scholarly journals Hip fracture after hospital discharge from medical wards

Bone Reports ◽  
2021 ◽  
Vol 14 ◽  
pp. 100887
Author(s):  
Mohanraj Venkatesan ◽  
Atef Michael ◽  
David Westacott
Keyword(s):  
Hip Fracture ◽  
Hospital Discharge ◽  
Medical Wards

scholarly journals SAT0476 COMPLIANCE AND PERSISTENCE OF ANTI-OSTEOPOROTIC TREATMENTS IN PATIENTS WITH HIP FRACTURE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1194.2-1195
Author(s):  
S. Paredes ◽  
M. Guinovart ◽  
A. Basco ◽  
C. Llop
Keyword(s):  
Hip Fracture ◽  
Health Service ◽  
Hospital Discharge ◽  
Treatment Time ◽  
Osteoporotic Fractures ◽  
Main Diagnosis ◽  
Pharmacological Treatments ◽  
Cross Sectional ◽  
Good Compliance ◽  
Number Of Patients

Background:Osteoporotic fractures have a high health and economic impact. The best strategy to minimize the incidence of fractures is, certainly, the prevention of these that includes pharmacological treatments. However, long-term discontinuation treatment and sub-optimal compliance of the treatment are common.Objectives:The aim of the study is to quantify the therapeutic compliance and permanence of the osteoporosis pharmacological treatments for patients who were discharged from hospitals in Catalonia with hip fracture during 2017.Methods:From the Hospital Discharge Database of the Catalan Health Service, all patients who had been discharged during 2017 were selected with the main diagnosis of femur fracture, according to the coding CIM-9. The consumption of drugs to assess compliance and permanence was obtained from the Catalan Health Service pharmacy Database. The study period was 18 months from the date of hospital discharge. Patients who died, moved to other areas or switched their treatment were excluded from the study. Good compliance was considered when sufficient drug was obtained to cover 80% of the time since treatment was prescribed until the end of the study period. In the case of denosumab, good post-fracture compliance was considered when the treatment time was remained at least 12 months. Permanence was considered positive if a drug had been obtained during the last three months of the study period. To compare the differences in compliance and permanence between the patients treated with different drugs, the chi-square statistic was used, considering statistically significant differences if p<0.05.Results:8,354 patients were discharged with the main diagnosis of hip fracture. Of these, 1,712 patients (20.49%) were treated after been discharged. After applying the exclusion criteria, the final sample was made up of 1,327 patients. 81,54% were women, and the median age was 84,79 years.The most commonly used treatments were bisphosphonates (69%), denosumab (23%) and teriparatide (7%)The results of good compliance and permanence of treatment were those described in the table.nCompliancePermanenceAlendronate86363,27%64,77%Alendronate+colecalciferol2774,07%81,48%Ibandronate366,67%100%Risedronate2339,13%60,87%Raloxifene1100%100%Bazedoxifene10%0%Teriparatide9976,77% (*)73,74%Denosumab31076,77% (*)74,52% (*)(*) p<0.05 for total bisphosphonates and for alendronateConclusion:The results obtained suggest that a small number of patients were treated after a hip fracture (20.49%) in addition the instituted treatments are followed in a suboptimal way. It is necessary to investigate which factors may lead to the detection of potential non-compliant patients. It seems appropriate to consider drugs that facilitate compliance and permanence of treatment.Our results suggest that denosumab and teriparatide improve compliance compared with oral bisphosphonates.The introduction of specific plans and cross-sectional health structures between levels of care should lead to improve detection, treatment and compliance in patients with osteoporosis.Disclosure of Interests:SILVIA PAREDES Consultant of: Amgen, Lilly, Ferrer, Roche, Novartis; BMS, Maria Guinovart: None declared, Aida Basco: None declared, Carles Llop: None declared

Usefulness of a national hip fracture registry to evaluate the profile of patients in whom antiosteoporotic treatment is prescribed following hospital discharge

2020 ◽  
Vol 31 (7) ◽  
pp. 1369-1375
Author(s):  
T. Alarcon ◽  
◽  
C. Ojeda-Thies ◽  
P. Sáez-López ◽  
P. Gomez-Campelo ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hospital Discharge

The neuropsychological sequelae of delirium in elderly patients with hip fracture three months after hospital discharge

2013 ◽  
Vol 25 (9) ◽  
pp. 1521-1531 ◽  
Author(s):  
Joost Witlox ◽  
Chantal J. Slor ◽  
René W.M.M. Jansen ◽  
Kees J. Kalisvaart ◽  
Mireille F.M. van Stijn ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Hip Fracture ◽  
Episodic Memory ◽  
Hospital Discharge ◽  
Depressive Symptomatology ◽  
Poor Performance ◽  
Cognitive Outcome ◽  
Neuropsychological Sequelae ◽  
Global Cognition

