Post-stroke hip fracture in older people: A narrative review

2016 ◽  
Vol 23 (2) ◽  
pp. 58-63 ◽  
Author(s):  
Dor Vadas ◽  
Leonid Kalichman
Keyword(s):  
Hip Fracture ◽  
Older People ◽  
Narrative Review ◽  
Post Stroke

scholarly journals Hip Fracture Causes Excess Mortality Due to Cardiovascular and Infectious Disease in Institutionalized Older People: A Prospective Five-Year Study

2009 ◽  
pp. 091019190442039-22 ◽  
Author(s):  
Ian D Cameron ◽  
Jian Sheng Chen ◽  
Lyn M March ◽  
Judy M Simpson ◽  
Robert G Cumming ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Hip Fracture ◽  
Older People ◽  
Excess Mortality ◽  
Institutionalized Older People

scholarly journals Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture Trial

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Olav Sletvold ◽  
Jorunn L Helbostad ◽  
Pernille Thingstad ◽  
Kristin Taraldsen ◽  
Anders Prestmo ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Older People ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment

scholarly journals Depression and geriatric assessment in older people admitted for hip fracture

2019 ◽  
Vol 147 (8) ◽  
pp. 1005-1012
Author(s):  
Sergio Charles-Lozoya ◽  
Héctor Cobos-Aguilar ◽  
Elizabeth Barba-Gutiérrez ◽  
Jesús Miguel Brizuela-Ventura ◽  
Salvador Chávez-Valenzuela ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Older People ◽  
Geriatric Assessment

scholarly journals Study protocol: understanding the pathophysiologic mechanisms underlying delirium in older people undergoing hip fracture surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Gamberale ◽  
C. D’Orlando ◽  
S. Brunelli ◽  
R. Meneveri ◽  
P. Mazzola ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Older People ◽  
Older Patients ◽  
Postoperative Delirium ◽  
Frailty Index ◽  
Pathophysiological Mechanisms ◽  
Hip Fracture Surgery ◽  
Endothelial Dysfunctions ◽  
Fracture Surgery ◽  
Pathophysiologic Mechanisms

Abstract Background Postoperative delirium (POD) is a common complication of older people undergoing hip fracture surgery, which negatively affects clinical- and healthcare-related outcomes. Unfortunately, POD pathophysiology is still largely unknown, despite previous studies showing that neuroinflammation, neuroendocrine dysfunction, increased reactive oxidative stress (ROS), and endothelial dysfunctions may be involved. There is also evidence that many of the pathophysiological mechanisms which are involved in delirium are involved in sarcopenia too. This article describes the protocol of a pilot study to evaluate the feasibility of a larger one that will explore the pathophysiological mechanisms correlating POD with sarcopenia. We will analyse whether various biomarkers reflecting neuroinflammation, ROS, neuroendocrine disorders, and microvasculature lesions will be simultaneously expressed in in the blood, cerebrospinal fluid (CSF), and muscles of patients developing POD. Methods Two centres will be involved in this study, each recruiting a convenient sample of ten older patients with hip fracture. All of them will undergo a baseline Comprehensive Geriatric Assessment, which will be used to construct a Rockwood-based Frailty Index (FI). Blood samples will be collected for each patient on the day of surgery and 1 day before. Additionally, CSF and muscle fragments will be taken and given to a biologist for subsequent analyses. The presence of POD will be assessed in each patient every morning until hospital discharge using the 4AT. Delirium subtypes and severity will be assessed using the Delirium Motor Subtype Scale-4 and the Delirium-O-Meter, respectively. We will also evaluate the patient’s functional status at discharge, using the Cumulated Ambulation Score. Discussion This study will be the first to correlate biomarkers of blood, CSF, and muscle in older patients with hip fracture.

scholarly journals An analysis of equity in treatment of hip fractures for older patients with dementia in acute care hospitals: observational study using nationwide hospital claims data in Japan

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shinichi Tomioka ◽  
Megumi Rosenberg ◽  
Kiyohide Fushimi ◽  
Shinya Matsuda
Keyword(s):  
Hip Fracture ◽  
Older People ◽  
Acute Care ◽  
Waiting Time ◽  
Older Patients ◽  
Acute Care Hospitals ◽  
Care Quality ◽  
Severe Dementia ◽  
People With Dementia ◽  
Acute Care Settings

Abstract Background Globally, and particularly in countries with rapidly ageing populations like Japan, there are growing concerns over the heavy burden of ill health borne by older people, and the capacity of the health system to ensure their access to quality care. Older people with dementia may face even greater barriers to appropriate care in acute care settings. Yet, studies about the care quality for older patients with dementia in acute care settings are still few. The objective of this study is to assess whether dementia status is associated with poorer treatment by examining the association of a patient’s dementia status with the probability of receiving surgery and the waiting time until surgery for a hip fracture in acute care hospitals in Japan. Methods All patients with closed hip fracture were extracted from the Diagnosis Procedure Combination (DPC) database between April 2014 and March 2018. After excluding complicated cases, we conducted regressions with multilevel models. We used two outcome measures: (i) whether the patient received a surgery or was treated by watchful waiting; and (ii) number of waiting days until surgery after admission. Results Two hundred fourteen thousand six hundred one patients discharged from 1328 hospitals were identified. Among them, 159,173 patients received surgery. Both 80–89 year-olds (OR 0.87; 95% CI, 0.84, 0.90) and those 90 years old and above (OR 0.67; 95% CI, 0.65, 0.70) had significantly lower odds ratios for receiving surgery compared to 65–79 year-olds. Those with severe dementia had a significantly greater likelihood of receiving surgery compared to those without dementia (OR 1.21; 95% CI, 1.16, 1.25). Patients aged 90 years old and above had shorter waiting time for surgery (Coef. -0.06; 95% CI, − 0.11, − 0.01). Mild dementia did not have a statistically significant impact on the number of waiting days until surgery (P = 0.34), whereas severe dementia was associated with shorter waiting days (Coef. -0.08; 95% CI, − 0.12, − 0.03). Conclusions These findings suggest physicians may be taking proactive measures to preserve physical function for those with severe dementia and to avoid prolonged hospitalization although there are no formal guidelines on prioritization for the aged and dementia patients.

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