scholarly journals Comparison of motor importance scale functional independence and Barthel index to predict mortality after hip fractures in the elderly population

2017 ◽  
Vol 68 (1) ◽  
pp. 21-25
Author(s):  
Milica Aleksic ◽  
Emilija Dubljanin-Raspopovic
Keyword(s):  
Hip Fractures ◽  
Barthel Index ◽  
Elderly Population ◽  
The Elderly ◽  
Functional Independence

scholarly journals Hip fractures: mortality and correlation with preoperative comorbidities in Indian elderly population

2021 ◽  
Vol 7 (6) ◽  
pp. 1185
Author(s):  
Prashant Pratim Padhi ◽  
Pankaj Rai
Keyword(s):  
Hip Fractures ◽  
Elderly Population ◽  
Survival Rates ◽  
High Volume ◽  
The Elderly ◽  
Hazard Ratio ◽  
First Year ◽  
Term Survival ◽  
Geriatric Hip Fracture ◽  
Observational Cohort

<p class="abstract"><strong>Background:</strong> Hip fractures are an emerging health care problem due to increase in the elderly population all over the world and the associated complications, morbidity and mortality. The objective of this study is to find out the mortality rates in Indian elderly population with hip fractures and to establish an association between various related complications pre and post operatively for a better risk stratification.</p><p class="abstract"><strong>Methods: </strong>A prospective observational cohort study, was carried out at a high-volume orthopaedic centre from 2009 to 2018. And all patients managed for hip fractures were followed up till death or 05 years.</p><p class="abstract"><strong>Results: </strong>The age adjusted first-year mortality was found to be 33% with statistically significant increase in the mortality in individuals with three or more pre-op comorbidities. The significantly associated co-morbidities were chronic renal failure (Hazard ratio 2.32 with CI 1.65- 3.24) and diabetes mellitus (Hazard ratio 1.66 with CI 1.25 – 2.21). There has been a significant dip in the cumulative survival rates of these individuals irrespective of age, sex, preop anaemia.</p><p class="abstract"><strong>Conclusions: </strong>A knowledge about the comorbidities/ risk factors and the extent to which they influence the long-term survival in the geriatric hip fracture patients can help treating physician to effectively prioritise and plan management in coordination with allied specialities.  </p>

A nationwide seven-year trend of hip fractures in the elderly population of Taiwan

Bone ◽  
2009 ◽  
Vol 44 (1) ◽  
pp. 125-129 ◽  
Author(s):  
Chung-Jung Shao ◽  
Yu-Hsiang Hsieh ◽  
Ching-Hui Tsai ◽  
Kuo-An Lai
Keyword(s):  
Hip Fractures ◽  
Elderly Population ◽  
The Elderly

scholarly journals Outcomes of endovascular thrombectomy in the elderly: a ‘real-world’ multicenter study

2018 ◽  
Vol 11 (6) ◽  
pp. 545-553 ◽  
Author(s):  
Ali Alawieh ◽  
Robert M Starke ◽  
Arindam Rano Chatterjee ◽  
Aquilla Turk ◽  
Reade De Leacy ◽  
...  
Keyword(s):  
Elderly Population ◽  
Multivariate Analyses ◽  
The Elderly ◽  
Functional Independence ◽  
National Institutes Of Health ◽  
Independent Effect ◽  
Endovascular Thrombectomy ◽  
Prognostic Effect ◽  
The Cost ◽  
Effect Of Age

BackgroundThe efficacy of endovascular thrombectomy (ET) for acute ischemic stroke (AIS) in octogenarians is still controversial.ObjectiveTo evaluate, using a large multicenter cohort of patients, outcomes after ET in octogenarians compared with younger patients.MethodsData from prospectively maintained databases of patients undergoing ET for AIS at seven US-based comprehensive stroke centers between January 2013 and January 2018 were reviewed. Demographic, procedural, and outcome variables were collected. Outcomes included 90-day modified Rankin Scale (mRS) score, postprocedural National Institutes of Health Stroke Scale score, postprocedural hemorrhage, and mortality. Univariate and multivariate analyses were performed to assess the independent effect of age ≥80 on outcome measures. Subgroup analyses were also performed based on location of stroke, success of recanalization, or ET technique used.ResultsRates of functional independence (mRS score 0–2) after ET in elderly patients were significantly lower than for younger counterparts. Age ≥80 was independently associated with increased mortality and poor outcome. Age ≥80 showed an independent negative prognostic effect on outcome even when patients were divided according to thrombectomy technique, location of stroke, or success of recanalization. Age ≥80 independently predicted higher rate of postprocedural hemorrhage, but not success of recanalization. Baseline deficit and number of reperfusion attempts, but not Thrombolysis in Cerebral Infarction score were associated with lower odds of good outcome.ConclusionThe large effect size of ET on AIS outcomes is significantly diminished in the elderly population when using comparable selection criteria to those used in younger counterparts. This raises concerns about the risk–benefit ratio and the cost-effectiveness of performing this procedure in the elderly before optimizing patient selection.

