scholarly journals Peculiarities of Reparative Osteogenesis in Fractures of the Proximal Femur in Patients with Concomitant Arterial Hypertension

2021 ◽  
Vol 14 (4) ◽  
pp. 1815-1822
Author(s):  
Mykyta Valilshchykov ◽  
Volodymyr Babalyan ◽  
Igor Ionov ◽  
Olga Babaieva
Keyword(s):  
Arterial Hypertension ◽  
Beneficial Effect ◽  
Fracture Healing ◽  
Hip Fractures ◽  
Proximal Femur ◽  
Elderly Population ◽  
Significant Proportion ◽  
The Elderly ◽  
Reparative Osteogenesis ◽  
High Prevalence

Treatment of patients with fractures of the proximal femur is an important problem in modern traumatology. Hip fractures are more commonly associated with osteoporosis. Elderly and senile people make up a significant proportion of patients with fractures. Arterial hypertension (AH) in the elderly population is a disease with a high prevalence. When treating fractures of the proximal femur, it is necessary to take into account the features of reparative osteogenesis characteristics of patients with concomitant arterial hypertension. Medicines used to treat hypertension have a beneficial effect on bone tissue. Pharmacological correction of hypertension in these patients is essential to optimize fracture healing.

Prevalence and Risk Factors of Undetected Elevated Blood Pressure in an Elderly Southeast Asian Population

2007 ◽  
Vol 19 (2) ◽  
pp. 3-9 ◽  
Author(s):  
V. Joshi ◽  
J. Lim ◽  
M. Nandkumar
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Elderly Population ◽  
Asian Population ◽  
The Elderly ◽  
Southeast Asian ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
High Prevalence ◽  
The Mean

Data on the prevalence of Hypertension (HTN) among elderly Asians is limited. We investigated the prevalence of elevated blood pressure (EBP) and its risk factors in a multiracial Southeast Asian elderly population who participated in the National Kidney Foundation Singapore nationwide screening programme. Among 19,848 subjects ≥ 65 years (approximately 6% of the total Singapore population), the mean age was 70.6 ± 5.26 yrs. After excluding 36.6% with known HTN, analysis revealed that 5,889 (46.8%) of the remaining population had previously undetected EBP >140/ 90. Increasing age, male gender, BMI ≥ 23 kg/m2 and pre-existing diabetes were significantly associated with previously undetected EBP on multivariate analysis. 6% of cases with undetected EBP had proteinuria suggestive of longstanding EBP and renal damage. We conclude that there is a high prevalence of undetected EBP in elderly Asians, suggesting the need for increased e forts in screening in the elderly population. Asia Pac J Public Health 2007; 19(2): 3—9.

scholarly journals Contemporary view of medical care of the elderly people with proximal femur fractures

2021 ◽  
pp. 186-195
Author(s):  
M. V. Belov ◽  
K. Yu. Belova
Keyword(s):  
Medical Care ◽  
Hip Fractures ◽  
Proximal Femur ◽  
Elderly Person ◽  
The Elderly ◽  
Care Organization ◽  
Risk Of Death ◽  
Femur Fractures ◽  
Increased Risk

Fractures of the proximal femur are a severe, life-threatening injury with enormous social, medical and economic consequences. Even with a well-organized system of medical care, up to 12-17% of patients die within the first year after injury, and the long-term risk of death doubles. Specially designed population-based studies in the Russian Federation have shown a high incidence of hip fractures in patients at the age of 50 and older. However, there is currently no unified system of medical care organization for all regions of Russia, which allows hospitalization and operation of patients with hip fractures during the first hours after trauma. Hip fracture in an elderly person is an absolute indication for the hospitalization. However most patients have severe comorbidities, osteoporosis, an increased risk of falls and mortality because of any reason. The main surgical treatments for hip fractures include osteosynthesis of the fracture or hip arthroplasty. It is well known that after the occurrence of any fragility fracture the risk of subsequent fractures increases by 2-3 times. To ensure the continuity of patient management, provide prescription of anti-osteoporotic drugs and long-term follow-up of patients it is necessary to manage them within the special Fracture Liaison Services (FLS). The article is devoted to the organization of medical care in patients of older age groups who have received hip fractures. A review of modern approaches to the treatment and organization of care for elderly patients with hip fractures is based on the methodological recommendations «Complex measures aimed at preventing falls and fractures in the elderly» developed in the framework of the federal project «The Older Generation», the draft national clinical guidelines «Fractures of the proximal femur», as well as the results of our own research.

