scholarly journals Hip fractures in centenarians: a multicentre review of outcomes

2021 ◽  
Vol 103 (1) ◽  
pp. 59-63
Author(s):  
J Barrett-Lee ◽  
S Barbur ◽  
J Johns ◽  
J Pearce ◽  
RR Elliot
Keyword(s):  
Heart Disease ◽  
Hip Fractures ◽  
Elderly Population ◽  
The Elderly ◽  
Mortality Rates ◽  
Sheltered Housing ◽  
Electronic Records ◽  
Elderly Individuals ◽  
District Hospitals ◽  
One Year

Introduction Advances in healthcare have resulted in an increasing UK population, with the proportion of elderly individuals expanding significantly, including centenarians. Hospitals can expect to see growing numbers of so-called ‘super-elderly’ patients with trauma, a majority of whom will have hip fractures. We performed a multicentre review of hip fracture outcomes in centenarians to assess whether being an outlier in age correlates with poorer prognosis. Methods Centenarians admitted to Basingstoke, Southampton, Dorset, and Salisbury district hospitals with hip fractures between January 2014 and June 2019 were included. Electronic records were searched to obtain demographics, functional status, and admission details. Results A total of 60 centenarians were included, with a median age of 101 years (range 100–108 years), 85% of whom were female; 29 were admitted from their own home or sheltered housing and 31 from nursing or residential care; 33 had some outdoor mobility, 26 only mobilised indoors, and 1 had no mobility. Common comorbidities were renal and heart disease and dementia. Of the total, 56 underwent surgery, 51 within 36 hours. In terms of accommodation, 63.4% returned to their pre-injury level of independence. At 30 days, three months, and one year, mortality rates were 27% (n = 16), 40% (n = 24) and 55% (n = 33), respectively. Conclusion Trauma in the elderly population is an area of growing interest, yet few studies address centenarians with hip fractures. This work demonstrates that mortality rates within one year of injury were high, but almost half survived beyond a year. Two-thirds of patients regained their pre-injury level of independence, suggesting that functional recovery may not be as poor as previously reported.

scholarly journals A Comparison of Mortality following Distal Femoral Fractures and Hip Fractures in an Elderly Population

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
R. W. Jordan ◽  
G. S. Chahal ◽  
M. Davies ◽  
K. Srinivas
Keyword(s):  
Mortality Rate ◽  
Hip Fractures ◽  
Femoral Fracture ◽  
Elderly Population ◽  
Surgical Intervention ◽  
Femoral Fractures ◽  
Mortality Rates ◽  
Distal Femoral Fracture ◽  
Distal Femoral Fractures ◽  
One Year

Introduction. Patients suffering a distal femoral fracture are at a high risk of morbidity and mortality. Currently this cohort is not afforded the same resources as those with hip fractures. This study aims to compare their mortality rates and assess whether surgical intervention improves either outcome or mortality following distal femoral fractures. Methods. Patients over sixty-five admitted with a distal femoral fracture between June 2007 and 2012 were retrospectively identified. Patients mobility was categorised as unaided, walking aid, zimmer frame, or immobile. The 30-day, six-month, and one-year mortality rates were recorded for this group as well as for hip fractures during the same period. Results. 68 patients were included in the study. The mortality rate for all patients with distal femoral fractures was 7% at 30 days, 26% at six months, and 38% at one year, higher than hip fractures during the same period by 8%, 13%, and 18%, respectively. Patients managed surgically had lower mortality rates and higher mobility levels. Conclusion. Patients suffering a distal femoral fracture have a high mortality rate and surgical intervention seems to improve both mobility and mortality.

scholarly journals One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center

2020 ◽  
Vol 40 (4) ◽  
pp. 298-304
Author(s):  
Khalid A. Alsheikh ◽  
Firas M. Alsebayel ◽  
Faisal Abdulmohsen Alsudairy ◽  
Abdullah Alzahrani ◽  
Ali Alshehri ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Mortality Rate ◽  
Hip Fractures ◽  
Surgical Intervention ◽  
Care Center ◽  
Tertiary Care ◽  
The Elderly ◽  
Tertiary Care Center ◽  
Factors Associated ◽  
One Year

ABSTRACT BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

scholarly journals Short versus standard PFN outcome analysis in unstable intertrochantric fracture

2018 ◽  
Vol 4 (5) ◽  
pp. 747
Author(s):  
Pravin Kumar Jangde ◽  
Anant Kumar Singh
Keyword(s):  
Hip Fractures ◽  
Trochanteric Fracture ◽  
The Elderly ◽  
Outcome Analysis ◽  
Femoral Canal ◽  
Femoral Nail ◽  
Group 2 ◽  
One Year ◽  
Group B ◽  
Group 1

