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Fractures, BoneHip FracturesFracture HealingFemoral FracturesHip JointHipSpinal FracturesOsteoporotic FracturesFracture Fixation, InternalFracture FixationFemoral Neck FracturesFractures, ComminutedArthroplasty, Replacement, HipFractures, SpontaneousRadius FracturesHip ProsthesisOsteoarthritis, HipFractures, StressFracture Fixation, IntramedullaryOsteoporosisUlna FracturesRib FracturesSkull FracturesBone DensityMandibular FracturesHip InjuriesAccidental FallsHip DislocationHip Dislocation, CongenitalTooth FracturesOsteoporosis, PostmenopausalBone NailsFractures, CompressionFemur NeckBone Density Conservation AgentsIntra-Articular FracturesBone PlatesRisk FactorsBone ScrewsIncidenceWrist InjuriesTreatment OutcomeOrbital FracturesFemurProspective StudiesPeriprosthetic FracturesRetrospective StudiesRecovery of FunctionColles' FractureForearm InjuriesBony CallusFollow-Up StudiesPostoperative ComplicationsAbsorptiometry, PhotonPelvic BonesOrthopedic ProceduresProsthesis FailureRange of Motion, ArticularCasts, SurgicalAge FactorsCohort StudiesBone WiresReoperationTime FactorsDiphosphonatesOrthopedicsAlendronateTractionAcetabulumEtidronic AcidMaxillary FracturesExternal FixatorsCalcaneusProtective DevicesZygomatic FracturesFemur HeadActivities of Daily LivingLumbar VertebraeRisk AssessmentHemiarthroplastyDeliriumThoracic VertebraeBone CementsAnkle InjuriesBiomechanical PhenomenaClavicleLength of StayFrail ElderlyInternal FixatorsProsthesis DesignHomes for the AgedTrauma Severity IndicesDislocationsMultiple TraumaFibulaInjury Severity ScoreProportional Hazards ModelsSex FactorsDiaphysesVitamin D
Morbidity and mortaMortalitySurgicalIncidenceBoneOsteoporosisFixationOutcomesComplicationsWrist fracturesFemoral HeadMethodsElderlyTotal hip arthroplTypes of Hip FracturesPostoperativeAged 65 yearsSubtrochantericNeck of feTraumaClinicalCare for hip fracture patientsProximalUndergoing hip fracture surgeryAbstractPrognosis2017ScrewsOlder hip fracture patientsIntertrochanteric hip fracturesReductionSuffer a hip fractureIntracapsular hip fractureRate of hip fractureStress fractureSurgeryOccurPostmenopausalYear of a hip fractureCohort StudyAmong hip fractureAcuteOccult hip fractureIncident hip fractureAcetabulum fractureVertebral fractureTrochanteric fractureMobilityPreventionAcetabularRiskHospitalFunctional recoveryHospitalsConclusionsHemiarthroplasty
Morbidity and morta6
  • Interestingly, morbidity and mortality for those older than 90 years sustaining a hip fracture have not been found to be statistically higher than others in the same age group without such an injury. (medscape.com)
  • Venous thromboembolism (VTE) is major problem after hip fracture surgery with substantial morbidity and mortality. (springeropen.com)
  • By being familiar with the unique challenges in management posed by pregnant patients, orthopedic surgeons can be better equipped to minimize morbidity and mortality in this patient population while maximizing clinical outcomes. (hindawi.com)
  • Emergency medicine personnel, orthopedic and trauma surgeons, obstetrician-gynecologists, anesthesiologists, and neonatologists must skillfully address both the mother's injuries and possible injuries to the developing fetus in an effort to prevent significant morbidity and mortality in this subset of patients. (hindawi.com)
  • Hip fractures cause significant morbidity and mortality in the elderly. (biomedcentral.com)
  • Surprisingly, NCM was associated with reduced morbidity and mortality, which may relate to them being the healthiest patients. (wustl.edu)
Mortality34
  • A standardized, patient-centered, comanaged Hip Fracture Program for Elders is examined for 1-year mortality. (nih.gov)
  • A comprehensive comanaged hip fracture program for elders not only improves the short-term outcomes but also demonstrates a low 1-year mortality rate, particularly in patients from nursing facilities. (nih.gov)
  • We investigated whether the 2 methods differ in terms of short-term mortality when used in fractures where both methods are suitable. (lu.se)
  • We assessed absolute mortality rates and the relative risks (RR) of death after 7, 30, 90, and 365 days using generalized linear models, adjusting for age, sex, and fracture. (lu.se)
  • We examine (a) the effect of market structure on the level of mortality for AMI, hip fracture, and stroke between 2002/3 and 2010/11 and (b) whether this effect changed after the introduction of Choice policy in 2006 which gave patients the right to a wider choice of hospital. (whiterose.ac.uk)
  • For AMI and hip fracture, hospitals with more rivals had higher mortality at the beginning of the period but this effect became smaller over the period. (whiterose.ac.uk)