How Safe and Time Consuming is the Surgical Training of Young Orthopaedic Surgeons? A Retrospective Analysis of Proximal Femur Fractures

2021 ◽  
Author(s):  
Konrad Schütze ◽  
Carlos Pankratz ◽  
Alexander Eickhoff ◽  
Florian Gebhard ◽  
Peter Richter
Keyword(s):  
Surgical Training ◽  
Proximal Femur ◽  
Surgical Complications ◽  
Elderly Population ◽  
Operating Time ◽  
The Elderly ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Surgical Trainees ◽  
Tip Apex Distance

Abstract Background Fractures of the proximal femur in the elderly population are rising. Teaching the appropriate surgical treatment of these fractures is of paramount importance. The aim of the study was to evaluate differences in outcome of surgical procedures between supervised trainees and senior surgeons. Objective Are there more surgical complications, poorer quality or an increased operating time if the procedure (in this case: fixation of proximal femur fractures) is performed by trainees under supervision in comparison to experienced surgeons. Material and Methods All patients treated with the proximal femur nail antirotation (PFNA) between 2015 and 2016 at a level one trauma centre were included in this study. The retrospective review of the 299 patients compared supervised surgical trainees and senior surgeons. Parameters included operating time, tip apex distance, position of the blade, Hb-difference, transfusion rate, surgical complications as well as mortality, and were compared between the groups. Results 153 of 299 procedures were performed by supervised surgical trainees. In comparison to senior surgeons, there was no significant difference in operating time (WA 54.48 min; OA 60.47 min; p > 0,05), Hb-difference (WA 2.8 g/dl; OA 2.6 g/dl; p > 0.05), tip-apex distance (WA 21.2 mm; OA 20.5 mm, p = 0.37) or rate of surgical complications. There was no difference in the rate of optimal blade positions between the groups (WA 87.5%; OA 89.0%; p = 0.366). Furthermore, mortality showed no difference between the groups, but was greater in older patients or high ASA grade. Conclusion Supervised surgical training during treatment of proximal femur fractures shows no increase in operating time, complications or mortality and no difference in quality. With the fast growth of the elderly population, surgical training of fragility fractures should receive more attention in the future.

Indentification of Mitochondria-related Hub Genes in Sarcopenia and Functional Regulation of MFG-E8 on ROS-mediated Mitochondrial Dysfunction and Cell Cycle Arrest

2021 ◽  
Author(s):  
He Li ◽  
Guan Kaifang ◽  
Dandan Liu ◽  
Min Liu
Keyword(s):  
Milk Fat ◽  
Elderly Population ◽  
The Elderly ◽  
Hub Genes ◽  
Cycle Arrest ◽  
High Prevalence ◽  
Milk Fat Globule ◽  
Functional Regulation ◽  
Epidermal Growth ◽  
Fat Globule

Sarcopenia has a high prevalence in the elderly population, but the genes and pathways related to aging in elderly patients with sarcopenia are poorly understood. Milk fat globule epidermal growth...

scholarly journals Hip fractures: mortality and correlation with preoperative comorbidities in Indian elderly population

2021 ◽  
Vol 7 (6) ◽  
pp. 1185
Author(s):  
Prashant Pratim Padhi ◽  
Pankaj Rai
Keyword(s):  
Hip Fractures ◽  
Elderly Population ◽  
Survival Rates ◽  
High Volume ◽  
The Elderly ◽  
Hazard Ratio ◽  
First Year ◽  
Term Survival ◽  
Geriatric Hip Fracture ◽  
Observational Cohort

