scholarly journals 58 Epidemiology of Falls and HIP Fractures among the Elderly Community Dwellers in Malaysia

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv13-iv17
Author(s):  
Raymond Yeak ◽  
Yee Yee Yap ◽  
Nizlan M Nasir
Keyword(s):  
Nursing Homes ◽  
Hip Fractures ◽  
Asian Population ◽  
The Elderly ◽  
Subtrochanteric Fracture ◽  
Morbidity And Mortality ◽  
Prevention Measures ◽  
Neck Of Femur ◽  
Tertiary Centre ◽  
Type Of Fracture

Abstract Introduction Elderly community dweller has a high risk of falls. It has a high incidence of morbidity and mortality if it involves hip fractures. Our aim is to report the incidence of falls presenting with hip fractures to a Malaysian tertiary centre. Method We have collected data from a Malaysian tertiary centre. The incidence of falls involving elderly patients aged 65 and above from January 2018 till December 2018 was examined. The falls were divided based on the time of fall, place and the type of fracture. Time of fall was divided into day (0800 to 1559), evening (1600 to 2359), night (0000 to 0759). The place was either outdoor or indoor. Results There were 114 falls that involved hip fractures recorded over the past 12 months. There were 85 female cases versus 29 male cases. The average age was 77.3 years. There was a higher incidence in the Chinese (n=59) followed by the Malay (n=40) and Indian (n=15). There were no cases of nursing homes falls that involved hip fractures. Most of the falls with hip fractures occurred indoor with only 11 cases that occurred outdoor. The falls tend to occur in the day (n=65) followed by evening (n=31) and night (n=18). October recorded the highest number of falls with 14 cases followed by April (n=13), and December (n=12). The type of fracture in descending order were intertrochanteric fracture (n=61), neck of femur fracture (n=47), subtrochanteric fracture (n=4) and acetabular fracture (n=2). Conclusion Asians generally care for their aging parents in the family home. Although falls were reported to be higher in nursing homes, this differs in the Asian population. Therefore, fall prevention measures should be implemented at home as falls is a significant cause of morbidity and mortality in the elderly especially if it involves hip fractures.

scholarly journals Factors which influence postoperative mortality after hip fracture

2006 ◽  
Vol 63 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Branko Ristic ◽  
Dragana Ristic-Ignjatovic ◽  
Biljana Milicic ◽  
Zdravko Obradovic
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Hip Fractures ◽  
Health Assessment ◽  
Postoperative Mortality ◽  
The Elderly ◽  
Physical And Mental Health ◽  
Mental Health Assessment ◽  
A Prospective Study ◽  
Type Of Fracture

Background/Aim. One of the most significant predictors of mortality after hip fractures is cognitive impairment (dementia). The aim of this study was to report the results of a prospective study of the influence of some factors on sixmonth mortality in elderly patients with hip fractures. Method. The elderly patients with hip fracture were assessed on admission to the hospital using the measures of cognitive function, the mobility before the fracture, and physical comorbidity, the type of fracture and the place of the injury. Six months later, we checked how many of them were still alive. Results. We performed univariate and multivariate analyses in 132 patients and found that the most significant predictors of six-month mortality were dementia, comorbidity, and prefacture mobility. Conclusions. A comprehensive physical and mental health assessment of an elderly patient after hip fracture could predict mortality. A good examination of cognitive functioning could be very useful in choosing the optimal treatment for this type of patients.