  • Geriatricians and orthopaedic surgeons worked together to manage older patients with hip fracture in order to minimise mortality and improve disease prognosis. (biomedcentral.com)
  • The authors noted that there also has been a reduction in mortality from hip fractures, but most of the decrease occurred before 1998. (healthleadersmedia.com)
  • Surgical and medical management of hip fracture patients has improved over the last 20 years, 'including care maps to improve timely surgical intervention, improved surgical devices, and movement toward replacement arthroplasty, combined with a push for earlier weight bearing exercises may have reduced mortality by improving mobilization,' they wrote. (healthleadersmedia.com)
  • Bretherton CP, Parker MJ (2015) Early surgery for patients with a fracture of the hip decreases 30-day mortality. (springer.com)
  • Mortality rates after hip fractures increase by up to 30% with age. (e-agmr.org)
  • Additionally, these patients with 30-day mortality had a significantly lower rate of surgical treatment (p=0.027) and a longer time from injury to surgery (p=0.014). (e-agmr.org)
  • Fatal PE may have an incidence of 2% after hip fracture and may contribute to illness and mortality in other cases. (wikipedia.org)
  • Operative and inpatient mortality, together with readmission rates, remained low and comparable to international Geriatric Fracture Centers (GFCs). (biomedcentral.com)
  • The weekend effect: short-term mortality following admission with a hip fracture. (suny.edu)
  • Hospitals with fracture liaison services also have lower mortality rates and patients spend fewer days in hospital. (newswise.com)
  • Guidelines exist for the surgical treatment of hip fracture, but the effect of early surgery on mortality and other outcomes that are important for patients remains unclear. (cmaj.ca)
  • These studies had a total of 13 478 patients for whom mortality data were complete (1764 total deaths). (cmaj.ca)
  • Based on the five studies that reported adjusted risk of death (4208 patients, 721 deaths), irrespective of the cut-off for delay (24, 48 or 72 hours), earlier surgery (i.e., within the cut-off time) was associated with a significant reduction in mortality (relative risk [RR] 0.81, 95% confidence interval [CI] 0.68-0.96, p = 0.01). (cmaj.ca)
  • Among elderly patients, hip fracture is associated with a one-year mortality rate ranging from 14% to 36% 1 and also with profound temporary and sometimes permanent impairment of independence and quality of life. (cmaj.ca)
  • Current guidelines 4 indicate that surgery for hip fracture should be performed within 24 hours of injury, as earlier surgery has been associated with better functional outcome, shorter hospital stay, shorter duration of pain and lower rates of nonunion, postoperative complications and mortality. (cmaj.ca)
  • More specifically, we addressed the following question: Among patients 60 years of age or older who underwent surgery for hip fracture, what was the effect of early surgery, relative to delayed surgery, on all-cause mortality and postoperative complications? (cmaj.ca)
  • Studies fulfilling the following criteria were eligible for inclusion: target population consisting of patients 60 years of age or older who underwent surgery for a low-energy hip fracture, evaluation of preoperative surgical delay, consideration of all-cause mortality as an outcome and prospective design. (cmaj.ca)
  • A matched patient analysis of early surgery (within 24 hours of ED arrival) vs. delayed surgery determined that patients undergoing early operation experienced lower 30-day mortality (5.8% vs 6.5%) and fewer complications (myocardial infarction, deep vein thrombosis, pulmonary embolism, and pneumonia). (the-hospitalist.org)
  • Wait time greater than 24 hours for adults undergoing hip fracture surgery is associated with an increased risk of 30-day mortality and complications. (the-hospitalist.org)
  • Association between wait time and 30-day mortality in adults undergoing hip fracture surgery. (the-hospitalist.org)
  • Aim: We aimed at evaluating whether MPI is a predictor of mortality and rehospitalization in hip fracture older patients. (units.it)
  • Conclusions: In hip fracture older patients, MPI is a strong predictor of 3-, 6- and 12- months mortality and rehospitalization, independently of surgical treatment and post-surgical complications. (units.it)
  • The Impact of Hip Fracture on Geriatric Care and Mortality Among older Swedes: Mapping Care Trajectories and Their Determinants. (ki.se)
  • Hospital Length of Stay After Hip Fracture and It's Association With 4-Month Mortality-Exploring the Role of Patient Characteristics. (ki.se)
  • Comorbidity and the association with 1-year mortality in hip fracture patients: can the ASA score and the Charlson Comorbidity Index be used interchangeably? (ki.se)
