Geriatric patients with dementia show increased mortality and lack of functional recovery after hip fracture treated with hemiprosthesis

Abstract Background People living with dementia seem to be more likely to experience delirium following hip fracture. The association between mental disorders (MD) and hip fracture remains controversial. We conducted a nationwide study to examine the prevalence of MD in geriatric patients with hip fractures undergoing surgery and conducted a related risk factor analysis. Material and methods This retrospective cohort study used data from Taiwan’s National Health Insurance Research Database between 2000 and 2012 and focused on people who were older than 60 years. Patients with hip fracture undergoing surgical intervention and without hip fracture were matched at a ratio of 1:1 for age, sex, comorbidities, and index year. The incidence and hazard ratios of age, sex, and multiple comorbidities related to MD and its subgroups were calculated using Cox proportional hazards regression models. Results A total of 1408 patients in the hip fracture group and a total of 1408 patients in the control group (no fracture) were included. The overall incidence of MD for the hip fracture and control groups per 100 person-years were 0.8 and 0.5, respectively. Among MD, the incidences of transient MD, depression, and dementia were significantly higher in the hip fracture group than in the control group. Conclusions The prevalence of newly developed MD, especially transient MD, depression, and dementia, was higher in the geriatric patients with hip fracture undergoing surgery than that in the control group. Prompt and aggressive prevention protocols and persistent follow-up of MD development is highly necessary in this aged society.

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Diabetes Confers Little to No Increased Risk of Postoperative Complications After Hip Fracture Surgery in Geriatric Patients

Clinical Orthopaedics and Related Research ◽

10.1007/s11999-014-3945-7 ◽

2014 ◽

Vol 473 (3) ◽

pp. 1043-1051 ◽

Cited By ~ 19

Author(s):

Nicholas S. Golinvaux ◽

Daniel D. Bohl ◽

Bryce A. Basques ◽

Michael R. Baumgaertner ◽

Jonathan N. Grauer

Keyword(s):

Hip Fracture ◽

Postoperative Complications ◽

Geriatric Patients ◽

Hip Fracture Surgery ◽

Increased Risk ◽

Fracture Surgery

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Delirium Is Independently Associated with Poor Functional Recovery After Hip Fracture

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2000.tb04718.x ◽

2000 ◽

Vol 48 (6) ◽

pp. 618-624 ◽

Cited By ~ 427

Author(s):

Edward R. Marcantonio ◽

Jonathan M. Flacker ◽

Mary Michaels ◽

Neil M. Resnick

Keyword(s):

Hip Fracture ◽

Functional Recovery

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The approach to patients with cognitive impairment and hip fracture: the role of orthogeriatric care

Reviews in Clinical Gerontology ◽

10.1017/s0959259814000100 ◽

2014 ◽

Vol 24 (3) ◽

pp. 219-227 ◽

Cited By ~ 2

Author(s):

Francisco J Tarazona-Santabalbina ◽

Juan R Doménech-Pascual ◽

Ángel Belenguer-Varea A ◽

Eduardo Rovira Daudi

Keyword(s):

Cognitive Impairment ◽

Hip Fracture ◽

Functional Recovery ◽

Functional Outcomes ◽

Older Patients ◽

Future Research ◽

Research Perspectives ◽

Increased Risk ◽

Risk Of Falls

SummaryHip fracture is very common among older patients, who are characterized by increased co-morbidities, including cognitive impairment. These patients have an increased risk of falls and fractures, poorer functional recovery and lower survival both in hospital and 12 months after discharge. We review the survival and functional outcomes of older patients with cognitive impairment and hip fracture managed in orthogeriatric units, and highlight the gaps in our knowledge of the efficacy and efficiency of specific orthogeriatric programmes for such patients and the future research perspectives in this field.

