Orthopedic treatment and early weight-bearing for bimalleolar ankle fractures in elderly patients: Quality of life and complications

Injury ◽  
2020 ◽  
Vol 51 (2) ◽  
pp. 548-553 ◽  
Author(s):  
Alejandro Lorente ◽  
Pablo Palacios ◽  
Rafael Lorente ◽  
Gonzalo Mariscal ◽  
Carlos Barrios ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Weight Bearing ◽  
Ankle Fractures ◽  
Orthopedic Treatment ◽  
Early Weight Bearing

scholarly journals Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Alejandro Lorente ◽  
Antonio Gandía ◽  
Gonzalo Mariscal ◽  
Pablo Palacios ◽  
Rafael Lorente
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Barthel Index ◽  
Weight Bearing ◽  
Ankle Fractures ◽  
Multicenter Cohort Study ◽  
Early Weight Bearing ◽  
Type Iii ◽  
One Year

Abstract Background Early weight-bearing is becoming increasingly common because it can positively affect the quality of life of patients. Therefore, the efficacy and safety of this conservative treatment should be assessed for different types of ankle fractures. The goal of this study was to compare early weight-bearing and non-weight-bearing in terms of effectiveness and safety in patients with pronation rotation type III ankle fractures treated nonsurgically. Methods A prospective multicenter cohort study was conducted over two years. Elderly patients with a nondisplaced pronation rotation type III ankle fracture were included. The main variables were the Barthel Index and SF-12 scores. The patients completed the questionnaires at six weeks, one year and two years. We also compared the complications associated with the two interventions. Results 30 patients were included in the weight-bearing group, while 32 patients were included in the non-weight-bearing (WB) group. The mean ages were 82.6 ± 2.6 years and 83.1 ± 2.6 years, respectively. Quality of life, measured with the SF-12 scale, increased significantly in both the short and long term in the WB group (53.5 ± 5.8 points vs 65.2 ± 4.4 points at 6 weeks and 70.1 ± 4.2 points vs. 80.9 ± 3.7 points at 2 years; p<0.001). The WB group also showed a higher quality of life, as measured by the Barthel Index (54.5 ± 5.2 points vs. 64.3 ± 4.0 points at 6 weeks and 71.0 ± 4.3 points vs. 80.7 ± 3.4 points at 2 years; p<0.001). Conclusions Elderly patients with pronation rotation type III fractures could benefit from an early weight-bearing protocol in terms of quality of life and functionality.

scholarly journals Effectiveness and Outcome of Early Weight Bearing in Ankle Fracture: A Systemic Review

2021 ◽  
pp. 13-23
Author(s):  
Abdulmalik B. Albaker
Keyword(s):  
Quality Of Life ◽  
Ankle Fracture ◽  
Weight Bearing ◽  
Systemic Review ◽  
Cochrane Library ◽  
Future Research ◽  
Active Movement ◽  
Trauma Patients ◽  
Early Weight Bearing

Introduction: Ankle fractures are claimed to affect 70-185 patients out of 100,000 people each year. There is currently no unanimity among surgeons throughout the world on early versus restricted weight bearing in surgically treated trauma patients with fractures. The aim of this study was to systematically review the effectiveness and outcome of early weight bearing in ankle fracture as well as quality of life and pain. Methods: An electronic search was conducted of the databases EMBASE, PubMed, and The Cochrane Library, as well as Medline, Google Scholar to identify all articles related to the topic that have been published after 2006. Results: Initially, 2434 records were identified. Due to similarity and duplication, 1308 records were eliminated, and 1126 records were kept. Following the screening of the records and their subjects, 921 further unconnected records were eliminated. Then, 205 qualified full-text articles were selected, and 10 articles were included in qualitative analysis. Conclusion: According to the findings of this study, surgical therapy, both aggressive and minimal, appears to be a safe alternative for the elderly. Short-term advantages of early weight-bearing include a decreased incidence of thromboembolic disease. Active movement reduces joint stiffness while maintaining muscle mass. Post-operative mobility, quality of life, and post-operative early weight bearing status are considered as significant outcome indicators. Unsafe weight as tolerated after ankle surgery might be a safe and encouraging option. As a result, future research should include this possibilities.