Foodborne Illness in the Elderly†

1998 ◽  
Vol 61 (9) ◽  
pp. 1229-1239 ◽  
Author(s):  
JAMES L. SMITH
Keyword(s):  
Nursing Homes ◽  
Salmonella Enteritidis ◽  
The Elderly ◽  
Morbidity And Mortality ◽  
Personal Hygiene ◽  
Humoral And Cellular Immunity ◽  
Balanced Diet ◽  
Age Related ◽  
Healthy Life Style ◽  
Foodborne Outbreaks

The elderly (≥65 years of age) are more susceptible to morbidity and mortality from foodborne-induced gastroenteritis than younger individuals. Several factors contribute to the increased susceptibility to foodborne infections as well as other infections in elderly populations. These include an age-associated decrease in humoral and cellular immunity, age-related changes in the gastrointestinal tract (decreased production of gastric acid and decreased intestinal motility), malnutrition, lack of exercise, entry into nursing homes, and excessive use of antibiotics. Data from foodborne outbreaks associated with nursing homes indicate that the elderly are more likely to die from foodborne Campylobacter, Clostridium perfringens, Escherichia coli O157:H7, Salmonella, and Staphylococcus aureus infections than the general population. Infections by Salmonella species are the most common cause of illness and death in nursing homes with Salmonella enteritidis as the major cause of both morbidity and mortality. While it is impossible to turn back the clock, practicing a healthy life-style with regular exercise, maintaining a balanced diet, receiving regular health care, paying attention to personal hygiene, and monitoring food preparation and handling should lead to a reduced incidence of foodborne and other infections in the elderly.

scholarly journals Evaluation of co-relation between hip fractures and vitamin D level

2021 ◽  
Vol 7 (4) ◽  
pp. 764
Author(s):  
Pragnesh Patel ◽  
Vimal P. Gandhi
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Hip Fractures ◽  
Financial Burden ◽  
The Elderly ◽  
General Belief ◽  
Neck Of Femur ◽  
Female Patients ◽  
Number Of Patients ◽  
Vitamin D Levels

<p class="abstract"><strong>Background:</strong> Hip fractures are devastating injuries that most often affect the elderly and have a tremendous impact on both the health care system and society in general. Approximately 97% occur in patients over 50 years of age. It has been a general belief that rickets and vitamin D deficiency are uncommon problems in India because of abundant sunshine. Hence the aim was to identify patients with hip fractures and to attain the vitamin D levels in these patients.</p><p class="abstract"><strong>Methods:</strong> The study was a descriptive type of study. Patients who fulfilled the inclusion criteria were included in the study. A total of 154 patients were included in the study. Patients were assessed clinically, with a thorough history and physical examination. The symptoms and signs elicited were recorded in a performa.<strong></strong></p><p class="abstract"><strong>Results:</strong> Neck of femur (NOF) was more common in female patients and intertrochanteric (IT) fracture was common in male patients. These fractures were mainly seen in the age group between 61 to 70 years of age for hip fractures. It was also noted that anaemia was prevalent in both male and female patients and the overall vitamin D deficiency was 76% of the total number of patients with more predominant (84.6%) in female patients.</p><p class="abstract"><strong>Conclusions:</strong> Treatment of the vitamin D deficiency reduces the chances of fall, morbidity and financial burden on the patient when fractures occur. The treatment of vitamin D deficiency will improve the quality of life overall. Hence the need for food fortification and supplementation in elderly Indian population.</p>

Hospital Stay and Blood Transfusion in Elderly Patients with Hip Fractures

2017 ◽  
Vol 27 (12) ◽  
pp. 288-291 ◽  
Author(s):  
E Iliopoulos ◽  
S Yousaf ◽  
H Watters ◽  
A Khaleel
Keyword(s):  
Elderly Patients ◽  
Femur Fracture ◽  
The Elderly ◽  
Neck Of Femur ◽  
Rehabilitation Process ◽  
Risk Of Mortality ◽  
Male Patients ◽  
Neck Of Femur Fracture ◽  
Type Of Fracture ◽  
Type Of Surgery