  • Death of a patient with a generally non-serious diagnosis or during a procedure that usually has a low number of deaths (mortality). (mayoclinic.org)
  • Patient-level hospital admissions datasets, National Hip Fracture Database and mortality data were linked to metrics from 18 hospital-level organisational-level audits and reports. (ox.ac.uk)
  • Multilevel models identified organisational factors, independent of patient case-mix, associated with three patient outcomes: length of hospital stay (LOS), 30-day all-cause mortality and emergency 30-day readmission. (ox.ac.uk)
Surgical17
  • NICE guidelines on falls in older people , pressure ulcers , nutrition support for adults , dementia , surgical site infections , venous thromboembolism in over 16s , delirium and osteoporosis: assessing the risk of fragility fracture . (nice.org.uk)
  • 1.5.2 Consultants or senior staff should supervise trainee and junior members of the anaesthesia, surgical and theatre teams when they carry out hip fracture procedures. (nice.org.uk)
  • Surgical repair or replacement is sometimes suggested for femoral neck and intertrochateric fractures. (advancedortho.net)
  • Clifton R, Haleem S, Mckee A, Parker MJ (2008) Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials. (springer.com)
  • The treatment of femoral neck fractures, intertrochanteric hip fractures, and most tension femoral neck stress fractures requires surgical intervention. (medscape.com)
  • The operative treatment of tension stress fractures and hip fractures is discussed in Surgical Intervention. (medscape.com)
  • The screw that is implanted into the fractured bone breaks out, resulting in additional surgical interventions, restricted movement, loss of independence, and a much lower quality of life," said Meller, 31, a mechanical engineer by profession. (israel21c.org)
  • Hipbone fractures are commonly treated with surgical procedures that can be divided into two types, depending on the type of fracture. (israel21c.org)
  • Through an interdisciplinary, team-based approach, the patient was guided through obstetric delivery and orthopedic surgical fracture fixation without complication. (hindawi.com)
  • To test a population health program which could, through the application of process redesign, implement multiple evidence-based practices across the continuum of care in a functionally integrated health delivery system and deliver highly reliable and consistent evidence-based surgical care for patients with fragility hip fractures in an acute tertiary general hospital. (biomedcentral.com)
  • Therefore, MPI should be considered a valid pre-surgical tool to identify patients with higher clinical risk of adverse outcomes. (units.it)
  • Observational studies reporting predictors after usual care of elderly patients with hip fracture diagnoses receiving surgical or conservative treatment were included. (bvsalud.org)
  • Death of a patient who develops a treatable life-threatening complication after a surgical procedure. (mayoclinic.org)
  • Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for all hip fractures between January 2015 and January 2017, totaling 15 461 patients (144 hospitals). (wustl.edu)
  • Hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) is a multicentre, international, parallel-group randomised controlled trial (RCT). (mcmaster.ca)
  • Patients who suffer a hip fracture are randomly allocated to either accelerated medical assessment and surgical repair with a goal of surgery within 6 hours of diagnosis or standard care where a repair typically occurs 24 to 48 hours after diagnosis. (mcmaster.ca)
  • For relatively short and simple cases performed on low-risk surgical patients, the only monitoring required may be noninvasive BP monitoring, heart rate (HR) monitoring, and end-tidal carbon dioxide (EtCO 2 ) monitoring. (medscape.com)
Incidence14
Bone20
  • If the fracture leaves the bone well aligned, and the surgery can be performed in a timely manner, screws may be placed across the fracture site to hold the bone in place while it heals. (advancedortho.net)
  • Challenges are osteoporotic bone, bone vascularity, muscle-attachments, maintaining fracture reduction and slow fracture healing in the often-elderly population and, although reduced in recent years, still 5-20 % of patients need a reoperation, mainly depending on fracture type and choice of surgery. (springer.com)
  • The second, which pertains to more than 50% of the cases, requires that the fractured bone be reconstructed and fixated with nails and screws. (israel21c.org)
  • Meller elaborates: "The screw inserted into the bone protrudes and breaks into the hip joint. (israel21c.org)
  • A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. (wikipedia.org)
