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Optimal setting and care organization in the management of older adults with hip fracture: a narrative review

Andrea Giusti, Antonella Barone, Monica Razzano, Rita Raiteri, Andrea Del Rio, Viviana Bassoli, Ernesto Palummeri, Mauro Oliveri, Alberto Pilotto
2015 Geriatric Care  
These services were set to streamline hospital care, minimize inhospital complications, provide early discharge, improve short- and long-term functional and clinical outcomes, and reduce healthcare costs  ...  The expected rise in the total number of HF worldwide, due to improvements in life expectancy, and the growing awareness of HF detrimental consequences have led to the development and implementation of  ...  improve functional outcomes, 43 was responsible of the management of the patient.  ... 
doi:10.4081/gc.2015.5602 fatcat:adnzfkimafgobpggyv2dzweoha

Evaluation of the implementation of multidisciplinary fast-track program for acute geriatric hip fractures at a University Hospital in resource-limited settings

Unchana Sura-amonrattana, Theerawoot Tharmviboonsri, Aasis Unnanuntana, Direk Tantigate, Varalak Srinonprasert
2021 BMC Geriatrics  
Methods A retrospective cohort study to compare outcomes of hip fracture patients aged 65 or older admitted at Siriraj hospital before and after implementation of the Fast-track program for Acute Geriatric  ...  The secondary outcomes were time to surgery, factors related to the occurrence of various complications, in-hospital mortality, and mortality at month 3, month 6 and month 12 after the operation.  ...  Wararat Boonnasa, Nurse coordinator of the Fracture liaison service for her assistance with data collection and Ms.  ... 
doi:10.1186/s12877-021-02509-y pmid:34641804 fatcat:p2i2h5lg3rfphcq3lxpvk2iyna

A Geriatric Multidisciplinary and Tailor-Made Hospital-At-Home Method in Nursing Home Residents With Hip Fracture

Merete Gregersen, Dmitri Zintchouk, Lars Carl Borris, Else Marie Damsgaard
2011 Geriatric Orthopaedic Surgery & Rehabilitation  
Nursing home residents represent a large proportion of patients hospitalized with hip fracture.  ...  Both the interventions began at hospital admission and until 30 days after surgery.  ...  Acknowledgment The authors thank Anna Krogshede and Faranak Almasi (physiotherapists) and Inge Østergaard Holm-Petersen (nurse) of the geriatric orthopaedic team, who made this study possible.  ... 
doi:10.1177/2151458511421908 pmid:23569684 pmcid:PMC3597315 fatcat:vk6pw66hcnh2jclb6vadgrpx7e

Orthogeriatric care: improving patient outcomes

Francisco J. Tarazona-Santabalbina, Angel Belenguer-Varea, Eduardo Rovira-Daudi, David Cuesta-Peredo
2016 Clinical Interventions in Aging  
Since the 1950s, orthogeriatric units have introduced improvements in the care of geriatric patients admitted to hospital because of hip fractures.  ...  During this period, these units have reduced mean hospital stays, number of complications, and both in-hospital mortality and mortality over the middle term after hospital discharge, along with improvements  ...  Acknowledgment The authors would like to thank Juan María de la Cámara de las Heras, librarian and archivist of Hospital Universitario de la Ribera, for his help in carrying out the necessary literature  ... 
doi:10.2147/cia.s72436 pmid:27445466 pmcid:PMC4928624 fatcat:jazefnnb7ndlbp7y4yltkh6qqq

Rehabilitation Following Hip Fracture [chapter]

Suzanne M. Dyer, Monica R. Perracini, Toby Smith, Nicola J. Fairhall, Ian D. Cameron, Catherine Sherrington, Maria Crotty
2020 Practical Issues in Geriatrics  
For an explanation of the grouping of chapters in this book, please see Chapter 1: "The multidisciplinary approach to fragility fractures around the world-an overview".  ...  This chapter is a component of Part 3: Pillar II.  ...  Factors Associated with Poor Outcomes After Hip Fracture Some types of patients with hip fracture appear to be at particular risk of poor outcomes -these include male patients, people living in supported  ... 
doi:10.1007/978-3-030-48126-1_12 fatcat:zlwx4ltf6jakplp3nsv2qbvgly

