Madhav A Karunakar
OBJECTIVES: To document in-hospital and 1-year mortality rates following high-energy pelvic fracture in patients age 65 or older as compared to a younger cohort. DESIGN: Retrospective review. SETTING: Urban level 1 academic trauma center. PATIENTS: Seventy consecutive patients age ≥ 65 years treated for pelvic fracture resulting from high-energy mechanism from 2008 to 2011. One hundred forty patients age 18-64 were matched to the study population based on mechanism of injury and OTA Code 61 subtype for comparison...
September 29, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28983383/the-incidence-of-hip-fractures-in-long-term-care-homes-in-saskatchewan-from-2008-to-2012-an-analysis-of-provincial-administrative-databases
#16
Lilian U Thorpe, Susan J Whiting, Wenbin Li, William Dust, Thomas Hadjistavropoulos, Gary Teare
BACKGROUND: Hip fractures (HFs) represent an important cause of morbidity and mortality among adults in long-term care (LTC), but lack of detailed epidemiological data poses challenges to intervention planning. We aimed to determine the incidence of HFs among permanent LTC residents in Saskatchewan between 2008 and 2012, using linked, provincial administrative health databases, exploring associations between outcomes and basic individual and institutional characteristics. METHODS: We utilized the Ministry of Health databases to select HF cases based on ICD 10 diagnoses fracture of head and neck of femur, pertrochanteric fracture and subtrochanteric fracture of femur...
September 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28976598/soluble-inflammatory-markers-and-risk-of-incident-fractures-in-older-adults-the-cardiovascular-health-study
#17
Danijela Stojanović, Petra Bůžková, Kenneth J Mukamal, Susan R Heckbert, Bruce M Psaty, Howard A Fink, Jane A Cauley, Erin Wallace, Lesley H Curtis, Calvin Hirsch, Matthew Budoff, Dong Li, Rebekah Young, Diana Jalal, Joseph Ac Delaney
Several in vitro and animal studies have showed that inflammatory markers play a role in bone remodeling and pathogenesis of osteoporosis. Additionally, some human longitudinal studies showed suggestive associations between elevated inflammatory markers and increased risk of nontraumatic fractures. We examined several inflammatory markers and multiple fracture types in a single study of older individuals with extensive follow-up. We assessed the association of four inflammatory markers with the risk of incident hip fractures among 5265 participants of the Cardiovascular Health Study (CHS) and a composite endpoint of incident fractures of the hip, pelvis, humerus, or proximal forearm in 4477 participants...
October 4, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28971226/the-effect-of-exercise-on-bone-mineral-density-in-adult-cancer-survivors-a-systematic-review-and-meta-analysis
#18
REVIEW
J Dalla Via, R M Daly, S F Fraser
PURPOSE: Certain cancer treatments are associated with bone loss and increased fracture risk. Weight-bearing impact exercise, resistance training or the combination, are recommended to preserve or improve bone mineral density (BMD) inhealthy older adults, but their efficacy in cancer survivors is less well understood. The aim of this systematic review with meta-analysis of randomised control trials (RCT) was to review the evidence regarding the role of exercise to counteract cancer treatment-induced bone loss...
October 2, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28965297/discharge-destination-following-hip-fracture-comparative-effectiveness-and-cost-analyses
#19
Kristen B Pitzul, Walter P Wodchis, Hans J Kreder, Michael W Carter, Susan B Jaglal
This study determines outcomes and costs of similar hip fracture patients that were discharged from hospital to a rehabilitation facility or to the community within 1 year. Community patients had worse outcomes and lower costs compared to rehabilitation facility patients. This study contributes to understanding hip fracture quality of care. PURPOSE: The purpose of this study is to determine the impact on mortality and rehospitalization, as well as health system cost, of similar hip fracture patients being discharged to an inpatient rehabilitation facility or directly to the community within 1 year in Ontario, Canada...
September 30, 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28965215/danish-national-cross-sectional-observational-study-on-the-prevalence-of-prior-major-osteoporotic-fractures-in-adults-presenting-with-hip-fracture-limitations-and-scope-for-fracture-liaison-services-in-prevention-of-hip-fracture
#20
A Frederiksen, B Abrahamsen, P B Johansen, H A Sørensen
Fracture liaison services prevent hip fractures by identifying other osteoporotic fractures that generally debut at a younger age. However, this study showed that a minority of hip fracture patients are already known to the health services through having had prior osteoporotic fractures. Identification of vertebral fractures in particular is lacking. INTRODUCTION: The purpose of this study was to examine the prevalence of prior major osteoporotic fractures (MOF) in the prior 10 years preceding hip fracture in order to provide information about the potential for prevention of hip fractures by fracture liaison services (FLS)...
September 30, 2017: Osteoporosis International
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