  • Stress fractures may occur in the hip region with metabolic bone disease. (wikipedia.org)
  • Benign or malignant primary bone tumors are rare causes of hip fractures. (wikipedia.org)
  • Metastatic cancer deposits in the proximal femur may weaken the bone and cause a pathological hip fracture. (wikipedia.org)
  • Infection in the bone is a rare cause of hip fracture. (wikipedia.org)
  • Vitamin D supplements are a known preventive treatment for osteoporosis, a degenerative bone disease that increases the risk of fractures in the spine, wrist, hip, arm, or leg. (oscbrokenbones.com)
  • GH hypersecretion and the resultant overproduction of IGF-1 lead to numerous musculoskeletal complications of acromegaly, including acral enlargement, carpal tunnel syndrome, osteoarthritis, and vertebral fractures [ 4 , 5 ], highlighting the clinical importance of bone health in patients with acromegaly. (e-enm.org)
  • Data on bone mineral density and fracture rates is discrepant, but an overview would suggest that below 800 mcg/day there is no increase in fracture risk whereas above this dose there might be an increased fracture risk. (nature.com)
  • Due to poor bone quality, the fracture configuration was unusual from a typical type of acetabulum fracture. (jhsmr.org)
  • Overview of Fractures A fracture is a break in a bone. (msdmanuals.com)
  • Most fractures result from a single, significant force applied to normal bone. (msdmanuals.com)
  • Subtle evidence of fracture (eg, as when fractures are minimally displaced or impacted) can include irregularities in femoral neck trabecular density or bone cortex. (msdmanuals.com)
  • Osteoporosis is a chronic and progressive disease characterized by decreased bone mass and deterioration of the microscopic structure of bone causing it to be prone to fracture (1), and consequently the condition affects quality of life (2,3). (who.int)
  • The anatomic site of this type of hip fracture is the proximal or upper part of the femur or thigh bone. (medscape.com)
  • [ 6 ] It has been supposed that PPI use lead to bone loss and fractures by reducing calcium absorption. (medscape.com)
  • Patients who underwent which decreases the bone quantity and quali- standard posterior-anterior and lateral chest ty causing fragility fractures. (who.int)
Osteoporosis21
  • We present an 83-year-old woman with severe osteoporosis who had a simultaneous bilateral intracapsular hip fracture. (researchsquare.com)
  • In addition, rates of use of osteoporosis drugs 1 year after a hip fracture were less than 50%, with less treatment in men. (medscape.com)
  • In addition, "although initiation of anti-osteoporosis medication after hip fracture is recommended in international guidelines, the 1-year treatment rate [was] well below 50% in most of the countries and regions studied. (medscape.com)
  • Our study also showed that the use of anti-osteoporosis medications following a hip fracture is lower in men than in women by 30% to 67%," he said. (medscape.com)
  • The greater increase in the projected number of hip fractures in men than in women "could be [because] osteoporosis is commonly perceived as a 'woman's disease,'" he speculated. (medscape.com)
  • Invited to comment, Juliet Compston, MD, who selected the study as one of the top clinical science highlight abstracts at the ASBMR meeting, agrees that "there is substantial room for improvement" in osteoporosis treatment rates following a hip fracture "in all the regions covered by the study. (medscape.com)
  • More targeted screening for osteoporosis would help," he said, "as would treating patients for it following other minimal trauma fractures (vertebral, distal radius, and humerus, etc) since if left untreated about 50% of these patients will have hip fractures later in life. (medscape.com)
  • Some countries may be doing better because they have health quality standards for hip fracture (eg, surgery within 24 hours, investigation and treatment for osteoporosis). (medscape.com)
  • Also, they said, 'publicity and physician education and awareness of osteoporosis and fragility fractures' have also increased since 1995, 'which may be a contributing factor. (healthleadersmedia.com)
  • In addition, older adults are more likely than younger adults to experience fractures after low-energy trauma due to osteoporosis, which is more common in postmenopausal women. (e-agmr.org)
  • Vitamin D supplements are just one of many treatments that can help prevent subsequent fractures in osteoporosis patients. (oscbrokenbones.com)
  • A total of 931 patients with acromegaly who had never used an osteoporosis drug before and were treated with surgery alone were selected as study participants, and a 1:29 ratio of 26,999 age- and sex-matched osteoporosis drug-naïve controls without acromegaly were randomly selected from the database. (e-enm.org)
