Associations Between the Hospitalist Model of Care and Quality-of-Care-Related Outcomes in Patients Undergoing Hip Fracture Surgery

2006 ◽  
Vol 81 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Archana Roy ◽  
Michael G. Heckman ◽  
Vivek Roy
Keyword(s):  
Quality Of Care ◽  
Hip Fracture ◽  
Model Of Care ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals Prognostic factors of depression and depressive symptoms after hip fracture surgery: systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Milton-Cole ◽  
S. Ayis ◽  
K. Lambe ◽  
M. D. L. O’Connell ◽  
C. Sackley ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Depressive Symptoms ◽  
Hip Fracture ◽  
Data Extraction ◽  
High Quality Research ◽  
Hip Fracture Surgery ◽  
Modelling Studies ◽  
Underlying Mechanisms ◽  
Fracture Surgery

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 Methods We searched for published (MEDLINE, Embase, PsychInfo, CINAHL and Web of Science Core Collection) and unpublished (OpenGrey, Greynet, BASE, conference proceedings) studies.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.

scholarly journals Prognostic Factors for Mortality, Activity of Daily Living and Quality of Life in Taiwanese Older Patients within 1 Year following Hip Fracture Surgery

2022 ◽  
Vol 12 (1) ◽  
pp. 102
Author(s):  
Ming-Hsiu Chiang ◽  
Yu-Yun Huang ◽  
Yi-Jie Kuo ◽  
Shu-Wei Huang ◽  
Yeu-Chai Jang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hip Fracture ◽  
Daily Living ◽  
Estimating Equation ◽  
Generalized Estimating Equation ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

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.

scholarly journals Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

2021 ◽  
Vol 18 (6) ◽  
pp. 3049
Author(s):  
Francisco José Tarazona-Santabalbina ◽  
Cristina Ojeda-Thies ◽  
Jesús Figueroa Rodríguez ◽  
Concepción Cassinello-Ogea ◽  
José Ramón Caeiro
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
Economic Problem ◽  
Hip Fracture Surgery ◽  
The Past ◽  
Search Terms ◽  
Surgical Options ◽  
Fracture Surgery ◽  
Type Of Fracture

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.

Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery

2018 ◽  
Vol 66 (8) ◽  
pp. 1524-1531 ◽  
Author(s):  
Yilin Eileen Sim ◽  
Shao-en David Sim ◽  
Chusheng Seng ◽  
Tet Sen Howe ◽  
Suang Bee Koh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Fracture ◽  
Functional Outcomes ◽  
Preoperative Anemia ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals EFFECTS OF FRAGILITY FRACTURE INTEGRATED REHABILITATION MANAGEMENT HIP FRACTURE IN PAKISTANI OLDER ADULTS

2021 ◽  
Vol 5 (1) ◽  
pp. 192-197
Author(s):  
Anam Aftab ◽  
◽  
Shaista Habibullah ◽  
Nimra Ilyas Bhutta ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hip Fracture ◽  
Fragility Fracture ◽  
Personal Hygiene ◽  
Walking Ability ◽  
Rehabilitation Management ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Objective: to evaluate the effectiveness of fragility Fracture Integrated Rehabilitation Management (FIRM) on older adults of Pakistan after hip fracture surgery. Methodology: A one-group pretest–posttest designwas conducted at the National Institute of Rehabilitation Medicine (NIRM), Islamabad from March 2020 to May 2021.. A n=11 participants with age above 55 years, both male and female, with confirming diagnosed cases of hip fracture were included. Every participats receveied 10 sesssions of Fragility Fracture integrated Rehabilitation Management (FIRM) program in two weeks. Data was collected at baseline at 2nd day and after 10th session on 15th day, through the KOVAL scale to assess the walking ability, the Functional Ambulatory Category (FAC) to assess the level of independence, the modified Barthel index (MBI) for activities of daily living (ADLs), and quality of life (QoL) was assessed by EQ-5D. Data were analyzed by using SPSS Version 21. Result: the mean age 76.45±9.32, of which n=6 (54.6%) were males and n=5(45.4%) were females. after 10th sessions the QoL on EQ-5D, ambulation on FAC and KOVAL scale and the ADL on MBI were significantly improved (p<0.05) with large effect size, except for the anxiety domain of EQ5D and subdomains of MBI; Personal hygiene, feeding, Bowel control, bladder control, Wheelchair, and Chair & bed transfer showed no significant change (p>0.05). Conclusion: FIRM care is found to be effective in improving the walking ability, functional status, ADLs and quality of life in geraiatric population following a hip fracture surgery

Preoperative hypoalbuminemia: Poor functional outcomes and quality of life after hip fracture surgery

Bone ◽  
2021 ◽  
Vol 143 ◽  
pp. 115567
Author(s):  
SHAOEN DAVID SIM ◽  
YILIN EILEEN SIM ◽  
KENNY TAY ◽  
TET SEN HOWE ◽  
MENG AI PNG ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Fracture ◽  
Functional Outcomes ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals Patient perspectives on treatment, care and rehabilitation after hip fracture: A meta-aggregative systematic review

2019 ◽  
Author(s):  
Charlotte Abrahamsen ◽  
Birgitte Nørgaard
Keyword(s):  
Systematic Review ◽  
Hip Fracture ◽  
Patient Perspectives ◽  
Hip Fracture Surgery ◽  
Health Related ◽  
Critical Appraisal Skills ◽  
Trajectory Methods ◽  
Fracture Surgery ◽  
And Training

Abstract Background: Hip fracture surgery is a distressing and life-changing event for patients. The treatment, care and rehabilitation of hip fracture patients governed by evidence-based recommendations, the patients’ preferences are often not represented. The aim of this systematic review is to identify elderly hip fracture patients’ priorities during their care trajectory. Methods: A meta-aggregative approach was applied to present findings on patient perspectives. Data were extracted from the findings in the Results section of each study, categorized by similarity in meaning by both authors as either “health-related outcomes” or “healthcare-related experiences”. The quality of the presented evidence was evaluated, and all studies were assessed using the Critical Appraisal Skills Programme (CASP) checklist.Results: Sixteen qualitative studies met the inclusion criteria. The health-related outcomes category included: 1) symptoms and complications, 2) physical health, 3) mental health and 4) social relationships and 5) personal goals. Healthcare-related experiences revolved around: 1) waiting time, 2) information, 3) being treated with respect, 4) participation and 5) discharge.Conclusions: This systematic review provides an overview of hip fracture patients’ perspectives on important aspects of care, treatment and training during their trajectory, thereby contributing to the development of a patient-derived measure of hip fracture.

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