Functional recovery after pericapsular nerve group block for hip surgery: a reply

Anaesthesia ◽  
2022 ◽  
Author(s):  
G. Pascarella ◽  
F. Costa ◽  
R. Del Buono
Keyword(s):  
Functional Recovery ◽  
Hip Surgery

A 2-min cognitive screener for predicting 1-year functional recovery and survival in older adults after hip fracture repair

2021 ◽  
Author(s):  
Sileno de Queiroz Fortes-Filho ◽  
Márlon Juliano Romero Aliberti ◽  
Juliana de Araújo Melo ◽  
Daniel Apolinario ◽  
Maria do Carmo Sitta ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Hip Fracture ◽  
Functional Recovery ◽  
Cognitive Assessment ◽  
Older Patients ◽  
Fracture Repair ◽  
Screening Tools ◽  
Hip Surgery ◽  
Word Recall ◽  
Risk Of Death

Abstract Background Implementing cognitive assessment in older people admitted to hospital with hip fracture – lying in bed, experiencing pain – is challenging. We investigated the value of a quick and easy-to-administer 10-point cognitive screener (10-CS) in predicting 1-year functional recovery and survival after hip surgery. Methods Prospective cohort study comprising 304 older patients (mean age=80.3±9.1 years; women=72%) with hip fracture consecutively admitted to a specialized academic medical center that supports secondary hospitals in Sao Paulo Metropolitan Area, Brazil. The 10-CS, a 2-minute bedside tool including temporal orientation, verbal fluency, and three-word recall, classified patients as having normal cognition, possible cognitive impairment, or probable cognitive impairment on admission. Outcomes were time-to-recovery activities of daily living (ADLs; Katz index) and mobility (New Mobility Score), and survival during 1-year after hip surgery. Hazard models, considering death as a competing risk, were used to associate the 10-CS categories with outcomes after adjusting for sociodemographic and clinical measures. Results On admission, 144 (47%) patients had probable cognitive impairment. Compared to those cognitively normal, patients with probable cognitive impairment presented less postsurgical recovery of ADLs (77% vs. 40%; adjusted sub-hazard ratio [HR]=0.44; 95%CI=0.32-0.62) and mobility (50% vs. 30%; adjusted sub-HR=0.52; 95%CI=0.34-0.79), and higher risk of death (15% vs. 40%; adjusted HR=2.08; 95%CI=1.03-4.20) over 1-year follow-up. Conclusions The 10-CS is a strong predictor of functional recovery and survival after hip fracture repair. Cognitive assessment using quick and easy-to-administer screening tools like 10-CS can help clinicians make better decisions and offer tailored care for older patients admitted with hip fracture.

Cardiomyocyte-specific overexpression of type 5 phosphodiesterase impairs functional recovery after myocardial infarction

2008 ◽  
Vol 7 ◽  
pp. 206-206
Author(s):  
P POKREISZ ◽  
A VANDENBERGH ◽  
V BITO ◽  
G MARSBOOM ◽  
S VANDENWIJNGAERT ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Functional Recovery

Obesity Is Associated With Poorer Functional Recovery Following Knee Surgery

2007 ◽  
Author(s):  
Patricia H. Rosenberger ◽  
Robert D. Kerns ◽  
Peter Jokl ◽  
Jeannette R. Ickovics
Keyword(s):  
Functional Recovery ◽  
Knee Surgery

A Comparison of General Anesthesia and Regional Anesthesia as a Risk Factor for Deep Vein Thrombosis Following Hip Surgery: A Critical Review

1990 ◽  
Vol 64 (04) ◽  
pp. 497-500 ◽  
Author(s):  
Martin H Prins ◽  
Jack Hirsh
Keyword(s):  
Deep Vein Thrombosis ◽  
General Anesthesia ◽  
Regional Anesthesia ◽  
Lower Incidence ◽  
Hip Surgery ◽  
Level Of Evidence ◽  
Vein Thrombosis ◽  
Postoperative Thrombosis ◽  
High Level ◽  
Deep Vein

SummaryWe evaluated the evidence in support of the suggestion that the risk of deep vein thrombosis after hip surgery is lower with regional than with general anesthesia. A literature search was performed to retrieve all articles which reported on the incidence of postoperative thrombosis in both fractured and elective hip surgery. Articles were included if the method of anesthesia used was reported and if they used mandatory venography. Based upon the quality of study design the level of evidence provided by a study was graded.In patients who did not receive prophylaxis there were high level studies in elective and fractured hip surgery. All studies showed a statistically significantly lower incidence of postoperative deep vein thrombosis with regional anesthesia (relative risk reductions of 46-55%). There were no direct comparative studies in patients who received prophylaxis. However, between study comparisons did not show even a trend towards to lower incidence of postoperative thrombosis with regional anesthesia.

Sign in / Sign up

Export Citation Format

Share Document