PRM189 - SUBJECTIVE MEASURE MAY BE MORE SENSITIVE IN IDENTIFYING PROGNOSTIC FACTORS OF FUNCTIONAL OUTCOME AMONG OLDER ADULTS WITH SURGICALLY-TREATED HIP FRACTURE – FINDINGS FROM A SYSTEMATIC REVIEW

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.

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Community-Based Rehabilitation Post Hospital Discharge Interventions for Older Adults With Cognitive Impairment Following a Hip Fracture: A Systematic Review Protocol

JMIR Research Protocols ◽

10.2196/resprot.3485 ◽

2014 ◽

Vol 3 (3) ◽

pp. e47 ◽

Cited By ~ 4

Author(s):

Paula M van Wyk ◽

Charlene H Chu ◽

Jessica Babineau ◽

Martine Puts ◽

Dina Brooks ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Cognitive Impairment ◽

Hip Fracture ◽

Hospital Discharge ◽

Systematic Review Protocol ◽

Community Based ◽

Community Based Rehabilitation ◽

Review Protocol

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Prognostic Models for Changes in Memory Performance After Memory Training in Healthy Older Adults: a Systematic Review

Journal of Cognitive Enhancement ◽

10.1007/s41465-020-00194-0 ◽

2020 ◽

Author(s):

Mandy Roheger ◽

Ann-Kristin Folkerts ◽

Fabian Krohm ◽

Nicole Skoetz ◽

Elke Kalbe

Keyword(s):

Systematic Review ◽

Older Adults ◽

Prognostic Factors ◽

Memory Performance ◽

Prognostic Models ◽

Memory Training ◽

Long Term Memory ◽

Healthy Older Adults ◽

Short And Long Term ◽

Future Outcomes

Abstract Identifying individuals’ profiles of prognostic factors that predict improvements after nonpharmacological interventions such as memory trainings may help to not only predict individuals’ future outcomes after such intervention, but also tailor new trainings for individuals with specific characteristics. However, until now, no systematic review on prognostic models, defined as a set of multiple prognostic factors to predict a future outcome, for changes in memory performance after memory training exist. MEDLINE, Web of Science Core Collection, CENTRAL, and PsycInfo were searched up to November 2019 to identify studies investigating prognostic models on verbal and non-verbal short- and long-term memory after conducting memory training in healthy older adults. The PROBAST tool was used to assess risk of bias. After screening n = 10,703 studies, n = 12 studies were included. These studies and the investigated statistical models are highly heterogeneous, so that conclusions are limited. However, one consistent result was that lower age combined with higher education seems to predict higher improvements after memory training. More studies on prognostic models for memory changes after memory training have to be conducted before clear conclusions which will help to tailor memory trainings to individuals’ profiles can be drawn. Registration: CRD42018105803, https://www.crd.york.ac.uk/PROSPERO

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Effect of an Inpatient Geriatric Consultation Team on Functional Outcome, Mortality, Institutionalization, and Readmission Rate in Older Adults with Hip Fracture: A Controlled Trial

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2011.03488.x ◽

2011 ◽

Vol 59 (7) ◽

pp. 1299-1308 ◽

Cited By ~ 60

Author(s):

Mieke Deschodt ◽

Tom Braes ◽

Paul Broos ◽

An Sermon ◽

Steven Boonen ◽

...

Keyword(s):

Older Adults ◽

Hip Fracture ◽

Functional Outcome ◽

Readmission Rate ◽

Controlled Trial ◽

Geriatric Consultation ◽

Consultation Team ◽

Outcome Mortality

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Community-Based Hip Fracture Rehabilitation Interventions for Older Adults With Cognitive Impairment: A Systematic Review

JMIR Rehabilitation and Assistive Technologies ◽

10.2196/rehab.5102 ◽

2016 ◽

Vol 3 (1) ◽

pp. e3 ◽

Cited By ~ 8

Author(s):

Charlene H Chu ◽

Kathleen Paquin ◽

Martine Puts ◽

Katherine S McGilton ◽

Jessica Babineau ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Cognitive Impairment ◽

Hip Fracture ◽

Community Based

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Hip Fractures in Elderly People: Surgery or No Surgery? A Systematic Review and Meta-Analysis

Geriatric Orthopaedic Surgery & Rehabilitation ◽

10.1177/2151458517713821 ◽

2017 ◽

Vol 8 (3) ◽

pp. 173-180 ◽

Cited By ~ 24

Author(s):

Cornelis L. P. van de Ree ◽

Mariska A. C. De Jongh ◽

Charles M. M. Peeters ◽

Leonie de Munter ◽

Jan. A. Roukema ◽

...

Keyword(s):

