Patient, surgical and hospital factors associated with the presence of a consultant surgeon during hip fracture surgery. Do we know the answer?

2021 ◽  
Author(s):  
Diana Fajardo Pulido ◽  
Tayhla Ryder ◽  
Ian A. Harris ◽  
Jaqueline C. T. Close ◽  
Mellick J. Chehade ◽  
...  

2015 ◽  
Vol 68 (6) ◽  
pp. 561 ◽  
Author(s):  
Byung Hoon Kim ◽  
Sangseok Lee ◽  
Byunghoon Yoo ◽  
Woo Yong Lee ◽  
Yunhee Lim ◽  
...  


2011 ◽  
Vol 11 (4) ◽  
pp. 474-481 ◽  
Author(s):  
Chihiro Takahashi ◽  
Kiyohide Fushimi ◽  
Shinya Matsuda


2019 ◽  
Vol 10 ◽  
pp. 215145931985346 ◽  
Author(s):  
YoungJi Ko

Introduction: Osteoporotic hip fractures are a major problem. They increase mortality, morbidity, and functional decline. Recovery of ambulatory status is an essential prerequisite for older adults living in a normal environment. The main objective of this study was to investigate walking failure at 3 to 6 months after hip fracture surgery with the aim of identifying pre- and perioperative risk factors associated with it. Methods: A total of 120 participants (>65 years) were recruited following hip fracture surgery at a teaching hospital. Walking status was assessed on average 4.4 ± 1.3 months after hip fracture surgery and compared with prefracture walking status. The participants were divided into 2 groups according to walking status (group 1: ambulatory; group 2: nonambulatory) and risk factors associated with a failure to walk were determined using binominal logistic regression analysis. Results: The rate of recovery to prefracture ambulatory status was about 18.3% and 25% of participants could not walk at all. Risk factors for not being able to walk at all included poor prefracture ambulatory status and living at a long care facility as nonmodifiable factors, whereas a shorter length of stay before surgery and having a longer total hospitalization periods were modifiable factors. Conclusion: Walking recovery after hip fracture surgery was very poor at 3 to 6 months after hip fracture surgery. Based on our findings, older adults living in a long care facility should be provided their medical and functional needs through professional health-care providers and systematic health delivery systems. The therapeutic management for underlying diseases affecting surgery should precede unconditional early surgery. Older adults hospitalized during longer periods should be focused on their functional care.



2020 ◽  
Author(s):  
Xiaowei Wang ◽  
Jianwen Zhao ◽  
Huayong Zheng ◽  
Jianzhen Zhang ◽  
Tiansheng Sun

Abstract Aim: the aims of this study were to identify the 5-year mortality rate after hip fracture, identify factors associated with this mortality, and identify the cause of death in these patients.Materials and Methods: A retrospective cohort study of geriatric patients (≥60 years of age) undergoing a hip fracture surgical procedure admitted to our institution between the 1 January 2012 and 31 December 2016 was performed. Demographic and clinical characteristics were collected. Patients or their careers were contacted by telephone or outpatient to ascertain their vital status, and cause of death if they had died at 5-year post-surgery. According to whether they were alive or death at 5-year post-surgery, patients were divided into survivor or non-survivor group. All variables including demographic data and clinical characteristics were compared for both survivors and non-survivors. Cox proportional hazards were used to determine independent risk factors for 5-year mortality. All cause of 5-year mortality in hip fracture were recorded.Result: A total of 327 patients with a median age of 80.00 years were included. 5-year mortality was 40.1%, and the death peak was concentrated during 6 months after surgery. The final multivariate model included 4 independent mortality risk factors: advanced age, stroke, albumin, delayed surgery, with an HR (95% confidence interval) 1.052(1.025-1.080), 1.612(1.104-2.353), 0.940(0.900-0.982), 1.638(1.072-2.498), respectively. Pulmonary infection, and cardiovascular disease were the most common cause of 5-year death.Conclusion: Our results showed that 5-year mortality was 40.1%. Advanced age, stroke, low albumin, and delayed surgery were associated with 5-year mortality after hip fracture surgery. Pulmonary infection, and cardiovascular disease were the most common cause of death.



2015 ◽  
Vol 7 (1) ◽  
pp. 3-8 ◽  
Author(s):  
Matthew R. Cohn ◽  
Guang-Ting Cong ◽  
Benedict U. Nwachukwu ◽  
Minda L. Patt ◽  
Pingal Desai ◽  
...  


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