A nationwide seven-year trend of hip fractures in the elderly population of Taiwan

Background: Hip fractures are an emerging health care problem due to increase in the elderly population all over the world and the associated complications, morbidity and mortality. The objective of this study is to find out the mortality rates in Indian elderly population with hip fractures and to establish an association between various related complications pre and post operatively for a better risk stratification.Methods: A prospective observational cohort study, was carried out at a high-volume orthopaedic centre from 2009 to 2018. And all patients managed for hip fractures were followed up till death or 05 years.Results: The age adjusted first-year mortality was found to be 33% with statistically significant increase in the mortality in individuals with three or more pre-op comorbidities. The significantly associated co-morbidities were chronic renal failure (Hazard ratio 2.32 with CI 1.65- 3.24) and diabetes mellitus (Hazard ratio 1.66 with CI 1.25 – 2.21). There has been a significant dip in the cumulative survival rates of these individuals irrespective of age, sex, preop anaemia.Conclusions: A knowledge about the comorbidities/ risk factors and the extent to which they influence the long-term survival in the geriatric hip fracture patients can help treating physician to effectively prioritise and plan management in coordination with allied specialities.

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Comparison of motor importance scale functional independence and Barthel index to predict mortality after hip fractures in the elderly population

Medicinski podmladak ◽

10.5937/mp68-13461 ◽

2017 ◽

Vol 68 (1) ◽

pp. 21-25

Author(s):

Milica Aleksic ◽

Emilija Dubljanin-Raspopovic

Keyword(s):

Hip Fractures ◽

Barthel Index ◽

Elderly Population ◽

The Elderly ◽

Functional Independence

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Cost-effectiveness of preventing hip fractures in the elderly population using vitamin D and calcium

QJM ◽

10.1093/oxfordjournals.qjmed.a069034 ◽

1995 ◽

Keyword(s):

Vitamin D ◽

Cost Effectiveness ◽

Hip Fractures ◽

Elderly Population ◽

The Elderly

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Peculiarities of Reparative Osteogenesis in Fractures of the Proximal Femur in Patients with Concomitant Arterial Hypertension

Biomedical & Pharmacology Journal ◽

10.13005/bpj/2280 ◽

2021 ◽

Vol 14 (4) ◽

pp. 1815-1822

Author(s):

Mykyta Valilshchykov ◽

Volodymyr Babalyan ◽

Igor Ionov ◽

Olga Babaieva

Keyword(s):

Arterial Hypertension ◽

Beneficial Effect ◽

Fracture Healing ◽

Hip Fractures ◽

Proximal Femur ◽

Elderly Population ◽

Significant Proportion ◽

The Elderly ◽

Reparative Osteogenesis ◽

High Prevalence

Treatment of patients with fractures of the proximal femur is an important problem in modern traumatology. Hip fractures are more commonly associated with osteoporosis. Elderly and senile people make up a significant proportion of patients with fractures. Arterial hypertension (AH) in the elderly population is a disease with a high prevalence. When treating fractures of the proximal femur, it is necessary to take into account the features of reparative osteogenesis characteristics of patients with concomitant arterial hypertension. Medicines used to treat hypertension have a beneficial effect on bone tissue. Pharmacological correction of hypertension in these patients is essential to optimize fracture healing.

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Hip fractures in centenarians: a multicentre review of outcomes

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2020.0203 ◽

2021 ◽

Vol 103 (1) ◽

pp. 59-63

Author(s):

J Barrett-Lee ◽

S Barbur ◽

J Johns ◽

J Pearce ◽

RR Elliot

Keyword(s):