ABSTRACTBackground: Delirium is a risk factor for long-term cognitive impairment and dementia. Yet, the nature of these cognitive deficits is unknown as is the extent to which the persistence of delirium symptoms and presence of depression at follow-up may account for the association between delirium and cognitive impairment at follow-up. We hypothesized that inattention, as an important sign of persistent delirium and/or depression, is an important feature of the cognitive profile three months after hospital discharge of patients who experienced in-hosptial delirium.Methods: This was a prospective cohort study. Fifty-three patients aged 75 years and older were admitted for surgical repair of acute hip fracture. Before the surgery, baseline characteristics, depressive symptomatology, and global cognitive performance were documented. The presence of delirium was assessed daily during hospital admission and three months after hospital discharge when patients underwent neuropsychological assessment.Results: Of 27 patients with in-hospital delirium, 5 were still delirious after three months. Patients with in-hospital delirium (but free of delirium at follow-up) showed poorer performance than patients without in-hospital delirium on tests of global cognition and episodic memory, even after adjustment for age, gender, and baseline cognitive impairment. In contrast, no differences were found on tests of attention. Patients with in-hospital delirium showed an increase of depressive symptoms after three months. However, delirium remained associated with poor performance on a range of neuropsychological tests among patients with few or no signs of depression at follow-up.Conclusion: Elderly hip fracture patients with in-hospital delirium experience impairments in global cognition and episodic memory three months after hospital discharge. Our results suggest that inattention, as a cardinal sign of persistent delirium or depressive symptomatology at follow-up, cannot fully account for the poor cognitive outcome associated with delirium.

Hospital Readmissions After Hospital Discharge for Hip Fracture: Surgical and Nonsurgical Causes and Effect on Outcomes

2003 ◽  
Vol 51 (3) ◽  
pp. 399-403 ◽  
Author(s):  
Kenneth S. Boockvar ◽  
Ethan A. Halm ◽  
Ann Litke ◽  
Stacey B. Silberzweig ◽  
MaryAnn McLaughlin ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hospital Discharge ◽  
Hospital Readmissions

scholarly journals Self-reported outcomes of patients undergoing total hip replacement surgery assessed by the WOMAC questionnaire

2011 ◽  
Vol 9 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Michele Ferreira de Souza Di Nubila ◽  
Carolina Gomes Matarazzo ◽  
Andrea Diniz Lopes-Albers ◽  
Fátima Cristina Martorano Gobbi
Keyword(s):  
Hip Fracture ◽  
Hospital Discharge ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Osteoarthritis ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
Womac Questionnaire ◽  
Baseline Values

ABSTRACT Objective: To assess pain, stiffness and physical function outcomes among patients undergoing total hip replacement using the Western Ontario and McMaster Universities Osteoarthritis Index. Methods: From January 2009 to July 2010, 64 male and female patients were assessed using the WOMAC questionnaire at baseline, hospital discharge, 3-month follow-up, and 6-month follow-up; one group of patients with primary hip osteoarthritis (n = 42) and another group with hip fracture (n = 22). Results: Changes in the total scores of the osteoarthritis group were statistically significant comparing baseline, hospital discharge, 3-month and 6-month assessments, demonstrating continued improvement over time up to 6-month follow-up. The total scores of the hip fracture group demonstrated a worsening from baseline to discharge, followed by improvement. The differences were statistically significant between baseline and discharge, as well as between discharge and the 6-month assessment. No statistically significant differences were found between baseline values and the 3-month assessment or baseline values and the 6-month assessment, demonstrating that the patients returned to their baseline health status after 3 months and maintained this status up to 6-month follow-up. Conclusion: The Western Ontario and McMaster Universities Osteoarthritis Index questionnaire detected changes in outcome following hip replacement surgery among patients with primary diagnoses of hip osteoarthritis and hip fracture, with differences in the pattern of changes between the two groups.

Incidence of HIP Fractures among the Elderly in Satakunta, Finland

2007 ◽  
Vol 96 (3) ◽  
pp. 256-260 ◽  
Author(s):  
P. T. Jaatinen ◽  
J. Panula ◽  
P. Aarnio ◽  
S.-L. Kivelä
Keyword(s):  
Seasonal Variation ◽  
Hip Fracture ◽  
Retrospective Analysis ◽  
Incidence Rate ◽  
Hospital Discharge ◽  
Hip Fractures ◽  
The Elderly ◽  
Specific Region ◽  
Hospital Discharge Register ◽  
Previous Fracture

Background and Aims: The aim was to describe the incidence rate of hip fractures in the elderly in a specific region in Finland and circumstances around them. Material and Methods: Retrospective analysis of 461 women and men aged 65 or older undergoing an operation for hip fracture during a two-year period between 1999 and 2000. 80 variables in all were obtained from the hospital discharge register and patient documents. Results: The age-specific incidence of hip fractures was higher in women than in men (women 6.88/1000 person/y vs. 3.50/1000 person/y). Prior to the fracture, patients were primarily doing well; 63.4% lived at home and 65.1% used no mobility equipment or aids. Altogether 41.9% of hip fractures occurred in institutions. Both women and men more often suffered their injury indoors (91.1% and 75.7% respectively), and only a slight seasonal variation was observed. More than every fourth (26.9%) had experienced a previous fracture. Conclusions: The age-specific incidence of hip fractures was higher in women than in men. The fractures took place mostly indoors and often in institutions. Therefore the measures that impact on indoor safety are particularly important for the elderly.

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