Effect of early surgery in high surgical risk geriatric patients with femoral neck fracture and taking antiplatelet agents

Paphon Sa-ngasoongsong
2015 World Journal of Orthopaedics  
Early hip surgery in geriatric hip fracture patients with ongoing antiplatelet treatment was not associated with a significant increase of perioperative blood loss and postoperative mortality.  ...  However, the ES group showed a significantly better postoperative outcome in terms of postoperative complications, length of hospital stay, and functional outcome (P < 0.05 all).  ...  Although the safety of early hip surgery in patients taking antiplatelet medications has been introduced [9] , the true benefit of it in geriatric hip frac ture patients who need hip replacement surgery  ... 
doi:10.5312/wjo.v6.i11.970 pmid:26716093 pmcid:PMC4686444 fatcat:azmvnbv6u5bi7jyqnudrkmf5xy

Determinants of Functional Outcomes Using Clinical Pathways for Rehabilitation After Hip Fracture Surgery

Ji-Ho Kang, Gangpyo Lee, Kyoung-Eun Kim, Young-Kyun Lee, Jae-Young Lim
2018 Annals of Geriatric Medicine and Research  
This study evaluated functional outcomes using newly established clinical pathways after hip fracture surgery in older adults and analyzed the major determinants of successful functional outcomes in rehabilitation  ...  This study showed that a well-designed rehabilitation program could improve ambulatory function in older patients after hip fracture surgery and that cognitive impairment and poor balance control may inhibit  ...  Background: This study evaluated functional outcomes using newly established clinical pathways after hip fracture surgery in older adults and analyzed the major determinants of successful functional outcomes  ... 
doi:10.4235/agmr.2018.22.1.26 pmid:32743240 pmcid:PMC7387635 fatcat:y77kb7gn7jby3ejuaizpqa6d5y

Increased Geriatric Treatment Frequency Improves Mobility and Secondary Fracture Prevention in Older Adult Hip Fracture Patients—An Observational Cohort Study of 23,828 Patients from the Registry for Geriatric Trauma (ATR-DGU)

Johannes Gleich, Evi Fleischhacker, Katherine Rascher, Thomas Friess, Christian Kammerlander, Wolfgang Böcker, Benjamin Bücking, Ulrich Liener, Michael Drey, Christine Höfer, Carl Neuerburg
2021 Journal of Clinical Medicine  
treatment during in-hospital stay (OR 2.5, CI 2.4–2.7) and of an early complex geriatric rehabilitation treatment (OR 1.3, CI 1.2–1.4).  ...  Standardized treatment pathways in certified geriatric trauma departments with structured data collection in specific registries improve outcome monitoring and interpretation.  ...  The first key finding points out that early mobilization in an interdisciplinary care setting of older adult hip fracture patients is improved by increased geriatric involvement.  ... 
doi:10.3390/jcm10235489 pmid:34884190 fatcat:sftwxgmyjffgxjqqbx7bbh5xq4


Dr. Mahnoor Aslam,Dr Shahzaib Haider,Dr Bushra Sulaiman
2019 Zenodo  
The restoration of mobility and functional independence are perhaps the important goals of hip fracture surgery.  ...  Ortho-geriatric care, defined as collaborative care for older patients with orthopedic disorders involving orthopedic services and medical programs catering for older people, has been shown to improve  ...  By same token, pain after the surgery can be limiting for functional recovery. In patients with hip fractures, it is crucial therefore to ensure that patients have adequate analgesia.  ... 
doi:10.5281/zenodo.3515411 fatcat:57iqhcoy4vdy7gzg3nzrjybvxi

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

Francisco José Tarazona-Santabalbina, Cristina Ojeda-Thies, Jesús Figueroa Rodríguez, Concepción Cassinello-Ogea, José Ramón Caeiro
2021 International Journal of Environmental Research and Public Health  
Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures.  ...  This narrative review, centered in the last 5 years, combined the search terms "hip fracture", "geriatric assessment", "second hip fracture", "surgery", "perioperative management" and "orthogeriatric care  ...  These studies provide further proof of the need of routine geriatric assessment in older patients hospitalized after hip fracture.  ... 
doi:10.3390/ijerph18063049 pmid:33809573 pmcid:PMC7999190 fatcat:nem26sqlefdl7mscdf3uizfssi