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Evaluation of Functional Recovery by Motor Functional Independence Measure Test of Elderly After Hip Fracture in Serbia

Acta Médica Portuguesa ◽

10.20344/amp.4267 ◽

2014 ◽

Vol 27 (1) ◽

pp. 88 ◽

Cited By ~ 1

Author(s):

Natasa Radosavljevic ◽

Dejan Nikolic ◽

Milica Lazovic ◽

Zoran Radosavljevic ◽

Aleksandar Jeremic

Keyword(s):

Hip Fracture ◽

Functional Recovery ◽

Age Groups ◽

Functional Independence Measure ◽

Severity Index ◽

Functional Independence ◽

Post Discharge ◽

Third Age ◽

Period 2 ◽

Group 2

Introduction: The aim of the study was to evaluate motor functional status measured by motor Functional Independence Measure (mFIM) test in population above 65 years of age after the hip fracture. Material and Methods: We evaluated 203 patients after hip fracture by mFIM test on 3 occasions: at admission (Period-1), at discharge (Period-2) and 3 months after discharge (Period-3); 3 age groups: Group65-74, Group75-84 and Group85-up and 2 groups concerning Severity Index (SI): group 0-1.99 (SI1) and group ≥ 2 (SI2). Results: In same SI group there is significant increase in mFIM values for Period-2 and Period-3 for both genders and in first two age groups, while for those above 85 years of age with higher SI we found non-significant change in mFIM values between discharge and 3 months post discharge period. Discussion: The most significant improvement is obtained for women in first and third age groups and with higher SI. Conclusion: Gender is not significant predictor for motor functional recovery measured by mFIM test in patients with hip fracture, although the admittance mFIM is a good indicator for mFIM capacity recovery in women of certain age groups (first and third age groups).

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Effect of rehabilitation site on functional recovery after hip fracture

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2004.10.004 ◽

2005 ◽

Vol 86 (3) ◽

pp. 367-372 ◽

Cited By ~ 69

Author(s):

Michael C. Munin ◽

Karen Seligman ◽

Mary Amanda Dew ◽

Tanya Quear ◽

Elizabeth R. Skidmore ◽

...

Keyword(s):

Hip Fracture ◽

Functional Recovery

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Frailty defined by 19 items as a predictor of short-term functional recovery in patients with hip fracture

Injury ◽

10.1016/j.injury.2019.10.011 ◽

2019 ◽

Vol 50 (12) ◽

pp. 2272-2276 ◽

Cited By ~ 4

Author(s):

Tatsuro Inoue ◽

Shogo Misu ◽

Toshiaki Tanaka ◽

Tetsuya Kakehi ◽

Masayoshi Kakiuchi ◽

...

Keyword(s):

Hip Fracture ◽

Functional Recovery ◽

Short Term

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Incidence And Risk Factors For Postoperative Pneumonia Following Surgically Treated Hip Fracture In Geriatric Patients: A Retrospective Cohort Study

10.21203/rs.3.rs-1115522/v1 ◽

2021 ◽

Author(s):

Yunxu Tian ◽

Yanbin Zhu ◽

Kexin Zhang ◽

Miao Tian ◽

Shuhui Qin ◽

...

Keyword(s):

Risk Factors ◽

Hip Fracture ◽

Geriatric Patients ◽

Multivariate Analyses ◽

Postoperative Pneumonia ◽

Multivariate Logistic Regression Model ◽

Preventive Strategy ◽

Tertiary Referral Center ◽

Independent Risk Factors ◽

Clinical Conditions

Abstract Objective: Large sample investigations for risk factors for pneumonia in elderly patients after hip fracture surgeries are lacking. The purpose of this study is to determine the incidence and risk factors for postoperative pneumonia in geriatric patients following hip fracture operations.Methods: A retrospective study of incidence and risk factors in a tertiary referral center between 2016 and 2020 was conducted. Geriatric patients who developed postoperative pneumonia after surgeries of hip fracture during hospitalization stay were defined as cases and those without as controls. Multivariate logistic regression model was used to evaluate risk factors for postoperative pneumonia.Results: This study included 3147 patients, and 182 developed postoperative pneumonia, denoting the rate of 5.7%. In the multivariate analyses, age (OR, 1.04; 95% CI, 1.02–1.06), sex (males) (OR, 2.27; 95% CI, 1.64-3.13), respiratory disease (OR, 3.74; 95% CI, 2.32–6.04), heart disease (OR, 1.68; 95% CI, 1.14–2.47), cerebrovascular disease (OR, 1.58; 95% CI, 1.11–2.27), liver disease (OR, 2.61; 95% CI, 1.33–5.15), preoperative stay (OR, 1.08; 95% CI, 1.05–1.11) and general anesthesia (OR, 1.61; 95% CI, 1.15-2.27) were identified as independent risk factors for postoperative pneumonia.Conclusions: This study identified several risk factors for pneumonia in geriatric patients after hip fracture operations, providing a viable preventive strategy for optimizing clinical conditions for reductionof postoperative pneumonia.

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