keyword
https://read.qxmd.com/read/37511751/orthogeriatric-assessment-of-the-elderly-patient-with-fragility-hip-fracture-preliminary-results-of-a-prospective-study
#21
JOURNAL ARTICLE
Francesco Salis, Benedetta Puxeddu, Veronica Piras, Maristella Belfiori, Giuseppe Marongiu, Antonio Capone, Antonella Mandas
Nowadays, more studies deal with "OrthoGeriatrics", for the co-management of elderly patients suffering fractures, from the admission to the discharge and beyond. For the first time at Cagliari University Hospital, we introduced an orthogeriatric service, in which trained geriatricians stay in orthopedic unit alongside trained orthopedics. The primary aim of the study was to analyze the rate of death and rehospitalization in elderly femur-fractured people of 65 or more years of age, identifying possible predictive factors...
July 14, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/37506686/-do-we-need-more-volunteer-work-in-medicine-project-examples-from-trauma-surgery
#22
JOURNAL ARTICLE
Axel Prokop, Karl-Michael Reinauer, Manfred Koebler, L Stojinov, Jan Prokop, Marc Chmielnicki
The nursing shortage, legal requirements, and funding deficits have led to increasingly poor patient care in German hospitals.Volunteer patient companions offer support by conversing with and caring for patients. This can work to relieve hospital staff while diminishing patients' fears/worries.Volunteer companions visited selected lonely and thus, delirium-prone patients in hospital wards and spent approximately one hour with patients conversing, playing, reading aloud, or mostly listening. A surgical escort service was also offered...
August 2023: Zeitschrift Für Orthopädie und Unfallchirurgie
https://read.qxmd.com/read/37497306/development-and-validation-of-a-delirium-risk-prediction-model-for-elderly-patients-undergoing-elective-orthopedic-surgery
#23
JOURNAL ARTICLE
Yaxin Guo, Haiyan Ji, Junfeng Liu, Yong Wang, Jinming Liu, Hong Sun, Yuanhui Fei, Chunhui Wang, Tieliang Ma, Chao Han
PURPOSE: This study aimed to develop and validate a post-operative delirium (POD) nomogram in a population of elderly patients undergoing elective orthopedic surgery. PATIENTS AND METHODS: A predictive model was developed based on a training dataset of 474 elderly patients undergoing elective orthopedic surgery from March 2021 to May 2022. POD was identified using the Confusion Assessment Methods (CAM). The least absolute shrinkage and selection operator (LASSO) method was used to screen risk factors, and prediction models were created by combining the outcomes with logistic regression analysis...
2023: Neuropsychiatric Disease and Treatment
https://read.qxmd.com/read/37455941/incidence-of-delirium-after-non-cardiac-surgery-in-the-chinese-elderly-population-a-systematic-review-and-meta-analysis
#24
Xiao-Yan Gong, Dong-Jiang Hou, Jing Yang, Jia-Li He, Ming-Jin Cai, Wei Wang, Xian-Ying Lu, Jing Gao
BACKGROUND: POD places a heavy burden on the healthcare system as the number of elderly people undergoing surgery is increasing annually because of the aging population. As a large country with a severely aging population, China's elderly population has reached 267 million. There has been no summary analysis of the pooled incidence of POD in the elderly Chinese population. METHODS: Systematic search databases included PubMed, Web of Science, EMBASE, Cochrane Library Databases, China Knowledge Resource Integrated Database (CNKI), Chinese Biomedical Database (CBM), WanFang Database, and Chinese Science and Technology Periodicals (VIP)...
2023: Frontiers in Aging Neuroscience
https://read.qxmd.com/read/37374256/the-efficacy-of-low-dose-risperidone-treatment-for-post-surgical-delirium-in-elderly-orthopedic-patients
#25
JOURNAL ARTICLE
Lotan Raphael, Epstein Edna, Kaykov Irina, Hershkovich Oded
Background : Delirium is an acute and typically reversible failure of essential cognitive and attentional functions and is a growing public health concern, with an incidence of 20-50% in patients older than 65 after major surgery and 61% in patients undergoing hip fracture surgery. Numerous treatment strategies have been examined with no conclusive results. The purpose of this study is to assess the efficacy of a three-day low-dose risperidone treatment protocol, 0.5 mg BID, in treating delirium in elderly hospitalized orthopedic surgery department patients...
