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Geriatric traumatology

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https://www.readbyqxmd.com/read/27443570/improved-1-year-mortality-in-elderly-patients-with-a-hip-fracture-following-integrated-orthogeriatric-treatment
#1
E C Folbert, J H Hegeman, M Vermeer, E M Regtuijt, D van der Velde, H J Ten Duis, J P Slaets
: To improve the quality of care and reduce the healthcare costs of elderly patients with a hip fracture, surgeons and geriatricians collaborated intensively due to the special needs of these patients. After treatment at the Centre for Geriatric Traumatology (CvGT), we found a significant decrease in the 1-year mortality rate in frail elderly patients compared to the historical control patients who were treated with standard care. INTRODUCTION: The study aimed to evaluate the effect of an orthogeriatric treatment model on elderly patients with a hip fracture on the 1-year mortality rate and identify associated risk factors...
July 21, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27376893/-nutritional-management-in-geriatric-traumatology
#2
K Singler, S Goisser, D Volkert
The prevalence of malnutrition or the risk of malnourishment is high among orthogeriatric patients and a poor nutritional status is associated with a negative outcome. A comprehensive management of preoperative and postoperative nutritional and fluid intake in these patients can help to improve the situation. The management includes identification of patients affected, a thorough assessment of the nutritional status, work-up of possible underlying causes, documentation of nutritional and fluid intake and, most importantly, procedures to improve the preoperative and postoperative nutritional situation...
August 2016: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/27343214/management-of-malnutrition-in-geriatric-trauma-patients-results-of-a-nationwide-survey
#3
D Eschbach, T Kirchbichler, L Oberkircher, M Knobe, M Juenemann, S Ruchholtz, B Buecking
PURPOSE: Prevalence of malnutrition in geriatric trauma patients ranges between 30 and 50 % in Germany. Malnutrition is associated with impaired wound healing, a prolonged in-hospital stay, reduced post-traumatic mobility, as well as a higher mortality. Thus, detection and improvement of nutritional status could be a fundamental contribution in optimizing the treatment of these patients. METHODS: We sent a web-based questionnaire to 579 German hospitals with traumatological expertise, seeking information on the institutional care level, number of beds, use of nutritional assessments, and use of defined laboratory parameters for the detection of malnutrition...
June 24, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27028288/cross-cultural-validation-of-the-italian-version-of-the-cumulated-ambulation-score
#4
Elisa Grana, Simone Verzellotti, Federico A Grassi, Giorgio Ferriero, Morten T Kristensen, Carlo Cisari, Marco Invernizzi
Hip fractures are common in elderly patients, and walking impairment is a frequent complication. The Cumulated Ambulation Score (CAS) is a validated functional scale used to monitor easily three basic mobility activities in patients with hip fracture. The aim of this study was to translate, cross-cultural adapt, and validate the CAS in the Italian language (CAS-I). The translation was carried out according to recommended guidelines. The final version of the CAS-I was administered to 80 geriatric patients with hip fracture admitted to a Traumatology Unit, and allowed full weight-bearing after treatment with hemiarthroplasty...
June 2016: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/26987182/-the-traumas-in-persons-of-older-age
#5
A S Tlemisov, T A Bulegenov, M A Dautletiarova, A M Tuleukhanova, J E Orazgalieva
The aging of population is one of the most signifcant demographic occurrences of actual century. The Republic of Kazakhstan is the country with accelerated rate of population aging. The rate of traumas in population older than 60 years gradually increases concurrently with increasing ofpopulation size. The study was organized to investigate traumas in persons of older age hospitalized in hospitals of town ofSemeii of the Eastern-Kazakystan oblast. The study was carried out in the traumatological department of emergency care hospital oftown of Semeii and the neurosurgical department of the Medical center of the Semeii state medical university...
September 2015: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
https://www.readbyqxmd.com/read/26769664/-geriatric-traumatology
#6
M Raschke, U C Liener
No abstract text is available yet for this article.
January 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/26474551/-future-of-orthogeriatrics-from-the-perspective-of-a-geriatrician
#7
A H Leischker
In the elderly, fractures and other severe injuries frequently lead to substantial restrictions in the activities of daily living (ADLs) resulting in dependency. Typical complications following a fracture include acute delirium, deep vein thrombosis, pneumonia and other infections. It has been demonstrated that early surgery (osteosynthesis) and early mobilization significantly decrease the risk of these complications. An interdisciplinary cooperation between orthopedic surgeons and geriatricians leads to a shorter length of hospitalization, better mobility and, most importantly, to an improvement in the quality of life...
