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Geriatric traumatology

Amelie Altenbuchner, Sonja Haug, Rainer Kretschmer, Karsten Weber
BACKGROUND: This preparatory study accelerates an implementation of individualized monitoring and feedback of physical motion using conventional motion trackers in the rehabilitation process of geriatric trauma patients. Regaining mobility is accompanied with improved quality of life in persons of very advanced age recovering from fragility fractures. OBJECTIVES: Quantitative survey of regaining physical mobility provides recommendations for action on how to use motion trackers effectively in a clinical geriatric setting...
2018: Studies in Health Technology and Informatics
D Lami, M Chivot, A Caubere, A Galland, J N Argenson
INTRODUCTION: Total elbow arthroplasty (TEA) is one option in distal humerus fracture in elderly osteoporotic patients. HYPOTHESIS: The study hypothesis was that, in patients aged 70years or more, TEA provides functional results and ranges of motion compatible with everyday activity, with a complications rate equal to or lower than with internal fixation, and no loss of autonomy or cognitive impairment. MATERIAL AND METHODS: In this retrospective study, 21 patients receiving TEA for distal humerus fracture were included...
July 18, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
G F Kolb
This article examines the question whether and how geriatrics will change in the future and whether in view of the demographic changes the trend will go more in the direction of a further expansion of geriatrics or more towards a geriatricization of individual specialist medical fields. The different development of geriatrics in the individual Federal States can only be understood historically and is absolutely problematic against the background of the new hospital remuneration system. Geriatrics is a typical cross-sectional faculty and still has demarcation problems with other faculties but has also not yet clearly defined the core competence...
December 2017: Zeitschrift Für Gerontologie und Geriatrie
Christine Lambert, Andreas Nüssler, Hans Konrad Biesalski, Thomas Freude, Christian Bahrs, Gunnar Ochs, Ingo Flesch, Ulrich Stöckle, Christoph Ihle
OBJECTIVE: The aim of this study was to investigate the prevalence of risk of malnutrition (RoM) in an orthopedic and traumatology patient cohort with a broad range of ages. In addition to the classical indicators for risk assessment (low body mass index, weight loss, and comorbidity), this study aimed to analyze the effects of lifestyle factors (eating pattern, smoking, physical activity) on RoM. METHODS: The prospective cohort study included 1053 patients in a level 1 trauma center in Germany...
May 2017: Nutrition
F S Müller, O W Meyer, P Chocano-Bedoya, S Schietzel, M Gagesch, G Freystaetter, V Neuhaus, H-P Simmen, W Langhans, H A Bischoff-Ferrari
BACKGROUND/OBJECTIVES: Malnutrition is an established risk factor for adverse clinical outcomes. Our aim was to assess nutritional status among geriatric trauma patients. SUBJECTS/METHODS: We enrolled 169 consecutive patients (⩾70 years) admitted to the Geriatric Traumatology Centre (University Hospital Zurich, Switzerland). On admission to acute care, nutritional status was assessed with the mini nutritional assessment (score<17=malnourished (M), ⩽23.5=at risk of malnutrition (ARM), >23...
May 2017: European Journal of Clinical Nutrition
J M Fernández-Ibáñez, M C Morales-Ballesteros, E Crespo-Romero, S Gómez-Gómez, M D Fraga-Fuentes, J Cruz-Tejado, P A Hernández-Zegarra, Á Arias-Arias, M M García-Baltasar
AIM: To describe the orthogeriatric activity in the elderly with hip fractures in the Hospital Mancha Centro, based on the recommendations of the main guidelines. MATERIAL AND METHOD: Observational prospective study, comprising all patients over 65 years of age admitted to the Traumatology Unit with a hip fracture between April 2015 and December 2015. Patients were admitted under the care of the Traumatology Unit with cross-consultation carried out with the Geriatrics Department, which then carried out a pre-operative geriatric assessment and the post-operative follow-ups...
March 2017: Revista Española de Cirugía Ortopédica y Traumatología
B Buecking, D Eschbach, C Bliemel, M Knobe, R Aigner, S Ruchholtz
BACKGROUND: Geriatric traumatology is increasing in importance due to the demographic transition. In cases of fractures close to large joints it is questionable whether primary joint replacement is advantageous compared to joint-preserving internal fixation. OBJECTIVE: The aim of this study was to describe the importance of prosthetic joint replacement in the treatment of geriatric patients suffering from frequent periarticular fractures in comparison to osteosynthetic joint reconstruction and conservative methods...
January 2017: Der Orthopäde
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...
January 2017: Osteoporosis International
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
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...
October 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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
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
M Raschke, U C Liener
No abstract text is available yet for this article.
January 2016: Der Unfallchirurg
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
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
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
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
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...
January 2017: Der Unfallchirurg
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
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
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