May 30, 2023: Medicina
https://read.qxmd.com/read/37337260/a-single-preoperative-low-dose-dexamethasone-may-reduce-the-incidence-and-severity-of-postoperative-delirium-in-the-geriatric-intertrochanteric-fracture-patients-with-internal-fixation-surgery-an-exploratory-analysis-of-a-randomized-placebo-controlled-trial
#26
RANDOMIZED CONTROLLED TRIAL
Jian-Wen Huang, Yun-Fa Yang, Xiao-Sheng Gao, Zhong-He Xu
OBJECTIVE: Postoperative delirium (POD) is a common complication along with poor prognosis in geriatric intertrochanteric fracture (ITF) patients. However, the prevention and treatment of POD remain unclear. Previous studies have confirmed that POD is essentially a consequence of neuro-inflammatory responses. Dexamethasone is a glucocorticoid with comprehensive anti-inflammatory effects, while a high dose of dexamethasone correlates with many side effects or even adverse consequences...
June 19, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37334252/preoperative-hemoglobin-10%C3%A2-g-dl-predicts-an-increase-in-major-adverse-cardiac-events-in-patients-with-hip-fracture-over-80-years-a-retrospective-cohort-study
#27
JOURNAL ARTICLE
Min Li, Chen Chen, Jiang Shen, Linyi Yang
BACKGROUND: Preoperative anemia has been associated with perioperative morbidity and mortality in patients undergoing cardiac and non-cardiac surgery. Preoperative anemia is common in elderly hip fracture patients. The primary objective of the study was to explore the relationship between preoperative hemoglobin levels and postoperative major adverse cardiovascular events (MACEs) in hip fracture patients over 80 years. METHODS: The retrospective study enrolled hip fracture patients over 80 years from January 2015 to December 2021 in our center...
2023: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/37326476/delirium-in-hip-fracture-patients-admitted-from-home-during-the-covid-19-pandemic-is-associated-with-higher-mortality-longer-total-length-of-stay-need-for-post-acute-inpatient-rehabilitation-and-readmission-to-acute-services
#28
JOURNAL ARTICLE
Rose S Penfold, Andrew J Hall, Atul Anand, Nick D Clement, Andrew D Duckworth, Alasdair M J MacLullich
AIMS: Delirium is associated with adverse outcomes following hip fracture, but the prevalence and significance of delirium for the prognosis and ongoing rehabilitation needs of patients admitted from home is less well studied. Here, we analyzed relationships between delirium in patients admitted from home with 1) mortality; 2) total length of hospital stay; 3) need for post-acute inpatient rehabilitation; and 4) hospital readmission within 180 days. METHODS: This observational study used routine clinical data in a consecutive sample of hip fracture patients aged ≥ 50 years admitted to a single large trauma centre during the COVID-19 pandemic between 1 March 2020 and 30 November 2021...
June 16, 2023: Bone & joint open
https://read.qxmd.com/read/37312156/regional-versus-general-anesthesia-in-older-patients-for-hip-fracture-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#29
Sheng-Liang Zhou, Shao-Yun Zhang, Hai-Bo Si, Bin Shen
BACKGROUND: The optimal anesthesia technique for older patients undergoing hip fracture surgery remains controversial. We performed a systematic review and meta-analysis of updated randomized controlled trials (RCTs) to assess whether regional anesthesia was superior to general anesthesia in hip fracture surgery. METHODS: We searched PubMed, EMBASE, Web of Science, and the Cochrane Central Register of Controlled Trials from January 2000 until April 2022. RCTs directly comparing regional and general anesthesia in hip fracture surgery were included in the analysis...