scholarly journals Deverá a idade ser um fator decisivo de seleção para internação num Centro de Reabilitação após um AVC?

2019 ◽  
Vol 7 (1) ◽  
pp. 31608
Author(s):  
Pedro Francisco dos Santos Caetano ◽  
José Vilaça ◽  
Inês Campos ◽  
Anabela Pereira ◽  
Jorge Laíns
Keyword(s):  
Elderly Patients ◽  
Stroke Rehabilitation ◽  
Elderly Population ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Rehabilitation Medicine ◽  
Functional Independence ◽  
Discharge Destination ◽  
Post Discharge ◽  
Mean Values

Aims: Stroke represents one of the main causes of mobility and mortality, occurring in three-quarters of the elderly. Rehabilitation aims at improving deficits, function and social integration of patients with stroke sequelae. We characterized an elderly population admitted for post-stroke rehabilitation and evaluated the differences in the functional evolution between elderly and non-elderly patients.Methods: We analyzed retrospectively all the patients suffering a stroke admitted in a Centre of Rehabilitation Medicine between June 1, 2014, and May 31, 2016. Patients were divided into 2 groups: elderly (65 years) and non-elderly (<65 years). The following variables were analyzed: sex, age, days of admission, post-discharge destination and Functional Independence Measure (FIM) at admission and discharge.Results: We analyzed 134 patients with stroke. The majority were elderly with a mean age of 72.07±6.50. 51.3% were men and the number of days of admission was 107.4±59.5 (vs 109.50±55.7 days in the non-elderly group). 86.4% of these patients were discharged home. Comparing FIM mean values at admission and discharge, we found differences between these two groups, the elderly patients having lower FIM values at admission (75.75 vs 82.96 non-elderly; p=0.005) and at discharge (88.93 vs 99.12 non-elderly; p=0.005). There was also some difference in the FIM increase between admission and discharge in these groups. Despite not being statistically significant.Conclusions: Most patients hospitalized were over 65 years old. FIM values at admission of the elderly patients are lower than of the non-elderly, probably because the latter present specific characteristics associated with the ageing process. Although FIM increases were lower in the elderly patients’ group, this difference was not significant whereby they appeared to have functionally benefited as much as the non-elderly. Therefore, age on its own does not appear to be a decision criteria for admission.

scholarly journals Peculiarities of Reparative Osteogenesis in Fractures of the Proximal Femur in Patients with Concomitant Arterial Hypertension

2021 ◽  
Vol 14 (4) ◽  
pp. 1815-1822
Author(s):  
Mykyta Valilshchykov ◽  
Volodymyr Babalyan ◽  
Igor Ionov ◽  
Olga Babaieva
Keyword(s):  
Arterial Hypertension ◽  
Beneficial Effect ◽  
Fracture Healing ◽  
Hip Fractures ◽  
Proximal Femur ◽  
Elderly Population ◽  
Significant Proportion ◽  
The Elderly ◽  
Reparative Osteogenesis ◽  
High Prevalence

Treatment of patients with fractures of the proximal femur is an important problem in modern traumatology. Hip fractures are more commonly associated with osteoporosis. Elderly and senile people make up a significant proportion of patients with fractures. Arterial hypertension (AH) in the elderly population is a disease with a high prevalence. When treating fractures of the proximal femur, it is necessary to take into account the features of reparative osteogenesis characteristics of patients with concomitant arterial hypertension. Medicines used to treat hypertension have a beneficial effect on bone tissue. Pharmacological correction of hypertension in these patients is essential to optimize fracture healing.

scholarly journals Hip fractures in centenarians: a multicentre review of outcomes

