Oldest old hip fracture patients: centenarians as the lowest complexity patients

2020 ◽  
Vol 32 (12) ◽  
pp. 2501-2506
Author(s):  
Juan F. Blanco ◽  
Carmen da Casa ◽  
Rodrigo Sánchez de Vega ◽  
María Agustina Hierro-Estévez ◽  
Alfonso González-Ramírez ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Oldest Old

scholarly journals Multiple chronic condition profiles and survival among oldest-old male patients with hip fracture

2018 ◽  
Vol 74 ◽  
pp. 184-190 ◽  
Author(s):  
Jinmyoung Cho ◽  
Eileen M. Stock ◽  
I-Chia Liao ◽  
John E. Zeber ◽  
Brian K. Ahmedani ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Chronic Condition ◽  
Oldest Old ◽  
Multiple Chronic Condition ◽  
Male Patients

scholarly journals Hip fracture risk and safety with alendronate treatment in the oldest-old

2017 ◽  
Vol 282 (6) ◽  
pp. 546-559 ◽  
Author(s):  
K. F. Axelsson ◽  
M. Wallander ◽  
H. Johansson ◽  
D. Lundh ◽  
M. Lorentzon
Keyword(s):  
Hip Fracture ◽  
Fracture Risk ◽  
Oldest Old ◽  
Hip Fracture Risk ◽  
Alendronate Treatment

scholarly journals Yearly Change of Bilateral Hip Fracture in the Oldest-Old Female Patients

2012 ◽  
Vol 61 (1) ◽  
pp. 141-143
Author(s):  
Yuichiro Sakamoto ◽  
Shunji Matsunaga ◽  
Yuhei Yahiro ◽  
Yoshiharu Horikawa ◽  
Katsuhiro Tofuku ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Oldest Old ◽  
Female Patients ◽  
Yearly Change

Development and Validation of a Risk Score to Predict the First Hip Fracture in the Oldest Old: A Retrospective Cohort Study

2019 ◽  
Vol 75 (5) ◽  
pp. 980-986 ◽  
Author(s):  
Ming-Tuen Lam ◽  
Chor-Wing Sing ◽  
Gloria H Y Li ◽  
Annie W C Kung ◽  
Kathryn C B Tan ◽  
...  
Keyword(s):  
Hong Kong ◽  
Hip Fracture ◽  
Fracture Risk ◽  
Risk Score ◽  
Validation Cohort ◽  
Oldest Old ◽  
Community Dwelling ◽  
Risk Scores ◽  
Derivation Cohort

Abstract Background To evaluate whether the common risk factors and risk scores (FRAX, QFracture, and Garvan) can predict hip fracture in the oldest old (defined as people aged 80 and older) and to develop an oldest-old-specific 10-year hip fracture prediction risk algorithm. Methods Subjects aged 80 years and older without history of hip fracture were studied. For the derivation cohort (N = 251, mean age = 83), participants were enrolled with a median follow-up time of 8.9 years. For the validation cohort (N = 599, mean age = 85), outpatients were enrolled with a median follow-up of 2.6 years. A five-factor risk score (the Hong Kong Osteoporosis Study [HKOS] score) for incident hip fracture was derived and validated, and its predictive accuracy was evaluated and compared with other risk scores. Results In the derivation cohort, the C-statistics were .65, .61, .65, .76, and .78 for FRAX with bone mineral density (BMD), FRAX without BMD, QFracture, Garvan, and the HKOS score, respectively. The category-less net reclassification index and integrated discrimination improvement of the HKOS score showed a better reclassification of hip fracture than FRAX and QFracture (all p < .001) but not Garvan, while Garvan, but not HKOS score, showed a significant over-estimation in fracture risk (Hosmer–Lemeshow test p < .001). In the validation cohort, the HKOS score had a C-statistic of .81 and a considerable agreement between expected and observed fracture risk in calibration. Conclusion The HKOS score can predict 10-year incident hip fracture among the oldest old in Hong Kong. The score may be useful in identifying the oldest old patients at risk of hip fracture in both community-dwelling and hospital settings.