June 13, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37272986/spinal-fractures-in-fused-spines-nonoperative-treatment-is-a-reliable-alternative
#30
JOURNAL ARTICLE
Henrik C Bäcker, Patrick Elias, Jack Hanlon, John Cunningham, Michael A Johnson, Peter Turner
INTRODUCTION: Spinal fractures in fused spines such as in ankylosing spondylitis or DISH are typically of type B or C fractures where operative treatment is recommended. The mortality rate in non-operatively treated patients is reported to be 51%. The purpose of this study was to investigate the mortality rate, complication rate and demographics of patients following non-operatively treatment in fused spine injuries. METHODS: Between 2019 and 2021, a retrospective study was conducted including all patients who presented to our trauma center with a spinal fracture of a fused spine...
September 2023: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/37262372/delirium-position-statement
#31
JOURNAL ARTICLE
Melissa Yager, Betty R Clark, Nichole Gulley, Dawn L Denny
No abstract text is available yet for this article.
May 2023: Orthopaedic Nursing
https://read.qxmd.com/read/37216434/complications-associated-with-preventive-management-to-reduce-the-risk-of-covid-19-spread-after-surgery-for-spinal-cord-injury
#32
JOURNAL ARTICLE
Hiroki Ushirozako, Kota Suda, Satoko Matsumoto Harmon, Miki Komatsu, Masahiro Ota, Tomoaki Shimizu, Akio Minami, Masahiko Takahata, Norimasa Iwasaki, Yukihiro Matsuyama
BACKGROUND: Preventive management to reduce the risk of coronavirus disease-2019 (COVID-19) spread led to delays in active rehabilitation, which may have negatively impacted the outcomes of patients with traumatic spinal cord injury (SCI). Therefore, the aim of this study was to clarify the influence of preventive management on the rate of perioperative complications after surgical treatment for SCI. METHODS: This single-center retrospective study examined the cases of 175 patients who had SCI surgery between 2017 and 2021...
July 5, 2023: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/37170230/%C3%AE-arrestin1-regulates-astrocytic-reactivity-via-drp1-dependent-mitochondrial-fission-implications-in-postoperative-delirium
#33
JOURNAL ARTICLE
Fuzhou Hua, Hong Zhu, Wen Yu, Qingcui Zheng, Lieliang Zhang, Weidong Liang, Yue Lin, Fan Xiao, Pengcheng Yi, Yanhong Xiong, Yao Dong, Hua Li, Lanran Fang, Hailin Liu, Jun Ying, Xifeng Wang
Postoperative delirium (POD) is a frequent and debilitating complication, especially amongst high risk procedures, such as orthopedic surgery. This kind of neurocognitive disorder negatively affects cognitive domains, such as memory, awareness, attention, and concentration after surgery; however, its pathophysiology remains unknown. Multiple lines of evidence supporting the occurrence of inflammatory events have come forward from studies in human patients' brain and bio-fluids (CSF and serum), as well as in animal models for POD...
May 11, 2023: Journal of Neuroinflammation
https://read.qxmd.com/read/37133329/commentary-on-the-position-statement-delirium-among-orthopedic-or-rehabilitative-patients
#34
JOURNAL ARTICLE
Anne Deutsch
No abstract text is available yet for this article.
May 2023: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://read.qxmd.com/read/37133328/position-statement-delirium-among-orthopedic-or-rehabilitative-patients
#35
JOURNAL ARTICLE
Melissa Yager, Betty R Clark, Nichole Gulley, Dawn L Denny
No abstract text is available yet for this article.
May 2023: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://read.qxmd.com/read/37132323/-interrater-reliability-and-concurrent-validity-of-4at-for-the-detection-of-postoperative-delirium-a-prospective-cohort-study
#36
JOURNAL ARTICLE
Chiara Muzzana, Franco Mantovan, Waltraud Tappeiner, Sarah Niederbacher, Markus Karl Huber, Dietmar Ausserhofer
Interrater reliability and concurrent validity of 4AT for the detection of postoperative delirium: A prospective cohort study Abstract. Background: Numerous tools for detecting postoperative delirium are available. Guidelines recommend the 4 A's Test (4AT). However, there is little evidence on the validity and reliability of the German version of 4AT. Aim: To assess the interrater reliability of the German version of 4AT test for the detection of postoperative delirium in general surgical and orthopedic-traumatological patients, and the concurrent validity with the Delirium Observation Screening Scale (DOS)...