January 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/26363956/-persiris-study-observational-study-postmarketing-prospective-to-evaluate-the-persistence-to-treatment-with-monthly-risedronate-in-women-with-osteoporosis
#8
Salvador Sitjar Martínez de Sas, María Teresa Aguilera de la Fuente, Josep Combalía Romera, Ignacio Menacho Pascual, Susana González Martínez, Andreu Altés Boronat
OBJECTIVE: To assess the persistence of treatment with monthly risedronate and know the reasons of persistence and nontherapeutic persistence and the profile of the non-persistent patients. DESING: Observational, postmarketin and prospective study. LOCATION: Primary care, traumatology, rheumatology, gynecology and geriatrics of Catalonia. PARTICIPANTS: Women with osteoporosis treated with monthly risedronate that previously had abandoned weekly bisphosphonate therapy...
May 2016: Atencion Primaria
https://www.readbyqxmd.com/read/26205359/-co-management-in-geriatric-traumatology
#9
C Kammerlander, M Blauth, M Gosch, W Böcker
BACKGROUND: Fragility fractures are becoming more common and are leading to significantly increased morbidity and mortality rates. METHOD: In order to improve the outcome of these patients, they are increasingly being treated from the beginning interdisciplinarily and interprofessionally as part of co-management models. The main contents of these systems are rapid surgical stabilization for rapid remobilization, treatment with standardized paths and regular communication within the team and a well-functioning discharge management...
September 2015: Der Orthopäde
https://www.readbyqxmd.com/read/26150707/fracture-prevention-service-to-bridge-the-osteoporosis-care-gap
#10
Carmelinda Ruggiero, Elena Zampi, Giuseppe Rinonapoli, Marta Baroni, Rocco Serra, Elisa Zengarini, Gregorio Baglioni, Giuliana Duranti, Sara Ercolani, Francesco Conti, Auro Caraffa, Patrizia Mecocci, Maria Luisa Brandi
BACKGROUND: A care gap exists between the health care needs of older persons with fragility fractures and the therapeutic answers they receive. The Fracture Prevention Service (FPS), a tailored in-hospital model of care, may effectively bridge the osteoporosis care gap for hip-fractured older persons. The purpose of this study was to evaluate the efficacy of the FPS in targeting persons at high risk of future fracture and to improve their adherence to treatment. METHODS: This was a prospective observational study conducted in a teaching hospital with traumatology and geriatric units, and had a pre-intervention and post-intervention phase...
2015: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/26070733/-interdisciplinary-treatment-in-geriatric-traumatology-from-the-trauma-surgeons-perspective-results-of-a-survey-in-germany
#11
B Bücking, M Walz, E Hartwig, T Friess, U Liener, M Knobe, S Ruchholtz, C Bliemel
BACKGROUND: Many patients treated on trauma surgery wards are geriatric trauma patients. To improve treatment of these often multimorbid patients, various interdisciplinary treatment concepts have been established in Germany between trauma surgeons and geriatricians. OBJECTIVES: The aim of this study was to evaluate the dissemination and the impact of the different orthogeriatric treatment concepts for geriatric trauma in Germany. Material and methods In March and April 2014 an electronic questionnaire for assessing the interdisciplinary treatment of geriatric trauma patients was sent to 691 medical directors of trauma surgery departments in Germany...
June 13, 2015: Der Unfallchirurg
https://www.readbyqxmd.com/read/26027216/-comparison-of-sedation-with-dexmedetomidine-and-haloperidol-in-patients-with-delirium-after-femoral-neck-fractures
#12
RANDOMIZED CONTROLLED TRIAL
A K Konkayev, N V Bekmagambetova
UNLABELLED: Delirium seriously complicates the recovery period after surgery, injury and increases mortality in elderly patients with femoral fractures. PATIENTS AND METHODS: We examined 80 geriatric patients admitted to the Institute of Traumatology and Orthopedics in Astana in the period from September 2012 to June 2014. We evaluated the efficacy of dexmedetomidine and haloperidol sedation according to RASS, communication ability and level of tolerance of procedures...
January 2015: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/25952167/frequencies-and-prescription-patterns-of-traditional-chinese-medicine-use-among-elderly-patients-in-taiwan-a-population-based-study
#13
Pei-Rung Yang, Hwey-Fang Liang, Yen-Hua Chu, Pau-Chung Chen, Yin-Yin Lin
ETHNOPHARMACOLOGICAL RELEVANCE: Traditional Chinese medicine (TCM), one of the most commonly used complementary and alternative medicines, has been receiving increasing attention among elderly patients. However, epidemiological reports and prescription patterns of geriatric TCM users are few. The aim of this study is to use data from a nationwide cohort database to analyze TCM use by the geriatric population in Taiwan from 2005 to 2009. MATERIALS AND METHODS: TCM outpatient claims data was obtained from the Taiwan National Health Insurance database...