<p class="abstract"><strong>Background:</strong> Hip fractures in the elderly are frequent. Intertrochanteric hip fractures account for approximately half of all hip fractures in the elderly; of these, from 50% to 60% are classified as unstable. In our study we tried to compare outcome of unstable trochantric fracture in terms length of PFN (180 vs 240 mm).</p><p class="abstract"><strong>Methods:</strong> 80 patients of unstable trochanteric fracture were randomly allotted to 2 groups who were treated with closed reduction and internal fixation with proximal femoral nail of size 180 mm(group A) and 240mm (group B). Patients in both the group were compared right from the fracture configuration till the one year post-operative period.<strong></strong></p><p class="abstract"><strong>Results:</strong> In the study of 80 patients there were 18 males (45%) and 22 females (55%) in group 1, and 23 male (57%) and 17 female (42.5%) in group 2. Group 1 patient had a better range of movements than group 2. Femoral canal impingement was present in 6 (15%) of patients of group 1 and 28(70%) patients of group 2 showed femoral canal impingement.</p><p class="abstract"><strong>Conclusions:</strong> There are very few studies which compare the length of PFN to the outcome. The standard PFN group presented with complications like femoral nail impingement and hence more thighs pain and less range of movements even after one year of follow up. We conclude that for Indian group of population who have a relatively short femora gives a better result with a shorter length implant.</p>

Transversal and longitudinal studies of risk factors for coronary heart disease in the elderly population of Sa˜o Paulo

1994 ◽  
Vol 109 (1-2) ◽  
pp. 15
Author(s):  
M.S. Cendoroglo ◽  
T.L.R. Martinez ◽  
L.E.S. Almeida Pinto ◽  
F.R. Gonçalves ◽  
T.E.C. Rosa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Longitudinal Studies ◽  
Elderly Population ◽  
The Elderly

Headache

2002 ◽  
Vol 12 (2) ◽  
pp. 127-144
Author(s):  
GJF Saldanha ◽  
CG Clough ◽  
N Ward
Keyword(s):  
General Population ◽  
Elderly Population ◽  
Large Population ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Population Based ◽  
Medical Attention ◽  
Population Based Study ◽  
The Usa ◽  
One Year

Little is known about the frequency of headache in the elderly population as few epidemiological studies have been carried out. In one year in the USA, 70% of the general population had a headache, 5% of whom sought medical attention. In a large population-based study carried out in East Boston, US, some 17% of patients over 65 yrs of age reported frequent headache, with 53% of women and 36% of men reporting headache in the previous year.

scholarly journals The aging lung mucosa: A proteomics study

2021 ◽  
Author(s):  
Andreu Garcia-Vilanova ◽  
Angelica M. Olmo-Fontanez ◽  
Juan I. Moliva ◽  
Anna Allue Guardia ◽  
Harjinder Singh ◽  
...  
Keyword(s):  
Regulatory Networks ◽  
Elderly Population ◽  
Respiratory Infections ◽  
The Elderly ◽  
Pulmonary Diseases ◽  
Lung Cells ◽  
Molecular Fingerprints ◽  
Elderly Individuals ◽  
Increased Risk ◽  
Insight Into

The elderly population is at increased risk of acute and chronic respiratory infections and other pulmonary diseases, and it is estimated that this population will double in the next 30 years. Biochemical changes in the lung alveolar mucosa and lung cells alter local immune response as we age, creating opportunities for invading pathogens to establish successful infections. Indeed, the lungs of the elderly are a pro-inflammatory, pro-oxidative, dysregulated environment but this environment has remained understudied. We performed a comprehensive, quantitative proteomic profile of the lung mucosa in the elderly, developing insight into the molecular fingerprints, pathways, and regulatory networks that characterize the lung in old age. We identified neutrophils in the lungs of elderly individuals as possible contributors to dysregulated lung tissue environment. This study establishes a baseline for future investigations to develop strategies to mitigate susceptibility to respiratory infections in the elderly.

scholarly journals A matter of frailty: the modified Subdural Hematoma in the Elderly (mSHE) score

2021 ◽  
Author(s):  
Silvia Hernández-Durán ◽  
Daniel Behme ◽  
Veit Rohde ◽  
Christian von der Brelie
Keyword(s):  
Subdural Hematoma ◽  
Elderly Population ◽  
Predictive Power ◽  
Operating Characteristic ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Clinical Frailty Scale ◽  
Mortality And Morbidity ◽  
Exercise Interventions ◽  
Elderly Individuals

AbstractThe Subdural Hematoma in the Elderly (SHE) score was developed as a model to predict 30-day mortality from acute, chronic, and mixed subdural hematoma in the elderly population after minor or no trauma. Emerging evidence suggests frailty to be predictive of mortality and morbidity in the elderly. In this study, we aim to externally validate the SHE for chronic subdural hematoma (CSDH) alone, and we hypothesize that the incorporation of frailty into the SHE may increase its predictive power. A retrospective cohort of elderly patients with CSDH after minor or no trauma being treated at our institution was evaluated with the SHE. Thirty-day mortality and outcome were documented. Patients were assessed with the Clinical Frailty Scale (CFS), which was incorporated into a modified SHE (mSHE). Both the SHE and the mSHE were then assessed in their predictive powers through receiver operating characteristic statistics. We included 168 patients. Most (n = 124, 74%) had a favorable outcome at 30 days. Mortality was low at n = 7, 4%. The SHE failed to predict mortality (AUC = .564, p = .565). Contrarily, the mSHE performed well in both mortality (AUC = .749, p = .026) and outcome (AUC = .862, p < .001). A threshold of mSHE = 3 is predictive of mortality with a sensitivity of 50% and a specificity of 75% and of poor outcome with a sensitivity of 88% and a specificity of 64%. Frailty should be routinely evaluated in elderly individuals, as it can predict outcome and mortality, providing the possibility for medical, surgical, nutritional, cognitive, and physical exercise interventions.

Sign in / Sign up

Export Citation Format

Share Document