Which factors are independent predictors of early recovery of mobility in the older adults’ population after hip fracture? A cohort prognostic study

2017 ◽  
Vol 138 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Mattia Morri ◽  
Cristiana Forni ◽  
Maura Marchioni ◽  
Elena Bonetti ◽  
Francesca Marseglia ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Early Recovery

scholarly journals Lived Experience of Older Adults with Post-Hip Fracture

2014 ◽  
Vol 1 (1) ◽  
pp. 35-40
Author(s):  
Bishnu Bista Thapa
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Lived Experience ◽  
Phenomenological Study ◽  
Edmund Husserl ◽  
Early Recovery ◽  
Web Based ◽  
Qualitative Research Design ◽  
Care Givers ◽  
And Coping

Objective: this phenomenological study was undertaken to explore lived experiences of community dweller older adults with post hip fractured.  Methods: A qualitative research design underpinned by the philosophy of Edmund Husserl and methodological interpretations of Colaizzi’s. The series of in-depth web based interviews were simultaneously conducted and analyzed until saturation of data. Rigor of the study was maintained by validated the transcribed information by informants. Findings: based on subjective information provided by informants, sixteen themes were emerged which further merged into four theme clusters that were patho-dynamic of hip fracture, affected reaction to distress and situation appraisal, limitation in movement and being dependent on others and coping behaviors. Findings of this study indicated that informants experienced both fluid and complex that challenges all spheres of their life after hip fracture. Conclusion: It was concluded that, older adults with post-hip fracture are facing multiple situational problems like physical, emotional, care-givers and financial so that comprehensive, affordable and culturally based multi-disciplinary services are essential. Physical comforts, motivation, continuous support, encouragement for exercise, walking and financial assistance can promote their early recovery and regaining functional capacity. This approach to the study of lived experience of older adults with post-hip fracture offers an opportunity to reflect and make sense of their current situation in the light of their day to day life activities, struggling and achieving pre-fracture functional abilities, to tell their story to an interested listener and to have their feelings validated.DOI: http://dx.doi.org/10.3126/ijssm.v1i1.9590 Int. J. Soc. Sci. Manage. Vol.1(1) 2014 35-40

Author response for "The Effect Of Fall Biomechanics On Risk For Hip Fracture In Older Adults: A Cohort Study Of Video‐Captured Falls In Long‐Term Care"

2020 ◽  
Author(s):  
Yijian Yang ◽  
Vicki Komisar ◽  
Nataliya Shishov ◽  
Bryan Lo ◽  
Alexandra MB Korall ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Long Term Care ◽  
Author Response ◽  
Term Care

Accelerated decline in quadriceps area and Timed Up and Go test performance are associated with hip fracture risk in older adults with impaired kidney function

2021 ◽  
pp. 111314
Author(s):  
Elisa A. Marques ◽  
Martine Elbejjani ◽  
João L. Viana ◽  
Vilmundur Gudnason ◽  
Gunnar Sigurdsson ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Fracture Risk ◽  
Kidney Function ◽  
Test Performance ◽  
Timed Up And Go ◽  
Hip Fracture Risk

scholarly journals Characteristics and Outcomes of Hip Fracture Patients Hospitalized in an Orthogeriatric Unit Versus an Orthopedic Department: A Retrospective Cohort Study

2021 ◽  
Vol 12 ◽  
pp. 215145932098629 ◽  
Author(s):  
Yulia Bugaevsky ◽  
Yochai Levy ◽  
Avital Hershkovitz ◽  
Irena Ocheretny ◽  
Adaya Nissenholtz ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Functional Independence ◽  
Functional Improvement ◽  
Orthopedic Department ◽  
Successful Recovery