July 1, 2015: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/25920894/-initial-experiences-of-an-orthogeriatric-unit
#14
M P Mesa-Lampré, V Canales-Cortés, M E Castro-Vilela, M Clerencia-Sierra
OBJECTIVE: To report the design and outcomes obtained during the first operational years of the Orthogeriatric Unit (OGU) established in the Zaragoza-1 (Spain) Health-Sector. MATERIAL AND METHODS: A total of 494 patients >70 years old treated in the OGU from February 2009 to December 2012. An analysis was performed using the following variables: demography, previous functional level, comorbidities, surgical delay, fracture type and surgical technique, complications, hospital stay, functional outcomes, destination after hospital discharge, and short and long term mortality...
November 2015: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/25780870/treatment-in-a-center-for-geriatric-traumatology
#15
Stefan Grund, Marco Roos, Werner Duchene, Matthias Schuler
BACKGROUND: Although the number of elderly patients with fractures is increasing, there have been only a few studies to date of the efficacy of collaborative treatment by trauma surgeons and geriatricians. METHODS: Data on patients over age 75 with femoral neck, trochanteric, proximal humeral, and pelvic ring fractures were evaluated from the eras before and after the establishment of a certified center for geriatric traumatology (CGT) (retrospective analysis, n = 169; prospective analysis, n = 216)...
February 13, 2015: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/25065248/-the-specificities-of-orthopedic-trauma-in-the-geriatric-patient
#16
REVIEW
C A Valcu, W Kurth, B Remy, P Gillet
Aging of the population represents an ubiquitous and ever-growing phenomenon in the developed countries. Geriatric traumatology is a constant-developping sub-speciality of orthopedics and traumatology; it deals with the specific medical problems developed by older patients when affected by muskuloskeletal trauma. The optimal treatment of this pathology as well as the age threshold used to define the "geriatric" patient are still subjects of debate. Chronological age cannot be used as the sole inclusion criteria; physiological age as defined by comorbidities seems to be more appropriate...
May 2014: Revue Médicale de Liège
https://www.readbyqxmd.com/read/25002877/the-role-of-the-orthopaedic-surgeon-in-the-prevention-of-refracture-in-patients-treated-surgically-for-fragility-hip-and-vertebral-fracture
#17
REVIEW
Rosella Beraldi, Laura Masi, Simone Parri, Raffaele Partescano, Maria Luisa Brandi
UNLABELLED: THE ROLE OF THE ORTHOPAEDIC SURGEON IN THE TREATMENT OF PATIENTS WITH FRAGILITY FRACTURES IS TWOFOLD: the conservative or surgical treatment of the fracture, and the prevention of further fractures, establishing diagnostic and therapeutic procedures for osteoporosis. We evaluated 72 patients treated surgically for fragility vertebral fracture and 801 patients treated surgically for fragility hip fracture, operated from 2009 to 2010 at O.U. Orthopaedics and Traumatology of S...
January 2014: Clinical Cases in Mineral and Bone Metabolism
https://www.readbyqxmd.com/read/24866951/-geriatric-traumatology-interdisciplinary-management-of-patients-with-fragility-fractures
#18
M Gosch, C Kammerlander, T Roth, T Luger, M Blauth
No abstract text is available yet for this article.
June 2014: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/24694725/polish-guidelines-for-the-diagnosis-and-management-of-osteoporosis-a-review-of-2013-update
#19
Piotr Głuszko, Roman S Lorenc, Elżbieta Karczmarewicz, Waldemar Misiorowski, Maciej Jaworski
To decrease the risk of osteoporotic fractures in Poland, the Multidisciplinary Osteoporotic Forum has set up a joint Working Group including the representatives of the Polish Associations of Orthopedics and Traumatology, Rehabilitation, Gerontology, Rheumatology, Family Medicine, Diabetology, Laboratory Diagnostics, Andropause and Menopause, Endocrinology, Radiology, and the STENKO group as well as experts in the fields of rheumatology, obstetrics, and geriatrics to update the Polish guidelines for the diagnosis and management of osteoporosis in men and postmenopausal women in Poland...
2014: Polskie Archiwum Medycyny Wewnętrznej
https://www.readbyqxmd.com/read/24669564/the-impact-of-postoperative-pain-on-early-ambulation-after-hip-fracture
#20
E Dubljanin-Raspopović, L Marković-Denić, K Ivković, U Nedeljković, S Tomanović, M Kadija, G Tulić, M Bumbasirević
Hip fractures are the most serious consequence of falling in older people with osteoporosis. Early ambulation is one of the main goals of inpatient rehabilitation aimed at reducing negative effects of immobilization, and promoting functional recovery. Recognizing the role of different factors that are associated with time to ambulation time after hip fracture surgery may help decrease morbidity and mortality rates. The aim of this study was to examine the impact of postoperative pain time to ambulation following hip fracture surgery...
2013: Acta Chirurgica Iugoslavica
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