May 3, 2023: Pflege
https://read.qxmd.com/read/37128953/incidence-of-postoperative-delirium-in-older-adults-undergoing-surgical-procedures-a-systematic-literature-review-and-meta-analysis
#37
JOURNAL ARTICLE
Ezinne Oyidia Igwe, Jessica Nealon, Pauline O'Shaughnessy, Alera Bowden, Hui-Chen Rita Chang, Mu-Hsing Ho, Jed Montayre, Amy Montgomery, Kaye Rolls, Kuei-Ru Chou, Kee-Hsin Chen, Victoria Traynor, Peter Smerdely
BACKGROUND: With the increase in life expectancy around the globe, the incidence of postoperative delirium (POD) among older people (≥65 years) is growing. Previous studies showed a wide variation in the incidence of POD, from 4% to 53%, with a lack of specific evidence about the incidence of POD by specific surgery type among older people. The aim of this systematic review and meta-analysis was to determine the incidence of POD by surgery type within populations 65 years and over...
May 2, 2023: Worldviews on Evidence-based Nursing
https://read.qxmd.com/read/37084757/effects-of-an-integrated-geriatric-orthopedic-co-management-ingero-on-the-treatment-of-older-orthopedic-patients-with-native-and-periprosthetic-joint-infections
#38
JOURNAL ARTICLE
Ulrike De Bueck, Hendrik Kohlhof, Dieter Christian Wirtz, Albert Lukas
PURPOSE: In view of our aging society, co-management with a geriatrician is becoming increasingly important. While such collaborations have been working successfully in trauma surgery for years, it is still unclear whether they are also helpful for non-trauma patients in orthopedics. The aim of this study was to investigate the effect of such a cooperation in orthopedic non-trauma patients with native and periprosthetic joint infections on the basis of five key areas. RESULTS: Analysis was carried out with 59 patients "with" and 63 "without" geriatric co-management...
April 21, 2023: Zeitschrift Für Orthopädie und Unfallchirurgie
https://read.qxmd.com/read/37084642/a-long-duration-of-intraoperative-hypotension-is-associated-with-postoperative-delirium-occurrence-following-thoracic-and-orthopedic-surgery-in-elderly
#39
JOURNAL ARTICLE
Wen Duan, Cheng-Mao Zhou, Jin-Jin Yang, Yue Zhang, Ze-Ping Li, Da-Qing Ma, Jian-Jun Yang
BACKGROUND: Postoperative delirium (POD) is a common surgical complication associated with increased morbidity and mortality in elderly. Although the underlying mechanisms remain elusive, perioperative risk factors were reported to be closely related to its development. This study was designed to investigate the association between the duration of intraoperative hypotension and POD incidence following thoracic and orthopedic surgery in elderly. METHOD: The perioperative data from 605 elderly undergoing thoracic and orthopedic surgery from January 2021 to July 2022 were analyzed...
September 2023: Journal of Clinical Anesthesia
https://read.qxmd.com/read/37044244/local-anesthetic-with-monitored-anesthesia-care-in-cephalomedullary-nailing-of-proximal-femur-fractures-a-pilot-study
#40
JOURNAL ARTICLE
Edward J Testa, J Alex Albright, Patrick Morrissey, Sebastian Orman, Drew Clippert, Valentin Antoci
INTRODUCTION: Proximal femur fractures have high rates of morbidity, mortality, and perioperative complications. Limiting anesthesia, especially in the elderly population, is a priority from a medical perspective. The goal of the current study is to present a technique of using local anesthetic with monitored anesthesia care (MAC) for the fixation of intertrochanteric (IT) femur fractures with cephalomedullary nailing (CMN), provide early clinical results in a small series of patients, and evaluate the safety, efficiency, and anesthetic efficacy of our technique...
April 10, 2023: Orthopaedics & Traumatology, Surgery & Research: OTSR
keyword
keyword
60464
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.