Impact of board-certificated physiatrists on rehabilitation outcomes in elderly patients after hip fracture: An observational study using the Japan Rehabilitation Database

2015 ◽  
Vol 16 (8) ◽  
pp. 963-968 ◽  
Author(s):  
Ryo Momosaki ◽  
Wataru Kakuda ◽  
Naoki Yamada ◽  
Masahiro Abo
Keyword(s):  
Hip Fracture ◽  
Observational Study ◽  
Elderly Patients ◽  
Rehabilitation Outcomes

scholarly journals Association between preoperative evaluation with lung ultrasound and outcome in frail elderly patients undergoing orthopedic surgery for hip fractures: study protocol for an Italian multicenter observational prospective study (LUSHIP)

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Luigi Vetrugno ◽  
Enrico Boero ◽  
Elena Bignami ◽  
Andrea Cortegiani ◽  
Santi Maurizio Raineri ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Postoperative Complications ◽  
Observational Study ◽  
Elderly Patients ◽  
Fracture Fixation ◽  
Frail Elderly ◽  
Statistical Power ◽  
Lung Ultrasound ◽  
Preoperative Evaluation ◽  
Cardiac Complications

Abstract Background Hip fracture is one of the most common orthopedic causes of hospital admission in frail elderly patients. Hip fracture fixation in this class of patients is considered a high-risk procedure. Preoperative physical examination, plasma natriuretic peptide levels (BNP, Pro-BNP), and cardiovascular scoring systems (ASA-PS, RCRI, NSQIP-MICA) have all been demonstrated to underestimate the risk of postoperative complications. We designed a prospective multicenter observational study to assess whether preoperative lung ultrasound examination can predict better postoperative events thanks to the additional information they provide in the form of “indirect” and “direct” cardiac and pulmonary lung ultrasound signs. Methods LUSHIP is an Italian multicenter prospective observational study. Patients will be recruited on a nation-wide scale in the 12 participating centers. Patients aged  >  65 years undergoing spinal anesthesia for hip fracture fixation will be enrolled. A lung ultrasound score (LUS) will be generated based on the examination of six areas of each lung and ascribing to each area one of the four recognized aeration patterns—each of which is assigned a subscore of 0, 1, 2, or 3. Thus, the total score will have the potential to range from a minimum of 0 to a maximum of 36. The association between 30-day postoperative complications of cardiac and/or pulmonary origin and the overall mortality will be studied. Considering the fact that cardiac complications in patients undergoing hip surgery occur in approx. 30% of cases, to achieve 80% statistical power, we will need a sample size of 877 patients considering a relative risk of 1.5. Conclusions Lung ultrasound (LU), as a tool within the anesthesiologist’s armamentarium, is becoming increasingly widespread, and its use in the preoperative setting is also starting to become more common. Should the study demonstrate the ability of LU to predict postoperative cardiac and pulmonary complications in hip fracture patients, a randomized clinical trial will be designed with the scope of improving patient outcome. Trial registration ClinicalTrials.gov, NCT04074876. Registered on August 30, 2019.

Operative delay and mortality in elderly patients with hip fracture: an observational study

2013 ◽  
Vol 24 (5) ◽  
pp. 783-788 ◽  
Author(s):  
Luigi de Palma ◽  
Marco Torcianti ◽  
Leonard Meco ◽  
Alessandro Catalani ◽  
Mario Marinelli
Keyword(s):  
Hip Fracture ◽  
Observational Study ◽  
Elderly Patients ◽  
Operative Delay

scholarly journals Orthogeriatrics in Italy: the Gruppo Italiano di Ortogeriatria (GIOG) audit on hip fractures in the elderly

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Amedeo Zurlo ◽  
Giuseppe Bellelli
Keyword(s):  
Hip Fracture ◽  
Observational Study ◽  
Elderly Patients ◽  
The Elderly ◽  
Study Group ◽  
Web Based ◽  
Italian Study ◽  
Multicenter Observational Study ◽  
Functional Deficit ◽  
High Prevalence