Introduction: Hip fractures are a significant health risk in older adults and a major cause of morbidity, functional decline and mortality. Our aim was to compare clinical outcomes of older patients hospitalized in an ortho-geriatric (OG) unit to those hospitalized in an orthopedic department (OD) for surgical treatment of a hip fracture. Methods: A retrospective cohort study of hip fractured patients hospitalized between 2015-2016 in a single tertiary university-affiliated medical center. Included were patients aged 65 and older who had undergone hip fracture surgery and were admitted to either a geriatric or orthopedic ward. Results: 441 patients met the inclusion criteria (195 in the OG unit, 246 in the OD); 257 were transferred to an affiliated geriatric center hospital (107 from the OG unit and 127 from the OD) for rehabilitation. Patients in the OG unit were older, more cognitively and functionally impaired and with more comorbidities. The 1-year mortality rate was significantly lower in the OD group (OR 0.32, CI 95% 0.19-0.53, p < 0.001), however, after propensity matching, the 30-day and 1 year mortality rates were similar in both groups. No difference was found in the rehabilitation length of stay between the groups. The functional independence measure improvement was similar in both groups, with a non-significant trend toward better functional improvement among OG unit patients. Conclusions: Despite the higher complexity of patients, worse baseline functional capacity in the OG unit, improvement after rehabilitation was similar in both groups. These results demonstrate the advantages of the OG unit in treating and stabilizing frail older adults, thus maximizing their chances for a successful recovery after hip fractures. Level of Evidence: Level IV

The Association Between Sarcopenia and Postoperative Outcomes Among Older Adults With Hip Fracture: A Systematic Review

2021 ◽  
pp. 073346482110065
Author(s):  
Ming-Hsiu Chiang ◽  
Yi-Jie Kuo ◽  
Yu-Pin Chen
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Hip Fracture ◽  
Postoperative Mortality ◽  
Clinical Event ◽  
High Morbidity ◽  
Adverse Health Outcomes ◽  
Age Related ◽  
Study Selection ◽  
And Function

Hip fracture is a serious clinical event with high morbidity and mortality. Sarcopenia is characterized by age-related loss of muscle mass and function, leading to several adverse health outcomes. In this systematic review, no limitation criteria were used for study selection and 327 studies were identified in the initial search. Of these, 11 studies comprising a total of 2,314 patients were selected. The overall proportion of older adults with hip fracture having sarcopenia was 44%, with a disparity of approximately 10% between men and women. Most studies have indicated that older adults with sarcopenia had poorer postoperative functional recovery than those without sarcopenia; the association between sarcopenia and high postoperative mortality or long hospital stay was heterogeneous. Well-organized studies with longer follow-up periods are warranted.

Pain and Hip Fracture Outcomes for Older Adults

2000 ◽  
Vol 19 (6) ◽  
pp. 35-44 ◽  
Author(s):  
Karen S. Feldt ◽  
Heeyoung Lee Oh
Keyword(s):  
Older Adults ◽  
Hip Fracture

Six Versus 12 Weeks of Outpatient Physical Therapy Including Progressive Resistance Training in Cognitively Intact Older Adults After Hip Fracture: A Multicenter Randomized Controlled Trial

2021 ◽  
Author(s):  
Jan A Overgaard ◽  
Thomas Kallemose ◽  
Kathleen K Mangione ◽  
Morten T Kristensen
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Hip Fracture ◽  
Physical Therapy ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Walking Distance ◽  
Randomized Controlled ◽  
Multicenter Randomized Controlled Trial ◽  
Cognitively Intact

Abstract Background Recovery of function and regaining muscle strength are challenging after hip fracture. We compared the effectiveness of a 12- versus 6-week outpatient physical therapy program with progressive resistive training (PRT) to increase strength and physical performance. Methods This parallel, superiority, 2-group randomized controlled trial was conducted in 4 clinics that enrolled community-dwelling, cognitively intact older adults (+60 years) with a surgical repair of a hip fracture and no major medical conditions. Participants received 12 or 6 weeks of PRT and standardized physical therapy, twice weekly. Pain was monitored throughout. Primary outcome was the change in the 6-minute walk test (6MWT) from baseline to 12-week follow-up. Randomization via a computer-generated allocation sequence was implemented using sealed, sequentially numbered opaque envelopes and assessors were blinded to group assignment. Results Participants (81% women) with a mean (SD) age of 77 (8.1) years were enrolled at an average of 18 days after hip fracture surgery and randomized into a 12-week group (n = 50) or a 6-week group (n = 50). Mean (SD) change scores in the 6MWT were 143.8 (81.1) and 161.5 (84.1) m in the 12- and 6-week groups, respectively (both exceeding the minimal clinically important difference of 55 m). The mean between-group difference was −17.7 m (95% CI −50.1, 14.8). Pain during training did not exceed moderate levels nor increase as training intensity increased. Conclusion Twelve weeks of physical therapy with PRT was not superior to 6 weeks in improving walking distance. Hip fracture-related pain was relatively low and indicated strength testing and training was well tolerated. Clinical Trials Registration Number: NCT01174589

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