2021 ◽  
Vol 103 (1) ◽  
pp. 59-63
Author(s):  
J Barrett-Lee ◽  
S Barbur ◽  
J Johns ◽  
J Pearce ◽  
RR Elliot
Keyword(s):  
Heart Disease ◽  
Hip Fractures ◽  
Elderly Population ◽  
The Elderly ◽  
Mortality Rates ◽  
Sheltered Housing ◽  
Electronic Records ◽  
Elderly Individuals ◽  
District Hospitals ◽  
One Year

Introduction Advances in healthcare have resulted in an increasing UK population, with the proportion of elderly individuals expanding significantly, including centenarians. Hospitals can expect to see growing numbers of so-called ‘super-elderly’ patients with trauma, a majority of whom will have hip fractures. We performed a multicentre review of hip fracture outcomes in centenarians to assess whether being an outlier in age correlates with poorer prognosis. Methods Centenarians admitted to Basingstoke, Southampton, Dorset, and Salisbury district hospitals with hip fractures between January 2014 and June 2019 were included. Electronic records were searched to obtain demographics, functional status, and admission details. Results A total of 60 centenarians were included, with a median age of 101 years (range 100–108 years), 85% of whom were female; 29 were admitted from their own home or sheltered housing and 31 from nursing or residential care; 33 had some outdoor mobility, 26 only mobilised indoors, and 1 had no mobility. Common comorbidities were renal and heart disease and dementia. Of the total, 56 underwent surgery, 51 within 36 hours. In terms of accommodation, 63.4% returned to their pre-injury level of independence. At 30 days, three months, and one year, mortality rates were 27% (n = 16), 40% (n = 24) and 55% (n = 33), respectively. Conclusion Trauma in the elderly population is an area of growing interest, yet few studies address centenarians with hip fractures. This work demonstrates that mortality rates within one year of injury were high, but almost half survived beyond a year. Two-thirds of patients regained their pre-injury level of independence, suggesting that functional recovery may not be as poor as previously reported.

scholarly journals Basis of bone strength vs. bone fragility: A review of determinants of age-related hip fracture risk

2013 ◽  
Vol 141 (7-8) ◽  
pp. 548-552 ◽  
Author(s):  
Danijela Djonic ◽  
Petar Milovanovic ◽  
Marija Djuric
Keyword(s):  
Fracture Risk ◽  
Bone Strength ◽  
Hip Fractures ◽  
Elderly Population ◽  
Structural Parameters ◽  
The Elderly ◽  
Bone Fragility ◽  
Clinical Settings ◽  
Mineral Density ◽  
Age Related

The burden of hip fractures in elderly population has been growing worldwide. A particular focus has been directed towards identifying persons at high risk of fracture. However, bone mineral density (BMD), which is currently used in clinical settings as an indicator of risk of age-related fracture, cannot explain all fracture cases in the elderly. In fact, the risk of hip fractures in the elderly is associated with numerous bone features that degrade bone strength. This review focuses on complexity of bone features that could account for increased bone fragility in advanced age. Besides a decrease in BMD, various macroscopic and microscopic structural parameters, as well as the material of which the bone is composed, are subject to age-related changes. Therefore, in order to have a more thorough assessment of the fracture risk, it is essential to provide integrative approaches that combine BMD measure with other relevant bone features.

scholarly journals Use of the Barthel Index to Assess Activities of Daily Living before and after SARS-COVID 19 Infection of Institutionalized Nursing Home Patients

2021 ◽  
Vol 18 (14) ◽  
pp. 7258
Author(s):  
Bibiana Trevissón-Redondo ◽  
Daniel López-López ◽  
Eduardo Pérez-Boal ◽  
Pilar Marqués-Sánchez ◽  
Cristina Liébana-Presa ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living ◽  
Elderly Population ◽  
The Elderly ◽  
Elderly Subjects ◽  
Nursing Home Patients ◽  
Before And After

The objective of the present study was to evaluate the activities of daily living (ADLs) using the Barthel Index before and after infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and also to determine whether or not the results varied according to gender. The ADLs of 68 cohabiting geriatric patients, 34 men and 34 women, in two nursing homes were measured before and after SARS-CoV-2 (Coronavirus 2019 (COVID-19)) infection. COVID-19 infection was found to affect the performance of ADLs in institutionalized elderly in nursing homes, especially in the more elderly subjects, regardless of sex. The COVID-19 pandemic, in addition to having claimed many victims, especially in the elderly population, has led to a reduction in the abilities of these people to perform their ADLs and caused considerable worsening of their quality of life even after recovering from the disease.

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