Postoperative delirium and pre-fracture disability predict 6-month mortality among the oldest old hip fracture patients

2014 ◽  
Vol 27 (1) ◽  
pp. 53-60 ◽  
Author(s):  
Paolo Mazzola ◽  
Giuseppe Bellelli ◽  
Valentina Broggini ◽  
Alessandra Anzuini ◽  
Maurizio Corsi ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Postoperative Delirium ◽  
Oldest Old

scholarly journals Having had a hip fracture—association with dependency among the oldest old

2005 ◽  
Vol 34 (3) ◽  
pp. 294-297 ◽  
Author(s):  
Michael Stenvall ◽  
Eva Elinge ◽  
Petra von Heideken Wågert ◽  
Maria Lundström ◽  
Yngve Gustafson ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Oldest Old

scholarly journals Hip Fractures in Older Adults in Ontario, Canada—Monthly Variation, Insights, and Implications

2019 ◽  
Vol 22 (3) ◽  
pp. 148-164 ◽  
Author(s):  
Kristin K Clemens ◽  
Alexandra Ouedraogo ◽  
Mark Speechley ◽  
Lucie Richard ◽  
Jenny Thain ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Oldest Old ◽  
Care Utilization ◽  
Late Winter ◽  
Monthly Variation ◽  
Behavioural Factors ◽  
Strong Seasonality

BackgroundIn older adults, hip fractures have been described to peak in cooler months. Seasonal differences in patient vulnerability to fracture and social/behavioural factors might contribute to these trends.MethodsUsing linked health-care databases in Ontario Canada, we examined monthly variation in hip fracture hospitalizations in those > 65 years (2011–2015). We stratified results by age category (66-79, ≥80 years). We then examined for variation in the demographic and comorbidity profiles of patients across the months, and as an index of contributing social/behavioural factors, noted variation in health-care behaviours.ResultsThere were 47,971 and 52,088 hospitalizations for hip fracture in those 66–79, and ≥80 years, respectively. There was strong seasonality in fractures in both groups. Peaks occurred in October and December when patients appeared most vulner-able. Rates fell in the summer in those 66-79 years, and in the late winter in those ≥80 years (when health-care utilization also declined). A smaller peak in fractures occurred in May in both groups. ConclusionsHip fractures peak in the autumn, early winter, and spring in Canada. A dip in fractures occurs in the late winter in the oldest old. Environmental factors might play a role, but seasonal vulnerability to fracture and winter isolation might also be influential.

scholarly journals 273 Characteristics of Centenarians in the Irish Hip Fracture Database

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Patrick Hogan ◽  
Helena Ferris ◽  
Louise Brent ◽  
Paul McElwaine ◽  
Tara Coughlan
Keyword(s):  
Nursing Home ◽  
Hip Fracture ◽  
Hip Fractures ◽  
De Novo ◽  
Average Length ◽  
Oldest Old ◽  
Operative Procedure ◽  
International Standards ◽  
Bipolar Hemiarthroplasty ◽  
Entire Cohort

Abstract Background In 2017 the Central Statistics Office reported that there were 465 people over the age of 100 in Ireland. This number is likely to increase and, as hip fracture increases exponentially with age, we can expect to see more centenarians experiencing hip fracture. In the UK we have comparative data on such a cohort. We sought to define and describe those aged 100 years and over included in the Irish Hip Fracture Database from 2013-2017. Methods A secondary analysis of the 15,603 data entries in the IHFD between 2013 and 2017 was conducted. Those patients aged 100 years and over were identified and the cohort described. Results 57 patients 100 years and over (average 101 range 100-105) were registered in the IHFD over these 5 years. 91% were female. The most common fractures were intertrochanteric (46%) and displaced intracapsular (30%). 55 patients underwent an operative procedure, the most common being bipolar hemiarthroplasty (28%). Over one third were mobilised on the day of or day after surgery. The average length of stay was 22.5 days with only 13 ICU days for the entire cohort. 7 patients died in hospital. Of those surviving to discharge, discharge destination was recorded for 20. 10 patients returned to nursing home, 5 admitted de novo to nursing home, 5 to offsite rehabilitation and one person discharged directly to home. Conclusion This data provides the first insight into hip fractures in the oldest old in an Irish context. Rate of operative intervention was reassuringly high with in-hospital mortality outcomes of 12% which is low by international standards. The age of those sustaining hip fractures is increasing with numbers of the oldest old expected to rise. Orthogeriatric input results in improved care for this population and will require increased resourcing for future cohorts of patients.

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