Einzeltreffer — DigiBib

Background: With the increasing number of elderly individuals worldwide, a greater number of people aged 80 years and older sustain fragility fracture due to osteopenia and osteoporosis.

Methods: This retrospective study included 158 older adults, with a median age of 85 (range: 80-99) years, who sustained hip fragility fracture and who underwent surgery. The patients were divided into two groups, one including patients who joined the post-acute care (PAC) program after surgery and another comprising patients who did not. The mortality, complication, comorbidity, re-fracture, secondary fracture, and readmission rates and functional status (based on the Barthel index score, numerical rating scale score, and Harris Hip Scale score) between the two groups were compared.

Results: The patients who presented with fragility hip fracture and who joined the PAC rehabilitation program after the surgery had a lower rate of mortality, readmission rate, fracture (re-fracture and secondary fracture), and complications associated with fragility fracture, such as urinary tract infection, cerebrovascular accident, and pneumonia (acute coronary syndrome, out-of-hospital cardiac arrest, or in-hospital cardiac arrest.

Conclusions: PAC is associated with a lower rate of mortality and complications such as urinary tract infection, bed sore, and pneumonia in octogenarian and nonagenarian patients with hip fragility fracture.

Titel:	Does post acute care reduce the mortality of octogenarian and nonagenarian patients undergoing hip fracture surgery?
Autor/in / Beteiligte Person:	Chiang, YW ; Chang, YJ ; Huang, HJ ; Hsieh, CP ; Lu, YH
Link:	View record at Springer (Volltext)
Zeitschrift:	BMC geriatrics, Jg. 24 (2024-04-08), Heft 1, S. 322
Veröffentlichung:	London : BioMed Central, [2001]-, 2024
Medientyp:	academicJournal
ISSN:	1471-2318 (electronic)
DOI:	10.1186/s12877-024-04936-z
Schlagwort:	Aged Aged, 80 and over Humans Subacute Care Octogenarians Nonagenarians Retrospective Studies Hip Fractures surgery Urinary Tract Infections Pneumonia
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [BMC Geriatr] 2024 Apr 08; Vol. 24 (1), pp. 322. <i>Date of Electronic Publication: </i>2024 Apr 08. MeSH Terms: Hip Fractures* / surgery ; Urinary Tract Infections* ; Pneumonia* ; Aged ; Aged, 80 and over ; Humans ; Subacute Care ; Octogenarians ; Nonagenarians ; Retrospective Studies References: Burns. 2014 Nov;40(7):1397-405. (PMID: 24518304) ; Bone. 2014 Jun;63:81-6. (PMID: 24607943) ; Injury. 2018 Aug;49(8):1458-1460. (PMID: 29699731) ; J Clin Orthop Trauma. 2019 Nov-Dec;10(6):1097-1100. (PMID: 31708635) ; JBMR Plus. 2021 Mar 16;5(4):e10482. (PMID: 33869997) ; Osteoporos Int. 2017 Jan;28(1):269-277. (PMID: 27443570) ; Injury. 2018 Mar;49(3):685-690. (PMID: 29426609) ; J Am Acad Orthop Surg. 2019 Jan 15;27(2):e85-e91. (PMID: 30169444) ; Singapore Med J. 2022 Aug;63(8):439-444. (PMID: 33866715) ; J Formos Med Assoc. 2022 Aug;121(8):1596-1604. (PMID: 35065880) ; Ther Clin Risk Manag. 2021 Jun 23;17:641-648. (PMID: 34188477) ; J Clin Orthop Trauma. 2020 Sep 22;14:69-73. (PMID: 33717899) ; Bone. 2015 Sep;78:55-61. (PMID: 25933944) ; Osteoporos Sarcopenia. 2018 Mar;4(1):16-21. (PMID: 30775536) ; Bone. 2013 Sep;56(1):147-53. (PMID: 23727435) ; J Bone Joint Surg Br. 2007 Apr;89(4):461-6. (PMID: 17463112) ; PLoS One. 2018 Oct 12;13(10):e0205729. (PMID: 30312330) ; J Orthop Surg Res. 2019 Jul 4;14(1):203. (PMID: 31272470) ; J Am Geriatr Soc. 2002 Oct;50(10):1644-50. (PMID: 12366617) ; J Neurol Phys Ther. 2018 Jan;42(1):2-11. (PMID: 29232307) ; Arch Intern Med. 2009 Oct 12;169(18):1712-7. (PMID: 19822829) ; Geriatr Gerontol Int. 2016 Jan;16(1):28-36. (PMID: 25598356) ; PLoS One. 2023 Jan 6;18(1):e0279654. (PMID: 36607971) ; Hip Pelvis. 2020 Sep;32(3):125-131. (PMID: 32953704) ; Chin J Traumatol. 2011;14(6):323-8. (PMID: 22152134) ; Int J Gen Med. 2023 May 04;16:1653-1659. (PMID: 37168532) ; Acta Cardiol Sin. 2023 Mar;39(2):287-296. (PMID: 36911546) ; J Bone Miner Res. 2005 Mar;20(3):494-500. (PMID: 15746995) ; Injury. 2018 Mar;49(3):656-661. (PMID: 29329713) ; Clin Rehabil. 2015 Sep;29(9):892-906. (PMID: 25452632) ; Clin Rehabil. 2002 Jun;16(4):406-13. (PMID: 12061475) ; Curr Osteoporos Rep. 2023 Aug;21(4):472-484. (PMID: 37300602) ; J Gerontol. 1990 May;45(3):M101-7. (PMID: 2335719) Contributed Indexing: Keywords: Fragile fracture; Hip fracture; Mortality; Osteoporosis; Post-acute-care Entry Date(s): Date Created: 20240408 Date Completed: 20240410 Latest Revision: 20240411 Update Code: 20240411 PubMed Central ID: PMC11000408

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Does post acute care reduce the mortality of octogenarian and nonagenarian patients undergoing hip fracture surgery?