The effectiveness of geriatrician-led comprehensive hip fracture collaborative care in a new acute hip unit based in a general hospital setting in the UK

A Gupta
2014 The Journal of the Royal College of Physicians of Edinburgh  
Acknowledgements I am grateful to all the staff of the acute hip fracture team for their valuable contribution in developing the acute hip unit at Carmarthen Hospital.  ...  My thanks also to Dr Saloni Gupta and Tripti Gupta for help in writing this article.  ...  Our study showed that early geriatric involvement during the acute phase of hip fracture is useful in reducing the time to surgery.  ... 
doi:10.4997/jrcpe.2014.105 pmid:24995442 fatcat:jtkbabklk5dwxfa5ruwqlwmd34

An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life

Yea-Ing L Shyu, Jersey Liang, Chi-Chuan Wu, Huey-Shinn Cheng, Min-Chi Chen
2010 BMC Musculoskeletal Disorders  
Conclusions: This interdisciplinary intervention program may improve health outcomes of elders with hip fracture.  ...  The effects of intervention programs on health-related quality of life (HRQOL) of patients with hip fracture have not been well studied.  ...  The funding agency had no role in study design; in data collections, analysis and interpretation of data; in the writing of the manuscript; and in the decision to submit the manuscript for publication.  ... 
doi:10.1186/1471-2474-11-225 pmid:20920220 pmcid:PMC3161401 fatcat:5vnmlwzz2rfyzay6wcjjxot5pu

Early surgery for Hong Kong Chinese elderly patients with hip fracture reduces short-term and long-term mortality

Stephanie KK Liu, Angela WH Ho, SH Wong
2017 Hong Kong Medical Journal  
in data retrieval.  ...  Acknowledgements The authors would like to thank Dr CP Chan for the statistical analysis, and Mr Tony Kwok and the Clinical Data Analysis and Reporting System team of Hospital Authority for their help  ...  and improved functional outcome in elderly patients with hip fracture.  ... 
doi:10.12809/hkmj165005 pmid:28655864 fatcat:plcrnqb54vguzazpd4lp4lxd7u

The long-term effect of being treated in a geriatric ward compared to an orthopaedic ward on six measures of free-living physical behavior 4 and 12 months after a hip fracture - a randomised controlled trial

Kristin Taraldsen, Pernille Thingstad, Olav Sletvold, Ingvild Saltvedt, Stian Lydersen, Malcolm H. Granat, Sebastien Chastin, Jorunn L. Helbostad
2015 BMC Geriatrics  
Results support findings from the same study for functional outcomes, and demonstrate that CGC impacts daily life as long as one year after surgery.  ...  The long-term effect of being treated in a geriatric ward compared to an orthopaedic ward on six measures of free-living physical behavior 4 and 12 months after a hip fracture -a randomised controlled  ...  We thank the staff at the Department of Geriatrics and the staff at the Department of Orthopedic Surgery for collaboration during the work with the study trial.  ... 
doi:10.1186/s12877-015-0153-6 pmid:26637222 pmcid:PMC4670513 fatcat:zklcrmpxwfadnkvxqeo7yxqova

Physical Behavior and Function Early After Hip Fracture Surgery in Patients Receiving Comprehensive Geriatric Care or Orthopedic Care--A Randomized Controlled Trial

K. Taraldsen, O. Sletvold, P. Thingstad, I. Saltvedt, M. H. Granat, S. Lydersen, J. L. Helbostad
2013 The journals of gerontology. Series A, Biological sciences and medical sciences  
When treated with CGC, compared with OC, older persons suffering a hip fracture spent more time in upright, had more upright events, and had better lower limb function early after surgery despite no difference  ...  This study is a part of the randomized controlled trial, the Trondheim Hip Fracture Trial, and it compared physical behavior and function during the first postoperative days for hip fracture patients managed  ...  Acknowledgments We want to thank the staff at the Department of Geriatrics, the staff at the Department of Orthopedic Surgery, and the Research Group on Geriatrics for collaboration during the work with  ... 
doi:10.1093/gerona/glt097 pmid:23902933 fatcat:rxygylwv3fagfmdstzok7as4gq
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