Neck of femur (NOF) fractures in elderly patients are the most frequent condition which an orthopaedic surgeon confronts nowadays. The incidence of these fractures is increasing as the population continues to age. These patients absorb the majority of the resources in the hospitals, as their healthcare demands are increased. This study included all patients who were admitted to our hospital between January and October 2015 following a neck of femur fracture. A total of 336 patients were included (72.3% female). We gathered demographic and hospitalisation data from patients’ files. Haemoglobin (Hb) levels at admission and transfusion data were also collected. Male patients appeared to have a relatively higher risk of mortality than females (p=0.01). Patients with high ASA grade (IV) had a higher mortality rate (p=0.01). Age, delay of surgery, type of surgery, AMTS and Hb at admission and type of fracture on the other hand did not have a significant impact on mortality (p>0.05). Patients who needed transfusion during their hospitalisation had significantly lower Hb at admission (p=0.044). More specifically, patients who had Hb<110 at admission were more likely to need transfusion (p<0.001). Hospitalisation of patients who needed transfusion was significantly prolonged. In our effort to deliver the best services to our patients, this study considers transfusing the elderly patients with low Hb at admission (Hb<110) pre-operatively, with a view to increasing their reserves for the operation and potentially speeding up the rehabilitation process and decreasing their hospitalisation time.

scholarly journals Post-operative mortality and factors related to mortality after bipolar hemiarthroplasty in patients with femoral neck fractures

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2604-2608
Author(s):  
Prabhakaran A ◽  
Selvakumar P ◽  
Krishnagopal R ◽  
Anisha Rao
Keyword(s):  
Hip Fractures ◽  
Small Sample Size ◽  
The Elderly ◽  
Small Sample ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Medical College ◽  
Femur Fractures ◽  
Gandhi Medical College ◽  
Surgical Duration

Hip fractures are a common entity in the elderly. Hemiarthroplasty is a common treatment option for displaced neck of femur fractures and have been found to be successful in restoring mobility, reducing pain and improving quality of life following hip fractures in elderly. Many studies have reported that advanced age, male gender, long term stay in the intensive care unit, poor postoperative mobilization ability, a poor or dependent ADL score preoperatively, multiple comorbidities which result in a high ASA score have been associated with higher mortality. A retrospective study was done at the Department of Orthopaedics at Mahatma Gandhi Medical College and Research Institute, Pondicherry which included all patients who underwent hemiarthroplasty (both cemented and uncemented) from 2017-2020. The details of patients satisfying the inclusion criteria were obtained from the medical records department and were analysed by a single investigator. In case the subjects had not reviewed following surgeries, details were obtained by telephonic communication. In our study of 40 patients, mortality was observed in 4 patients which included 3 females and 1 male. It was also observed that mortality was high between the ages of 61-80 years, patients with multiple comorbidities and patients with high ASA scores. The hazard ratio was calculated for 3 parameters namely age, time to surgery and surgical duration and is 1.014, 0.842 and 0.984 respectively but this was not found to be statistically significant. This may due to the small sample size and retrospective nature of our study.

scholarly journals The use of computed tomography in identifying radiologically occult hip fractures in the elderly

2014 ◽  
Vol 96 (3) ◽  
pp. 234-237 ◽  
Author(s):  
S Heikal ◽  
P Riou ◽  
L Jones
Keyword(s):  
Computed Tomography ◽  
Hip Fractures ◽  
Historical Review ◽  
The Elderly ◽  
Acetabular Fractures ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
X Ray ◽  
Magnetic Resonance Imaging Mri ◽  
Occult Hip Fractures

Introduction Fractured neck of femur (NOF) is a cause of significant morbidity and mortality. Approximately 4% of patients with an initial normal hip x-ray in the emergency department (ED) will in fact have an occult fracture. In cases where there is ongoing clinical suspicion of NOF fracture despite a normal hip x-ray, alternative imaging should be used. Although available evidence supports the use of magnetic resonance imaging (MRI) for this, it is often not readily accessible from the ED. In our department, it is common practice to request computed tomography (CT). Methods A historical review was undertaken of all patients who presented between October 2007 and January 2011 who had CT requested by ED staff. Patients included in the study were those who presented following low impact trauma in whom fractured NOF was suspected despite a normal x-ray. Results Of the 65 included patients, fractures (pelvic and hip) were identified in 38 patients on CT. Fractured NOFs were found in 13 patients. Acetabular fractures were found in nine patients, five of whom required further orthopaedic management. One patient went on to have MRI to confirm the diagnosis of an impacted NOF fracture, suspected both on x-ray and CT. Further review was undertaken of the medical notes of discharged patients to identify any who reattended or required further imaging. No such cases were found. Conclusions This review has shown the use of CT to be a practical approach to improving the care of patients with occult hip fractures.

