Counseling, quality of life, and acute postoperative pain in elderly patients with hip fracture

Pain is the first general cause of consultation in most medical specialties, being also the most frequent cause of suffering and disability that seriously affects the quality of life of millions of people in the world. The aim is toevaluate the effectiveness of the use of ketorolac and metamizole in the treatment of postoperative acute adenotonsillectomypain in children.An interventional clinical trial study included 80children who were optionally subjected to adenotonsillectomy, within the age in the ranged from 5 to 12 years of age. Patients divided in two groups according to the analgesic regimen they received in the operating room, 40 children received Metamizole and 40 children received Ketorolac. In the Ketorolac group, 67.5% did not experience post-anesthetic recovery on the Ocher scale, and 32.5% had mild to moderate pain (1 to 6). In the Metamizole group, 27.5% of children reported no pain, and 72.5% rated their pain as mild to moderate. The degree of pain relief measured on the Oucher scale was higher in patients receiving Ketorolac (p <0.001). We concluded thatKetorolacis reducing postoperative pain significantly than metamizole in children undergoing to Adeno-tonsillectomy.

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Faculty Opinions recommendation of Blood transfusion and overall quality of life after hip fracture in frail elderly patients--the transfusion requirements in frail elderly randomized controlled trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725462417.793506539 ◽

2015 ◽

Author(s):

Davide Cattano

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Hip Fracture ◽

Blood Transfusion ◽

Elderly Patients ◽

Frail Elderly ◽

Controlled Trial ◽

Randomized Controlled ◽

Transfusion Requirements

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Quality of life and psychological consequences in elderly patients after a hip fracture: a review

Clinical Interventions in Aging ◽

10.2147/cia.s150067 ◽

2018 ◽

Vol Volume 13 ◽

pp. 143-150 ◽

Cited By ~ 36

Author(s):

Konstantinos Alexiou ◽

Andreas Roushias ◽

Sokratis Varitimidis ◽

Konstantinos Malizos

Keyword(s):

Quality Of Life ◽

Hip Fracture ◽

Elderly Patients ◽

Psychological Consequences

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Changes in quality of life among elderly patients with hip fracture in Taiwan

Osteoporosis International ◽

10.1007/s00198-003-1533-x ◽

2004 ◽

Vol 15 (2) ◽

pp. 95-102 ◽

Cited By ~ 38

Author(s):

Juin-Yih Su ◽

Jui-fen Rachel Lu ◽

Yea-Ing Lotus Shyu ◽

Min-Chi Chen ◽

Jersey Liang ◽

...

Keyword(s):

Quality Of Life ◽

Hip Fracture ◽

Elderly Patients

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Quality of Life and Other Characteristics of the Elderly Patients With Hip Fracture

10.26226/morressier.5ab4d4efd462b80296ca519d ◽

2018 ◽

Author(s):

Gunta Ozolina

Keyword(s):

Quality Of Life ◽

Hip Fracture ◽

Elderly Patients ◽

The Elderly

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Evaluation of the health-related quality of life in elderly patients according to the type of hip fracture: femoral neck or trochanteric

Clinics ◽

10.1590/s1807-59322008000500007 ◽

2008 ◽

Vol 63 (5) ◽

pp. 607-612 ◽

Cited By ~ 16

Author(s):

Tânia Maria da Silva Mendonça ◽

Carlos Henrique Martins da Silva ◽

Roberto Sérgio de Tavares Canto ◽

Nívea de Macedo Oliveira Morales ◽

Rogério de Melo Costa Pinto ◽

...

Keyword(s):

Quality Of Life ◽

Hip Fracture ◽

Femoral Neck ◽

Elderly Patients ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Long-term Patient-reported Quality of Life and Pain After a Multidisciplinary Clinical Pathway for Elderly Patients With Hip Fracture: A Retrospective Comparative Cohort Study

Geriatric Orthopaedic Surgery & Rehabilitation ◽

10.1177/2151459319841743 ◽

2019 ◽

Vol 10 ◽

pp. 215145931984174 ◽

Cited By ~ 1

Author(s):

Pishtiwan H. S. Kalmet ◽

Stijn G. C. J. de Joode ◽

Audrey A. A. Fiddelers ◽

Rene H. M. ten Broeke ◽

Martijn Poeze ◽

...

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Hip Fracture ◽

Postoperative Complications ◽

Elderly Patients ◽

Hip Fractures ◽

Patient Reported Outcome ◽

Patient Reported

Introduction: There is an increase in incidence of hip fractures in the ageing population. The implementation of multidisciplinary clinical pathways (MCP) has proven to be effective in improving the care for these frail patients, and MCP tends to be more effective than usual care (UC). The aim of this study was to analyze potential differences in patient-reported outcome among elderly patients with hip fractures who followed MCP versus those who followed UC. Materials and Methods: This retrospective cohort study included patients aged 65 years or older with a low-energy hip fracture, who underwent surgery in the Maastricht University Medical Center, Maastricht, the Netherlands. Two cohorts were analyzed; the first one had patients who underwent UC in 2012 and the second one contained patients who followed MCP in 2015. Collected data regarded demographics, patient-reported outcomes (Short Form 12 [SF-12] and the Numeric Rating Scale [NRS] to measure pain), and patient outcome. Results: This cohort study included 398 patients, 182 of them were included in the MCP group and 216 were in the UC group. No differences in gender, age, or American Society of Anesthesiologists classification were found between the groups. No significant differences were found in SF-12 and the NRS data between the MCP group and UC group. In the MCP group, significantly lower rates of postoperative complications were found than in the UC group, but mortality within 30 days and one year after the hip fracture was similar in both groups. Discussion: Although the effects of hip fractures in the elderly on patient-reported outcome, pain and quality of life have been addressed in several recent studies, the effects of MCP on long-term outcome was unclear. Conclusion: A multidisciplinary clinical pathway approach for elderly patients with a hip fracture is associated with a reduced time to surgery and reduced postoperative complications, while no differences were found in quality of life, pain, or mortality.

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