The Gruppo Italiano di Ortogeriatria (GIOG) is an Italian study group promoted by three Italian Scientific Geriatric Societies with the aim of disseminating orthogeriatric methodology in Italy. In 2015 it has supported a multicenter web-based audit to collect data on functioning of Italian orthogeriatrics. The study, still ongoing, has enrolled until now 2577 cases of elderly patients undergoing surgery for hip fracture from 14 Italian orthogeriatric units. The population in question consists of markedly elderly and frail subjects, due to high prevalence of pre-existing functional deficit conditions, but it is also clinically complex; the most frequent fracture is intertrochanteric and the most performed surgery approach is intramedullary nail. This is the largest multicenter observational study conducted so far in Italy on elderly patients with hip fracture.

scholarly journals Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures

2018 ◽  
Vol 9 ◽  
pp. 215145931875935 ◽  
Author(s):  
Tak Man Wong ◽  
Frankie K. L. Leung ◽  
Tak Wing Lau ◽  
Christian Fang ◽  
Felix H. W. Chan ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Demographic Data ◽  
Rehabilitation Program ◽  
Cognitive Outcomes ◽  
Rehabilitation Service ◽  
World Population ◽  
Rehabilitation Outcomes ◽  
Geriatric Hip Fracture ◽  
Elderly Mobility

Introduction: The incidence of hip fracture is projected to increase in the next 25 years as the world population ages. Hip fracture is often associated with subsequent readmission and mortality. Nevertheless, elderly patients often may not achieve the same level of functional ability as prior to their injury. Several studies have shown that close collaboration between orthopedic surgeons and geriatricians can improve such outcomes and Geriatric Day Hospital (GDH) is one of the examples of collaboration to improve such outcomes. The aim of this descriptive retrospective study is to review the effectiveness of the day rehabilitation program provided by a GDH on functional outcomes, mortality, and readmission rate, among a sample of elderly patients with hip fracture. Methods: The medical records of patients from January 1, 2009, to December 31, 2012, were collected and evaluated. Demographic data of the patients and Charlson Comorbidity Index were collected. The Barthel Index, Elderly Mobility Scale, and Mini-Mental State Examination were measured on admission and at discharge of the patients to evaluate both physical and cognitive functions. Results: The results showed that the majority of patients benefited from rehabilitation in the GDH. The 12-month mortality rate of patients taking full-course rehabilitation in the GDH was improved. The age of patient was the most important factor influencing the rehabilitation outcomes. Gender was the only risk factor for 12-month mortality and 6-month readmission. Discussion: Since patients were selected to attend GDH, there was a bias during the selection of patients. Furthermore, it was difficult to compare patients attended GDH with patients who did not because outcomes of the latter were difficult to be recorded. Conclusions: Our study shows that postoperative geriatric hip fracture patients definitely can benefit from rehabilitation service offered by GDH in terms of functional and cognitive outcomes.

Factors Affecting Short-Term Rehabilitation Outcomes of Disabled Elderly Patients With Proximal Hip Fracture

2007 ◽  
Vol 88 (7) ◽  
pp. 916-921 ◽  
Author(s):  
Avital Hershkovitz ◽  
Zulicha Kalandariov ◽  
Vered Hermush ◽  
Roni Weiss ◽  
Shai Brill
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Short Term ◽  
Factors Affecting ◽  
Rehabilitation Outcomes ◽  
Disabled Elderly

scholarly journals Post-hip fracture rehabilitation outcomes of diabetic and non-diabetic elderly patients

2021 ◽  
Vol 53 (1) ◽  
pp. 2298-2304
Author(s):  
Ronen Ben-Joseph ◽  
Barak Luboshitz ◽  
Rachel Heffez Ayzenfeld ◽  
Orit Twito
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Rehabilitation Outcomes

Cerebral oximetry during preoperative resuscitation in elderly patients with hip fracture: a prospective observational study

2018 ◽  
Vol 32 (6) ◽  
pp. 1033-1040 ◽  
Author(s):  
C. G. Clemmesen ◽  
L. M. Pedersen ◽  
S. Hougaard ◽  
M. L. Andersson ◽  
V. Rosenkvist ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Observational Study ◽  
Elderly Patients ◽  
Prospective Observational Study ◽  
Cerebral Oximetry

Post hip-fracture rehabilitation outcomes of diabetic and non-diabetic elderly patients

2021 ◽  
Author(s):  
Ronen Ben-Joseph ◽  
Barak luboshitz ◽  
Rachel Heffez-Ayzenfeld ◽  
Orit Twito
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Rehabilitation Outcomes
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