SOCIO-PSYCHOLOGICAL ASPECTS OF THE QUALITY OF LIFE OF ELDERLY PATIENTS WITH PROSTATE CANCER AFTER RADIATION THERAPY

2017 ◽  
Vol 63 (5) ◽  
pp. 776-779
Author(s):  
Galina Tkachenko ◽  
Irina Gladilina ◽  
Aleksandra Stepanova ◽  
Anna Potapova ◽  
Anatoliy Antonov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Radiation Therapy ◽  
Elderly Patients ◽  
Leisure Time ◽  
Psychological Aspects ◽  
Sexual Relations ◽  
Health Satisfaction ◽  
Material Conditions

The paper presents results of clinical and psychological studies of the quality of life of elderly patients with prostate cancer following radiation therapy. Socio-psychological aspects of the quality of life were assessed using a modified scale of self-evaluation of Dembo-Rubinstein. In 3-6 months after radiation therapy there was noted significant reduction, compared to the beginning of treatment, on scales: «satisfaction with communication», «satisfaction with health», «satisfaction material conditions», «satisfaction with sexual relations», «satisfaction with activity», «satisfaction with leisure time and rest». Average indices of scales «satisfaction with health», «satisfaction with sexual relations», «satisfaction with leisure time and rest» fell below the middle. At the same time patients were not depressed by their situation did not fixed on thoughts about the disease, on the contrary the mood was significantly higher compared to the initial course of radiotherapy that could be associated with the psychological characteristics of the age of the patients in our sample.

Application of WHOQOL-BREF for the evaluation of the quality of life in elderly patients with heart failure

2016 ◽  
Vol 9 (4) ◽  
pp. 878-883 ◽  
Author(s):  
Mahshid Borumandpour Gholamabbas Valizadeh ◽  
Alizallah Dehghan ◽  
Alireza Poumarjani ◽  
Maryam Ahmadifar
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Elderly Patients ◽  
Patients With Heart Failure

Adaptation to Dosed Hypoxia-Hyperoxia as a Factor in the Improvement of Quality of Life for Elderly Patients with Cardiac Pathology

2019 ◽  
Vol 9 (4) ◽  
pp. 453-458
Author(s):  
O. S. Glazachev ◽  
E. N. Dudnik ◽  
M. A. Zapara ◽  
V. G. Samarceva ◽  
W. W. Kofler
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Cardiac Pathology

scholarly journals Effect of mobile guided cardiac rehabilitation on quality of life – the EU-CaRE randomised clinical trial

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
V Houben ◽  
J.A Snoek ◽  
E Prescott ◽  
N Mikkelsen ◽  
A.E Van Der Velde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Cardiac Rehabilitation ◽  
Control Group ◽  
Funding Source ◽  
Multi Centre Study ◽  
Old Patients ◽  
Home Based ◽  
Significant Difference

Abstract Background and purpose Although participation in cardiac rehabilitation (CR) improves quality of life (QoL), participation in CR, especially among elderly, is limited. We conducted this study to assess whether mobile home-based CR (mCR) increases QoL in elderly (≥65 years old) patients with coronary artery disease (CAD) or a valvular intervention who decline participation in conventional CR. Methods It is designed as a randomised multi-centre study with two parallel arms. Randomisation assigned patients either to mCR or a control group. mCR Consisted of six months of home-based CR with telemonitoring and coaching. Control-group patients did not receive any form of CR throughout the study period. Quality of life was measured with the SF-36v2 questionnaire at 0, 6 and 12 months. Results A total of 179 patients were included in this study (90 control, 89 mCR). A flowchart of the trial is presented in Figure 1. Patients were predominantly male (81.1%). Baseline characteristics can be found in Table 1. Patients using mCR improved on physical QoL after 6 (p=0.026) and 12 (p=0.008) months. There was no difference on mental QoL for both groups (mCR 6 months p=0.563, 12 months p=0.945; control 6 months p=0.589, 12 months p=0.542). No difference existed in QoL between the mCR and control group (physical: 6 months p=0.070, 12 months p=0.150; mental: 6 months p=0.355, 12 months p=0.625). Conclusion Although there is no significant difference in QoL between the control and mCR group, mCR increases physical QoL after 6 and 12 months in elderly patients who decline participation in conventional CR. Therefore E-Health tools should be considered as an alternative for conventional CR when (elderly) patients decline to participate in conventional CR. Figure 1. Flow chart of all eligible patients Funding Acknowledgement Type of funding source: Public grant(s) – EU funding. Main funding source(s): European Union's Horizon 2020 research and innovation programme

Quality of Life After a Venous Thrombosis in Elderly Patients: Results From a Prospective Spanish Cohort

2020 ◽  
Vol 56 (3) ◽  
pp. 187-188
Author(s):  
Covadonga Gómez-Cuervo ◽  
Carmen Díaz-Pedroche ◽  
Asunción Pérez-Jacoiste Asín ◽  
Antonio Lalueza ◽  
Raquel Díaz-Simón ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Venous Thrombosis ◽  
Spanish Cohort
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