Inpatient knee pain after hip fracture surgery affects gait speed in older adults: A retrospective chart‐referenced study

2021 ◽  
Author(s):  
Yoichi Kaizu ◽  
Kazuhiro Miyata ◽  
Hironori Arii ◽  
Takehiko Yamaji
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Knee Pain ◽  
Gait Speed ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals Sarcopenia index based on serum creatinine and cystatin C predicts the risk of postoperative complications following hip fracture surgery in older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoyan Chen ◽  
Yanjiao Shen ◽  
Lisha Hou ◽  
Binyu Yang ◽  
Birong Dong ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Postoperative Complications ◽  
Serum Creatinine ◽  
Cystatin C ◽  
Binary Logistic Regression ◽  
Joint Replacement Surgery ◽  
Hip Fracture Surgery ◽  
Replacement Surgery ◽  
Fracture Surgery

Abstract Objective To assess the utility of the preoperative Sarcopenia index (SI) as a predictive marker of the risk of postoperative complications following hip fracture surgery in older adults. Study design This observational study enrolled older adults with hip fracture who were hospitalized in the Department of Orthopedics of West China Hospital, Sichuan University, from December 7, 2010 - June 14, 2017, and who underwent hip fracture surgery. Primary outcome and measures Clinical data were collected from medical records and serum creatinine and cystatin C were measured before surgery. Outcomes included postoperative complications such as pneumonia, urinary tract infection, respiratory failure, heart failure, and non-grade A healing. Binary logistic regression analyses were used to analyze association between SI and postoperative complications. Results A total of 897 patients aged 60 years and over were enrolled in this study (age range: 60 – 100 years), of whom 306(34.1%)were male, and 591(65.9%)were female. Postoperative complications included pneumonia (12%), urinary tract infections (1.8%), respiratory failure (1.5%), heart failure (1.6%), and non-A- grade healing (3.6%). In the patient group that received joint replacements, the incidence of pneumonia was negatively associated with SI values. After adjusting for potential confounding factors, binary logistic regression analyses showed that a higher SI was independently associated with a lower risk of pneumonia after joint replacement surgery (OR:0.39, 95% CI:0.18-0.89, P<0.05). However, we did not find statistically significant association between SI and the risk of postoperative complications other than pneumonia among patients with two types of hip fracture surgery. Conclusion The SI based on serum creatinine and cystatin C can predict pneumonia rather than other postoperative complications among older patients with hip fracture after joint replacement surgery.

scholarly journals Prognostic Implications of Predischarge Assessment of Gait Speed After Hip Fracture Surgery

2019 ◽  
Vol 42 (3) ◽  
pp. 148-152 ◽  
Author(s):  
Sara Gherardini ◽  
Claudia Biricolti ◽  
Enrico Benvenuti ◽  
M. Grazia Almaviva ◽  
Monica Lombardi ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Gait Speed ◽  
Hip Fracture Surgery ◽  
Prognostic Implications ◽  
Fracture Surgery

scholarly journals Prognostic Factors for Mortality, Activity of Daily Living and Quality of Life in Taiwanese Older Patients within 1 Year following Hip Fracture Surgery

2022 ◽  
Vol 12 (1) ◽  
pp. 102
Author(s):  
Ming-Hsiu Chiang ◽  
Yu-Yun Huang ◽  
Yi-Jie Kuo ◽  
Shu-Wei Huang ◽  
Yeu-Chai Jang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hip Fracture ◽  
Daily Living ◽  
Estimating Equation ◽  
Generalized Estimating Equation ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Background. Hip fractures among older adults are a major public health concern worldwide. This study investigated the potential clinical factors that predict postoperative 1-year activities of daily living (ADL), quality of life (QoL), and mortality in Taiwanese older adults following hip fracture. Methods. This is a prospective cohort study enrolling older adults (≥60 years) who had undergone hip fracture surgery in a single medical center. The comprehensive clinical history of each patient was examined. QoL, ADL, and mortality events were recorded consecutively at 3, 6, and 12 months after operation. The multiple logistic regression model and the generalized estimating equation (GEE) were adopted to identify contributing factors for mortality and postoperative ADL and QoL prognosis, respectively. Results. Among 377 participants with hip fracture, 48 died within 1 year of the index operation. ADL and QoL considerably decreased at 3 months following hip surgery. Old age, high Charlson Comorbidity Index, and American Society of Anesthesiologists grading were crucial predictors for mortality at the 1-year follow-up. The generalized estimating equation analysis indicated that the length of postoperative follow-up time, serum albumin level, patient cognitive status, and handgrip strength were considerably associated with QoL and ADL recovery prognosis in the Taiwanese older adults following hip fracture. Conclusions. Hip fractures have long-lasting effects on the older adults. Our data imply several prognosis predicting parameters that may assist clinicians in accounting for an individual’s personalized risks in order to improve functional outcomes and reduce mortality.

Pre-discharge prognostic factors of physical function among older adults with hip fracture surgery: a systematic review

2019 ◽  
Vol 30 (5) ◽  
pp. 929-938 ◽  
Author(s):  
K. K. Lim ◽  
D. B. Matchar ◽  
J. L. Chong ◽  
W. Yeo ◽  
T. S. Howe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Prognostic Factors ◽  
Hip Fracture ◽  
Physical Function ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Self-Efficacy Care Program for Older Adults Receiving Hip-Fracture Surgery

2021 ◽  
pp. 105477382110014
Author(s):  
Shu-Fen Su ◽  
Shu-Ni Lin ◽  
Chia-Sui Chen
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Self Efficacy ◽  
Short Form ◽  
Care Program ◽  
Control Group ◽  
Hip Fracture Surgery ◽  
Post Surgery ◽  
Fracture Surgery

Hip fractures decrease older adults’ physical activity and quality of life (QoL). However, no current self-efficacy care programs are managed by clinical nurses, and thus no studies have measured their effects on self-care self-efficacy (SCSE). Hence, this quasi-experimental study determined the effectiveness of a self-efficacy care program (SECP) in 104 older adults receiving hip-fracture surgery who were divided into intervention and control groups. The Strategies Used by People to Promote Health and Short Form-36 were administered pre-surgery and at 1 and 3-month intervals post-surgery. The SCSE and QoL of the SECP group were significantly better than the control group at 1- and 3-month follow-ups post-surgery. Both groups’ QoL decreased at one-month post-surgery but increased by 3-months post-surgery. The SECP group had higher psychological QoL than the control group post-surgery. This intervention increased the SCSE and QoL of older adults with hip fractures and improved post-operative care.

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