Systematic Review ◽

Hip Fracture ◽

High Risk ◽

Functional Outcome ◽

Hip Fractures ◽

Frail Elderly ◽

Observational Studies ◽

Methodological Quality ◽

Meta Analysis

Introduction: Increasing numbers of patients with hip fractures also have advanced comorbidities. A majority are treated surgically. However, a significantly increasing percentage of medically unfit patients with unacceptably high risk of perioperative death are treated nonoperatively. Important questions about patients’ prefracture quality of life (QOL) and future perspectives should be asked before considering different treatment options to assess what kind of treatment is advisable in frail elderly high-risk patients with a hip fracture. Objective: The aim of this review was to provide an overview of differences in mortality, health-related QOL [(HR)QOL], functional outcome, and costs between nonoperative management (NOM) and operative management (OM) of hip fractures in patients above 65 years. Methods: A systematic literature search was performed in EMBASE, OvidSP, PubMed, Cochrane Central, and Web of Science for observational studies and trials. Observational studies and randomized controlled trials comparing NOM with OM in hip fracture patients were selected. The methodological quality of the selected studies was assessed according to the Methodological Index for Nonrandomized Studies (MINORS) or Furlan checklist. Results: Seven observational studies were included with a total of 1189 patients, of whom 242 (20.3%) were treated conservatively. The methodological quality of the studies was moderate (mean: 14.7, standard deviation [SD]: 1.5). The 30-day and 1-year mortalities were higher in the nonoperative group (odds ratio [OR]: 3.95, 95% confidence interval [CI]: 1.43-10.96; OR: 3.84, 95% CI: 1.57-9.41). None of the included studies compared QOL, functional outcome, or health-care costs between the 2 groups. Conclusion: This systematic review and meta-analysis demonstrated that only a few studies with small number of patients comparing NOM with OM were published. A significantly higher 30-day and 1-year mortality was revealed in nonoperatively treated hip fracture patients. No data were found examining (HR)QOL and costs. Further work is needed to enable shared decision-making and to initiate NOM in frail elderly patients with advanced comorbidity and limited life expectancy.

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A systematic review of evidence for older adults’ sedentary behavior and physical activity after hip fracture

Clinical Rehabilitation ◽

10.1177/0269215517741665 ◽

2017 ◽

Vol 32 (5) ◽

pp. 679-691 ◽

Cited By ~ 16

Author(s):

Enav Z Zusman ◽

Martin G Dawes ◽

Nicola Edwards ◽

Maureen C Ashe

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Hip Fracture ◽

Sedentary Behavior ◽

Activity Settings ◽

Physical Activity Change ◽

Rehabilitation Centers ◽

Ovid Medline ◽

Study Selection

Objective: To synthesize evidence on older adults’ sedentary behavior and physical activity during rehabilitation and recovery for hip fracture (1) across the care continuum and (2) from clinical interventions. Design: We conducted a systematic review of peer-reviewed publications using CINAHL, Embase, Ovid MEDLINE, PsycINFO, and SportDiscus (last search: 17 October 2017). Study selection: We included studies that measured sedentary behavior and physical activity of older adults with hip fracture using activity monitors (e.g. accelerometers). We identified literature at Level 1 (title and abstract) and Level 2 (full text), and conducted forward and backward searches. We assessed observational studies’ adherence to reporting guidelines and intervention studies’ risk of bias. Results: We included 14 studies (882 participants). Four studies reported sedentary behavior data, while all studies reported information on physical activity. Settings included hospital, rehabilitation centers, and the community. Nine studies were observational; five were experimental design. Older adults had excessive sedentary time (>10 hours/day) and low physical activity. Participants’ average upright time differed across settings. During hospital stay, it ranged 16–52 minutes/day, while in the community, it ranged 51–261 minutes/day. Data from five interventions reported on physical activity change: two studies increased between 14 and 27 minutes/day. Another study reported participants accumulated 6994 steps/day at the end of the intervention, but for two other interventions, activity was below 5000 steps/day. Conclusion: Based on available evidence, older adults with hip fracture engage in prolonged sedentary behavior and have low levels of physical activity during rehabilitation and recovery.

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INFLUENCE OF HEALTH AND SOCIAL SUPPORTS ON OUTCOMES POST-REHABILITATION FOR HIP FRACTURE SURGERY: SYSTEMATIC REVIEW

Innovation in Aging ◽

10.1093/geroni/igz038.2702 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S737-S737

Author(s):

Katherine McGilton ◽

Shirin Vellani ◽

Melanie Bayly ◽

Elizabeth Tanjong-Ghogomu ◽

Andrea Iaboni ◽

...

Keyword(s):

Systematic Review ◽

Older Adults ◽

Hip Fracture ◽

Social Supports ◽

Inpatient Rehabilitation ◽

Interdisciplinary Teams ◽

Community Dwelling ◽

Post Discharge ◽

Hip Fracture Surgery ◽

Fracture Surgery

Abstract Background: Older adults who sustain hip fractures encounter physical and functional decline after discharge from inpatient rehabilitation. Currently, a synthesis of literature is lacking on health and social supports that may impact outcomes in the community-dwelling older adults, post-discharge from rehabilitation. Methodology: We conducted a systematic review to a) evaluate how health and social supports influence outcomes for older adults and their caregivers following inpatient rehabilitation post-hip fracture surgery, and b) identify the factors that affect their impact on outcomes. We searched Medline, CINAHL, Embase, Emcare, Psychinfo, and Ageline for publications between 2000 and 2018. We followed Cochrane Handbook methods to screen titles and abstracts, appraise quality, collect data and synthesize results. Results: A total of 3364 articles were retrieved, and 34 studies were included for final synthesis, including 24 randomized control trials and 10 observational studies. Most studies excluded persons with moderate or severe cognitive impairment. Interventions can be broadly categorized as either comprehensive care delivered by interdisciplinary teams focusing on exercise, nutrition and fracture prevention; or exercise sessions delivered by health professionals, trained instructors or volunteers. Interventions involving interdisciplinary teams demonstrated moderate improvement of mobility and functional ability in the first 3 months. However, the longitudinal effects of interventions were not realized for all. Conclusion: This review provides evidence of the effectiveness of health and social supports provided to older adults post-hip fracture. We are uncertain of the applicability to people with cognitive decline due to exclusion from most studies. Implications for practice and research will be discussed.

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