scholarly journals The Effect of Perioperative Anemia on Clinical and Functional Outcomes in Patients With Hip Fracture

2004 ◽  
Vol 18 (6) ◽  
pp. 369-374 ◽  
Author(s):  
Ethan A. Halm ◽  
Jason J. Wang ◽  
Kenneth Boockvar ◽  
Joan Penrod ◽  
Stacey B. Silberzweig ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Functional Outcomes ◽  
Perioperative Anemia

scholarly journals Too Cool? Hip Fracture Care and Maintaining Body Temperature

2020 ◽  
Vol 11 ◽  
pp. 215145932094947
Author(s):  
James Arkley ◽  
Suhib Taher ◽  
Ján Dixon ◽  
Gemma Dietz-Collin ◽  
Stacey Wales ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Temperature Control ◽  
Functional Outcomes ◽  
Surgical Site Infections ◽  
Fragility Fractures ◽  
Perioperative Period ◽  
Readmission Rates ◽  
Comprehensive Review ◽  
Fracture Care ◽  
Increase Risk

Introduction: Patients with hip fractures can become cold during the perioperative period despite measures applied to maintain warmth. Poor temperature control is linked with increasing complications and poorer functional outcomes. There is generic evidence for the benefits of maintaining normothermia, however this is sparse where specifically concerning hip fracture. We provide the first comprehensive review in this population. Significance: Large studies have revealed dramatic impact on wound infection, transfusion rates, increased morbidity and mortality. With very few studies relating to hip fracture patients, this review aimed to capture an overview of available literature regarding hypothermia and its impact on outcomes. Results: Increased mortality, readmission rates and surgical site infections are all associated with poor temperature control. This is more profound, and more common, in older frail patients. Increasing age and lower BMI were recognized as demographic factors that increase risk of hypothermia, which was routinely identified within modern day practice despite the use of active warming. Conclusion: There is a gap in research related to fragility fractures and how hypothermia impacts outcomes. Inadvertent intraoperative hypothermia still occurs routinely, even when active warming and cotton blankets are applied. No studies documented temperature readings postoperatively once patients had been returned to the ward. This is a point in the timeline where patients could be hypothermic. More studies need to be performed relating to this area of surgery.

The approach to patients with cognitive impairment and hip fracture: the role of orthogeriatric care

2014 ◽  
Vol 24 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Francisco J Tarazona-Santabalbina ◽  
Juan R Doménech-Pascual ◽  
Ángel Belenguer-Varea A ◽  
Eduardo Rovira Daudi
Keyword(s):  
Cognitive Impairment ◽  
Hip Fracture ◽  
Functional Recovery ◽  
Functional Outcomes ◽  
Older Patients ◽  
Future Research ◽  
Research Perspectives ◽  
Increased Risk ◽  
Risk Of Falls

SummaryHip fracture is very common among older patients, who are characterized by increased co-morbidities, including cognitive impairment. These patients have an increased risk of falls and fractures, poorer functional recovery and lower survival both in hospital and 12 months after discharge. We review the survival and functional outcomes of older patients with cognitive impairment and hip fracture managed in orthogeriatric units, and highlight the gaps in our knowledge of the efficacy and efficiency of specific orthogeriatric programmes for such patients and the future research perspectives in this field.

The association between sarcopenia and functional outcomes among older patients with hip fracture undergoing in-hospital rehabilitation

2017 ◽  
Vol 28 (5) ◽  
pp. 1569-1576 ◽  
Author(s):  
F. Landi ◽  
R. Calvani ◽  
E. Ortolani ◽  
S. Salini ◽  
A. M. Martone ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Functional Outcomes ◽  
Older Patients ◽  
Hospital Rehabilitation

scholarly journals Effect of Inpatient Quality of Care on Functional Outcomes in Patients With Hip Fracture

Medical Care ◽  
2006 ◽  
Vol 44 (9) ◽  
pp. 862-869 ◽  
Author(s):  
Albert L. Siu ◽  
Kenneth S. Boockvar ◽  
Joan D. Penrod ◽  
R Sean Morrison ◽  
Ethan A. Halm ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Hip Fracture ◽  
Functional Outcomes

Occult Bilateral Hip Fracture Secondary to Seizure: A Case Report and Literature Review

2007 ◽  
Vol 6 (2) ◽  
pp. 75-76
Author(s):  
J Fingleton ◽  
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Functional Outcomes ◽  
Femur Fracture ◽  
Delayed Diagnosis ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Neck Of Femur ◽  
Acute Medicine ◽  
Neck Of Femur Fracture

Seizures are a common presenting complaint in acute medicine and post-ictal patients can pose a diagnostic challenge. Approximately 1% of patients presenting after a seizure will have sustained a fracture. Delayed diagnosis is common and can lead to worse functional outcomes. A case of occult bilateral neck of femur fracture secondary to seizure is presented together with a review of the literature.