<p class="abstract"><strong>Background:</strong> Hip fractures are an emerging health care problem due to increase in the elderly population all over the world and the associated complications, morbidity and mortality. The objective of this study is to find out the mortality rates in Indian elderly population with hip fractures and to establish an association between various related complications pre and post operatively for a better risk stratification.</p><p class="abstract"><strong>Methods: </strong>A prospective observational cohort study, was carried out at a high-volume orthopaedic centre from 2009 to 2018. And all patients managed for hip fractures were followed up till death or 05 years.</p><p class="abstract"><strong>Results: </strong>The age adjusted first-year mortality was found to be 33% with statistically significant increase in the mortality in individuals with three or more pre-op comorbidities. The significantly associated co-morbidities were chronic renal failure (Hazard ratio 2.32 with CI 1.65- 3.24) and diabetes mellitus (Hazard ratio 1.66 with CI 1.25 – 2.21). There has been a significant dip in the cumulative survival rates of these individuals irrespective of age, sex, preop anaemia.</p><p class="abstract"><strong>Conclusions: </strong>A knowledge about the comorbidities/ risk factors and the extent to which they influence the long-term survival in the geriatric hip fracture patients can help treating physician to effectively prioritise and plan management in coordination with allied specialities.  </p>

scholarly journals Pulmonary arterial hypertension in the elderly population

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Chang-Ying Chen ◽  
Cheng Chung Hung ◽  
Cheng-Hung Chiang ◽  
Yi-Ching Tsa ◽  
Yun-Ju Fu ◽  
...  
Keyword(s):  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Elderly Population ◽  
The Elderly ◽  
Pulmonary Arterial

Prevalence of Chronic Diseases and Multimorbidity Among Urban Community-Dwelling Elderly Individuals in Northeastern China

2021 ◽  
Author(s):  
Hongmei Yin ◽  
Yuying Li ◽  
Yi Yuan ◽  
Jinying Wei ◽  
Jing Wu
Keyword(s):  
Chronic Diseases ◽  
Chronic Conditions ◽  
Elderly Population ◽  
Urban Community ◽  
Significant Proportion ◽  
The Elderly ◽  
Northeastern China ◽  
Community Dwelling ◽  
Multiple Chronic Conditions ◽  
Elderly Individuals

Abstract Background: To evaluate the prevalence of chronic diseases and multimorbidity in the elderly population in an urban community in northeastern China.Methods: A quantitative, descriptive, cross-sectional study was conducted among an elderly population (≥60 years) in the community of Changchun, China, in 2018. The following were used: a sociodemographic questionnaire, anthropometric data, and laboratory examinations. A total of 2171 elderly residents (1328 male) were finally enrolled. Data on 5 chronic diseases—hypertension, diabetes, dyslipidemia, coronary heart disease (CHD) and chronic kidney disease (CKD) —were collected by interviews and physical check-ups and confirmed by physicians.Results: The age-adjusted prevalences of the five chronic diseases (hypertension, diabetes, dyslipidemia, CHD and CKD) were the following: 67.60%, 63.30%, 61.50%, 51.00% and 8.98%, respectively, in men and 64.10%, 59.70%, 71.10%, 44.80% and 19.70%, respectively, in women. A total of 77.0% of hypertensive subjects were aware of their hypertension status, and 61.0% had their blood pressure controlled. The awareness rate of diabetes was 82.1%, and the controlled rate was 68.4%. A total of 75.4% of the population had two or more chronic conditions, which is called multimorbidity. The elderly individuals had the highest frequency of multiple chronic conditions.Conclusion: The prevalence of chronic diseases in the elderly was high, and a significant proportion was affected by multimorbidity in urban China. Chronic diseases are important diseases threatening the health of the elderly population.

A nationwide seven-year trend of hip fractures in the elderly population of Taiwan

Bone ◽  
2009 ◽  
Vol 44 (1) ◽  
pp. 125-129 ◽  
Author(s):  
Chung-Jung Shao ◽  
Yu-Hsiang Hsieh ◽  
Ching-Hui Tsai ◽  
Kuo-An Lai
Keyword(s):  
Hip Fractures ◽  
Elderly Population ◽  
The Elderly
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