Tension subcutaneous haematomas associated with anticoagulants in the elderly: Do they have earlier morbidity and mortality than hip fractures?

2019 ◽  
Vol 63 (5) ◽  
pp. 361-369
Author(s):  
M. Galán-Olleros ◽  
J.A. Valle-Cruz ◽  
J. García-Coiradas ◽  
A. González-Pérez ◽  
F.A. Rodríguez-González ◽  
...  
Keyword(s):  
Hip Fractures ◽  
The Elderly ◽  
Morbidity And Mortality

scholarly journals The Difficult Balance between Ensuring the Right of Nursing Home Residents to Communication and Their Safety

2021 ◽  
Vol 18 (5) ◽  
pp. 2484
Author(s):  
Matteo Bolcato ◽  
Marco Trabucco Aurilio ◽  
Giulio Di Mizio ◽  
Andrea Piccioni ◽  
Alessandro Feola ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Prevention Measures ◽  
Social And Emotional ◽  
Homes For The Elderly ◽  
The Social ◽  
The Right ◽  
Council Of Ministers ◽  
Emotional Value

The COVID-19 epidemic has had a profound impact on healthcare systems worldwide. The number of infections in nursing homes for the elderly particularly is significantly high, with a high mortality rate as a result. In order to contain infection risks for both residents and employees of such facilities, the Italian government passed emergency legislation during the initial stages of the pandemic to restrict outside visitor access. On 30 November 2020, the Italian President of the Council of Ministers issued a new decree recognizing the social and emotional value of visits to patients from family and friends. In addition, it indicated prevention measures for the purposes of containing the infection risk within nursing homes for the elderly. This article comments on these new legislative provisions from the medicolegal perspective, providing indications that can be used in clinical practice.

The Unusual Cruelty of Nursing Homes Behind Bars

2020 ◽  
Vol 32 (5) ◽  
pp. 264-271
Author(s):  
Rachel E. López
Keyword(s):  
Nursing Homes ◽  
Human Dignity ◽  
Prison Population ◽  
Financial Burden ◽  
The Elderly ◽  
The United States ◽  
Term Care ◽  
Trained Staff ◽  
State Prisons ◽  
The Cost

The elderly prison population continues to rise along with higher rates of dementia behind bars. To maintain the detention of this elderly population, federal and state prisons are creating long-term care units, which in turn carry a heavy financial burden. Prisons are thus gearing up to become nursing homes, but without the proper trained staff and adequate financial support. The costs both to taxpayers and to human dignity are only now becoming clear. This article squarely addresses the second dimension of this carceral practice, that is the cost to human dignity. Namely, it sets out why indefinitely incarcerating someone with dementia or other neurocognitive disorders violates the Eighth Amendment of the United States Constitution’s prohibition on cruel and unusual punishment. This conclusion derives from the confluence of two lines of U.S. Supreme Court precedent. First, in Madison v. Alabama, the Court recently held that executing someone (in Madison’s case someone with dementia) who cannot rationally understand their sentence amounts to cruel and unusual punishment. Second, in line with Miller v. Alabama, which puts life without parole (LWOP) sentences in the same class as death sentences due to their irrevocability, this holding should be extended to LWOP sentences. Put another way, this article explains why being condemned to life is equivalent to death for someone whose neurodegenerative disease is so severe that they cannot rationally understand their punishment.

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

Sign in / Sign up

Export Citation Format

Share Document