Functional Outcomes of Posthospital Care for Stroke and Hip Fracture Patients Under Medicare

1998 ◽  
Vol 46 (12) ◽  
pp. 1525-1533 ◽  
Author(s):  
Robert L. Kane ◽  
Qing Chen ◽  
Michael Finch ◽  
Lynn Blewett ◽  
Risa Burns ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Functional Outcomes

scholarly journals Delirium on Hospital Admission in Aged Hip Fracture Patients: Prediction of Mortality and 2-Year Functional Outcomes

2000 ◽  
Vol 55 (9) ◽  
pp. M527-M534 ◽  
Author(s):  
M. M. Dolan ◽  
W. G. Hawkes ◽  
S. I. Zimmerman ◽  
R. S. Morrison ◽  
A. L. Gruber-Baldini ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hospital Admission ◽  
Functional Outcomes ◽  
Prediction Of Mortality

Perioperative anemia, transfusion and conplications in patients with hip fracture

2012 ◽  
Vol 29 ◽  
pp. 99
Author(s):  
E. Sierra ◽  
M. J. Colomina ◽  
E. López ◽  
M. Juste ◽  
A. Arbelaez ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Perioperative Anemia

scholarly journals Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study

2021 ◽  
pp. 1-10
Author(s):  
Dennis Kim Chung Mo ◽  
Ken Kin Ming Lau ◽  
Donna Mei Yee Fung ◽  
Bosco Hon Ming Ma ◽  
Titanic Fuk On Lau ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Length Of Stay ◽  
Functional Outcomes ◽  
Geriatric Patients ◽  
Historical Control ◽  
Hospital Length Of Stay ◽  
Lower Percentage ◽  
Control Group ◽  
Study Group ◽  
Rehabilitation Hospital

Objective: To evaluate the new service model of additional weekend and holiday physiotherapy (PT) by comparing functional outcomes and hospital length of stay between a group of geriatric patients with hip fracture receiving daily PT training and a group of geriatric patients with hip fracture receiving weekdays PT training. Methods: A retrospective case-historical control chart review was conducted and a total of 355 patients were identified. Between-group comparisons were done on functional outcomes including Modified Functional Ambulation Classification (MFAC), Elderly Mobility Scale (EMS), Modified Barthel Index (MBI) and process outcome in terms of length of stay (LOS) in hospitals. Results: With similar characteristics, patients who received weekend and holiday PT training had a significant higher percentage of MFAC Category III and a significant lower percentage of MFAC Category II ([Formula: see text]) and significant higher MBI scores ([Formula: see text] deviation, median; Study group: [Formula: see text] points, 51 points; Control group: [Formula: see text] points, 43 points; [Formula: see text]) upon admission to rehabilitation hospital. A similar trend in EMS scores (Study group: [Formula: see text] points, 7 points; Control group: [Formula: see text] points, 6 points; [Formula: see text]) and MBI scores (Study group: [Formula: see text] points, 68 points; Control group: [Formula: see text] points, 64 points; [Formula: see text]) were observed upon discharge from the rehabilitation hospital. The average LOS in acute hospitals remained static (Study group: [Formula: see text] days, 7 days; Control group: [Formula: see text] days, 6 days; [Formula: see text]). The average LOS in rehabilitation hospital (Study group: [Formula: see text] days, 20 days; Control group: [Formula: see text] days, 23 days; [Formula: see text]) and total in-patient LOS (Study group: [Formula: see text] days, 26 days; Control group: [Formula: see text] days, 28 days; [Formula: see text]) were significantly reduced. A higher percentage of days having PT training during hospitalization in rehabilitation hospital was shown with the implementation of new service (Study group: 89.1%; Control group: 65.9%, [Formula: see text]). Conclusion: Additional weekend and holiday PT training in post-operative acute and rehabilitation hospitalization benefits geriatric patients with hip fracture in terms of improved training efficiency, where hospital LOS was shortened with more PT sessions, without any significant impacts on functional outcome.

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