Heart Disease ◽

Hip Fractures ◽

Elderly Population ◽

The Elderly ◽

Mortality Rates ◽

Sheltered Housing ◽

Electronic Records ◽

Elderly Individuals ◽

District Hospitals ◽

One Year

Introduction Advances in healthcare have resulted in an increasing UK population, with the proportion of elderly individuals expanding significantly, including centenarians. Hospitals can expect to see growing numbers of so-called ‘super-elderly’ patients with trauma, a majority of whom will have hip fractures. We performed a multicentre review of hip fracture outcomes in centenarians to assess whether being an outlier in age correlates with poorer prognosis. Methods Centenarians admitted to Basingstoke, Southampton, Dorset, and Salisbury district hospitals with hip fractures between January 2014 and June 2019 were included. Electronic records were searched to obtain demographics, functional status, and admission details. Results A total of 60 centenarians were included, with a median age of 101 years (range 100–108 years), 85% of whom were female; 29 were admitted from their own home or sheltered housing and 31 from nursing or residential care; 33 had some outdoor mobility, 26 only mobilised indoors, and 1 had no mobility. Common comorbidities were renal and heart disease and dementia. Of the total, 56 underwent surgery, 51 within 36 hours. In terms of accommodation, 63.4% returned to their pre-injury level of independence. At 30 days, three months, and one year, mortality rates were 27% (n = 16), 40% (n = 24) and 55% (n = 33), respectively. Conclusion Trauma in the elderly population is an area of growing interest, yet few studies address centenarians with hip fractures. This work demonstrates that mortality rates within one year of injury were high, but almost half survived beyond a year. Two-thirds of patients regained their pre-injury level of independence, suggesting that functional recovery may not be as poor as previously reported.

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Basis of bone strength vs. bone fragility: A review of determinants of age-related hip fracture risk

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1308548d ◽

2013 ◽

Vol 141 (7-8) ◽

pp. 548-552 ◽

Cited By ~ 1

Author(s):

Danijela Djonic ◽

Petar Milovanovic ◽

Marija Djuric

Keyword(s):

Fracture Risk ◽

Bone Strength ◽

Hip Fractures ◽

Elderly Population ◽

Structural Parameters ◽

The Elderly ◽

Bone Fragility ◽

Clinical Settings ◽

Mineral Density ◽

Age Related

The burden of hip fractures in elderly population has been growing worldwide. A particular focus has been directed towards identifying persons at high risk of fracture. However, bone mineral density (BMD), which is currently used in clinical settings as an indicator of risk of age-related fracture, cannot explain all fracture cases in the elderly. In fact, the risk of hip fractures in the elderly is associated with numerous bone features that degrade bone strength. This review focuses on complexity of bone features that could account for increased bone fragility in advanced age. Besides a decrease in BMD, various macroscopic and microscopic structural parameters, as well as the material of which the bone is composed, are subject to age-related changes. Therefore, in order to have a more thorough assessment of the fracture risk, it is essential to provide integrative approaches that combine BMD measure with other relevant bone features.

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Validity and Reliability of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)

GeroPsych ◽

10.1024/1662-9647/a000209 ◽

2019 ◽

Vol 32 (3) ◽

pp. 145-151

Author(s):

Mahshid Foroughan ◽

Zahra Jafari ◽

Ida Ghaemmagham Farahani ◽

Vahid Rashedi

Keyword(s):

Psychometric Properties ◽

Elderly Population ◽

Formal Education ◽

The Elderly ◽

Cognitive State ◽

Validity And Reliability ◽

Internal Reliability ◽

Dsm Iv ◽

Test Retest Reliability ◽

Farsi Version

Abstract. This study examines the psychometric properties of the IQCODE and its applicability in the Iranian elderly population. A group of 95 elderly patients with at least 4 years of formal education who fulfilled the criteria of DSM-IV-TR for dementia were examined by the MMSE and the AMTs. The Farsi version of the IQCODE was subsequently administered to their primary caregivers. Results showed a significant correlation ( p = .01) between the score of the questionnaire and the results of the MMSE ( r = −0.647) and AMTs ( r = −0.641). A high internal reliability of the questionnaire was confirmed by Cronbach’s alpha coefficient (α = 0.927) and test-retest reliability by correlation coefficient ( r = 0.81). This study found that the IQCODE has acceptable psychometric properties and can be used for evaluating the cognitive state in the elderly population of Iran.

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