Functional outcomes may be good markers of quality of care for hip fracture surgery patients

2006 ◽  
2018 ◽  
Vol 66 (8) ◽  
pp. 1524-1531 ◽  
Author(s):  
Yilin Eileen Sim ◽  
Shao-en David Sim ◽  
Chusheng Seng ◽  
Tet Sen Howe ◽  
Suang Bee Koh ◽  
...  

Bone ◽  
2021 ◽  
Vol 143 ◽  
pp. 115567
Author(s):  
SHAOEN DAVID SIM ◽  
YILIN EILEEN SIM ◽  
KENNY TAY ◽  
TET SEN HOWE ◽  
MENG AI PNG ◽  
...  

Medical Care ◽  
2006 ◽  
Vol 44 (9) ◽  
pp. 862-869 ◽  
Author(s):  
Albert L. Siu ◽  
Kenneth S. Boockvar ◽  
Joan D. Penrod ◽  
R Sean Morrison ◽  
Ethan A. Halm ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Milton-Cole ◽  
S. Ayis ◽  
K. Lambe ◽  
M. D. L. O’Connell ◽  
C. Sackley ◽  
...  

Abstract Background Patients with hip fracture and depression are less likely to recover functional ability. This review sought to identify prognostic factors of depression or depressive symptoms up to 1 year after hip fracture surgery in adults. This review also sought to describe proposed underlying mechanisms for their association with depression or depressive symptoms. Methods We searched for published (MEDLINE, Embase, PsychInfo, CINAHL and Web of Science Core Collection) and unpublished (OpenGrey, Greynet, BASE, conference proceedings) studies. We did not impose any date, geographical, or language limitations. Screening (Covidence), extraction (Checklist for critical Appraisal and data extraction for systematic Reviews of prediction Modelling Studies, adapted for use with prognostic factors studies Checklist), and quality appraisal (Quality in Prognosis Studies tool) were completed in duplicate. Results were summarised narratively. Results In total, 37 prognostic factors were identified from 12 studies included in this review. The quality of the underlying evidence was poor, with all studies at high risk of bias in at least one domain. Most factors did not have a proposed mechanism for the association. Where factors were investigated by more than one study, the evidence was often conflicting. Conclusion Due to conflicting and low quality of available evidence it is not possible to make clinical recommendations based on factors prognostic of depression or depressive symptoms after hip fracture. Further high-quality research investigating prognostic factors is warranted to inform future intervention and/or stratified approaches to care after hip fracture. Trial registration Prospero registration: CRD42019138690.


2022 ◽  
Vol 12 (1) ◽  
pp. 102
Author(s):  
Ming-Hsiu Chiang ◽  
Yu-Yun Huang ◽  
Yi-Jie Kuo ◽  
Shu-Wei Huang ◽  
Yeu-Chai Jang ◽  
...  

Background. Hip fractures among older adults are a major public health concern worldwide. This study investigated the potential clinical factors that predict postoperative 1-year activities of daily living (ADL), quality of life (QoL), and mortality in Taiwanese older adults following hip fracture. Methods. This is a prospective cohort study enrolling older adults (≥60 years) who had undergone hip fracture surgery in a single medical center. The comprehensive clinical history of each patient was examined. QoL, ADL, and mortality events were recorded consecutively at 3, 6, and 12 months after operation. The multiple logistic regression model and the generalized estimating equation (GEE) were adopted to identify contributing factors for mortality and postoperative ADL and QoL prognosis, respectively. Results. Among 377 participants with hip fracture, 48 died within 1 year of the index operation. ADL and QoL considerably decreased at 3 months following hip surgery. Old age, high Charlson Comorbidity Index, and American Society of Anesthesiologists grading were crucial predictors for mortality at the 1-year follow-up. The generalized estimating equation analysis indicated that the length of postoperative follow-up time, serum albumin level, patient cognitive status, and handgrip strength were considerably associated with QoL and ADL recovery prognosis in the Taiwanese older adults following hip fracture. Conclusions. Hip fractures have long-lasting effects on the older adults. Our data imply several prognosis predicting parameters that may assist clinicians in accounting for an individual’s personalized risks in order to improve functional outcomes and reduce mortality.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Julia Poh Hwee Ng ◽  
Sean Wei Loong Ho ◽  
Michael Gui Jie Yam ◽  
Tong Leng Tan

Author(s):  
Francisco José Tarazona-Santabalbina ◽  
Cristina Ojeda-Thies ◽  
Jesús Figueroa Rodríguez ◽  
Concepción Cassinello-Ogea ◽  
José Ramón Caeiro

Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Quality of care in orthogeriatric co-management units has increased, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. 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”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.


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