scholarly journals Hip Fracture Confers Significantly Greater Mortality Risk in Older Adults Relative to Other Lower Extremity Fractures: Retrospective Cohort Study (Preprint)

JMIR Aging ◽  
10.2196/32683 ◽  
2021 ◽  
Author(s):  
Andrea Dimet ◽  
George Golovko ◽  
Stanley Watowich
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Lower Extremity ◽  
Mortality Risk ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort

scholarly journals Characteristics and Outcomes of Hip Fracture Patients Hospitalized in an Orthogeriatric Unit Versus an Orthopedic Department: A Retrospective Cohort Study

2021 ◽  
Vol 12 ◽  
pp. 215145932098629 ◽  
Author(s):  
Yulia Bugaevsky ◽  
Yochai Levy ◽  
Avital Hershkovitz ◽  
Irena Ocheretny ◽  
Adaya Nissenholtz ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Functional Independence ◽  
Functional Improvement ◽  
Orthopedic Department ◽  
Successful Recovery

Introduction: Hip fractures are a significant health risk in older adults and a major cause of morbidity, functional decline and mortality. Our aim was to compare clinical outcomes of older patients hospitalized in an ortho-geriatric (OG) unit to those hospitalized in an orthopedic department (OD) for surgical treatment of a hip fracture. Methods: A retrospective cohort study of hip fractured patients hospitalized between 2015-2016 in a single tertiary university-affiliated medical center. Included were patients aged 65 and older who had undergone hip fracture surgery and were admitted to either a geriatric or orthopedic ward. Results: 441 patients met the inclusion criteria (195 in the OG unit, 246 in the OD); 257 were transferred to an affiliated geriatric center hospital (107 from the OG unit and 127 from the OD) for rehabilitation. Patients in the OG unit were older, more cognitively and functionally impaired and with more comorbidities. The 1-year mortality rate was significantly lower in the OD group (OR 0.32, CI 95% 0.19-0.53, p < 0.001), however, after propensity matching, the 30-day and 1 year mortality rates were similar in both groups. No difference was found in the rehabilitation length of stay between the groups. The functional independence measure improvement was similar in both groups, with a non-significant trend toward better functional improvement among OG unit patients. Conclusions: Despite the higher complexity of patients, worse baseline functional capacity in the OG unit, improvement after rehabilitation was similar in both groups. These results demonstrate the advantages of the OG unit in treating and stabilizing frail older adults, thus maximizing their chances for a successful recovery after hip fractures. Level of Evidence: Level IV

Bisphosphonate Use After Hip Fracture in Older Adults: A Nationwide Retrospective Cohort Study

2017 ◽  
Vol 18 (6) ◽  
pp. 515-521 ◽  
Author(s):  
Peter Nordström ◽  
Annika Toots ◽  
Yngve Gustafson ◽  
Karl-Göran Thorngren ◽  
Ami Hommel ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort

scholarly journals Effect of Wearing Medical Masks on Perioperative Respiratory Complications in Older Adults with Hip Fracture: A Retrospective Cohort Study

2021 ◽  
Vol Volume 16 ◽  
pp. 1967-1974
Author(s):  
Mingming Fu ◽  
Junfei Guo ◽  
Yaqian Zhang ◽  
Yuqi Zhao ◽  
Yingze Zhang ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Respiratory Complications

scholarly journals The association between medication or alcohol use and the incidence of frailty: a retrospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Janja Jazbar ◽  
Igor Locatelli ◽  
Mitja Kos
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Alcohol Use ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Medication Use ◽  
Reverse Causality ◽  
Hazardous Alcohol Use ◽  
Modifiable Factors ◽  
Hazardous Alcohol

Abstract Background Understanding potentially modifiable factors that influence the risk of frailty is a key concern for the management of this urgent contemporary public health challenge. This study evaluates the association between the use of various medications or alcohol and the incidence of frailty among older adults. Methods This study was a retrospective cohort study on older adults (≥ 65 years) using data from the longitudinal Survey of Health, Ageing and Retirement in Europe (SHARE survey, 28 countries). Medication use was measured as taking several different groups of medications. Alcohol use was assessed with SHARE questions corresponding to AUDIT-C. The outcome measure was the incidence of frailty after two years, defined by frailty index (FI) and frailty phenotype (FP). A multiple logistic regression model was used to evaluate the association with adjustment for several potential confounding factors. Results Of the 14,665 FI-population participants, 1800 (12.3%) developed frailty within two years. Of the 8133 FP-population participants, 2798 (34.4%) developed pre-frailty and 247 (3.0%) developed frailty within two years of baseline. After adjustment for potential confounding variables, non-hazardous alcohol use (adjusted OR; 95% CI for the FI-population: 0.68; 0.60–0.77) and hazardous alcohol use (0.80; 0.68–0.93) are associated with lower incidence of frailty compared to no alcohol use. The odds of frailty are increased when taking medications; the largest effect size was observed in older adults taking medication for chronic bronchitis (adjusted OR; 95% CI for the FI-population: 2.45; 1.87–3.22), joint pain and other pain medication (2.26; 2.00–2.54), medication for coronary and other heart disease (1.72; 1.52–1.96), medication for diabetes (1.69; 1.46–1.96), and medication for anxiety, depression and sleep problems (1.56; 1.33–1.84). Additionally, the risk of frailty was increased with stroke, Parkinson’s disease and dementia. Conclusions Taking certain groups of medication was associated with increased incidence of frailty and pre-frailty, which might be due to either medication use or the underlying disease. Alcohol use was associated with a lower risk of pre-frailty and frailty compared to no alcohol use, which might be due to reverse causality or residual confounding. There was no significant interaction effect between medication groups and alcohol use on frailty incidence.

scholarly journals Comorbidity Burden and Health Services Use in Community-Living Older Adults with Diabetes Mellitus: A Retrospective Cohort Study

2016 ◽  
Vol 40 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Andrea Gruneir ◽  
Maureen Markle-Reid ◽  
Kathryn Fisher ◽  
Holly Reimer ◽  
Xiaomu Ma ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Cohort Study ◽  
Health Services ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Community Living ◽  
Health Services Use ◽  
Comorbidity Burden ◽  
Services Use

The associations between physical performance and cognitive function in older adults with cancer: Preliminary results of a retrospective cohort study

2021 ◽  
Vol 12 (8) ◽  
pp. S53-S54
Author(s):  
E. Papadopoulos ◽  
A. Abu Helal ◽  
A. Berger ◽  
R. Jin ◽  
L. Romanovsky ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Cognitive Function ◽  
Physical Performance ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Preliminary Results

scholarly journals Risk of lower extremity amputations in people with type 2 diabetes mellitus treated with sodium-glucose co-transporter-2 inhibitors in the USA: A retrospective cohort study

2017 ◽  
Vol 20 (3) ◽  
pp. 582-589 ◽  
Author(s):  
Zhong Yuan ◽  
Frank J. DeFalco ◽  
Patrick B. Ryan ◽  
Martijn J. Schuemie ◽  
Paul E. Stang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cohort Study ◽  
Lower Extremity ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
The Usa
Sign in / Sign up

Export Citation Format

Share Document