  • Hip fractures are most common in elderly patients with osteoporosis. (nuh.com.sg)
  • Osteoporosis is a major public health concern and hip fractures are an oftentimes life-changing consequence of osteoporosis. (ki.se)
  • With a focus on hip fractures, our work covers different aspects of fragility fracture risk, prognosis after fragility fractures, as well as the treatment of osteoporosis. (ki.se)
  • These fractures are most common among older patients, particularly those with osteoporosis, and usually result from ground level falls. (msdmanuals.com)
  • However, x-rays are occasionally normal, particularly in patients with subcapital fractures or severe osteoporosis. (msdmanuals.com)
  • Patients who were diagnosed as secondary osteoporosis by clinical and laboratory examinations were excluded. (who.int)
  • In only 37.8% of the radiographs with fractures was a vertebral fracture highlighted in the radiologist's report, and only 13.2% of the women with vertebral fractures were on antiresorptive therapy for osteoporosis. (who.int)
  • A.H.G. and H.S.). The radiographs were white women in the USA have osteoporosis, then jointly reviewed with the principle au- of whom 25% have a vertebral fracture [ 3 ]. (who.int)
  • A total of 71 patients were treat complications of osteoporosis rather excluded from the study: 21 had malignant than osteoporosis itself [ 6 ]. (who.int)
Fixation18
  • Hip fractures are operated with either prosthesis or various kinds of fracture fixation devices, with the aim of immediate mobilisation with full weight-bearing. (springer.com)
  • Baumgaertner MR, Solberg BD (1997) Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip. (springer.com)
  • Chirodian N, Arch B, Parker MJ (2005) Sliding hip screw fixation of trochanteric hip fractures: outcome of 1024 procedures. (springer.com)
  • Dolatowski FC, Adampour M, Frihagen F, Stavem K, Erik Utvåg S, Hoelsbrekken SE (2016) Preoperative posterior tilt of at least 20° increased the risk of fixation failure in Garden-I and -II femoral neck fractures. (springer.com)
  • OrthoMechanics' solution for fixation of broken bones, specifically the hip, is based on a novel creation invented by fellow Israeli Avraham Shekalim. (israel21c.org)
  • Much has been published regarding the successful results achieved with operative fixation of these fractures in nonpregnant patients [ 1 - 3 ]. (hindawi.com)
  • There are, however, some authors that have contended that operative fixation in these patients may be less morbid than previously thought [ 1 , 6 , 7 ]. (hindawi.com)
  • Through a comprehensive, team-based approach, the patient was successfully guided through obstetric delivery and fixation of her acetabular and wrist fractures with successful outcomes experienced by both the mother and her child. (hindawi.com)
  • Internal fixation or hip replacement for undisplaced femoral neck fractures? (ki.se)
  • Definitive management required both fixation of the acetabulum, together with total hip replacement, with concerns in the quality of fixation. (jhsmr.org)
  • Acetabular fractures: long-term follow up of open reduction and internal fixation. (jhsmr.org)
  • Single-stage total hip arthroplasty and fracture fixation for a both column acetabular fracture in type i osteogenesis imperfecta. (jhsmr.org)
  • Open reduction internal fixation and primary total hip arthroplasty of selected acetabular fractures. (jhsmr.org)
  • Zhang C, Yan CH, Zhang W. Cemented or cementless fixation for primary hip arthroplasty-evidence from The International Joint Replacement Registries. (jhsmr.org)
  • Treatment is usually with open reduction with internal fixation (ORIF) or sometimes hemiarthroplasty or total hip arthroplasty. (msdmanuals.com)
  • As opposed to closed treatment following the reduction of the fracture, Langenbeck attempted internal fixation of the reduced fracture in 1850 using an intramedullary nail. (medscape.com)
  • Blind reduction and fixation of the fracture by percutaneous insertion of a nail or another internal fixation device without visualization of the tract of the nail meant that malpositioning of the fracture, the device, or both was frequent. (medscape.com)
  • Cannulated fixation devices (eg, nails, hip screws, or side plates) that are placed over temporary guide wires allow the surgeon to more easily place and confirm the position of the fixation device. (medscape.com)
Outcomes21
  • Comanagement of geriatric hip fracture patients with standardized protocols has been shown to improve short-term outcomes after surgery. (nih.gov)
  • Hip fracture patients who develop delirium while in hospital have significantly worse outcomes than those who do not become delirious. (biomedcentral.com)
  • Hip Fracture and the Weekend Effect: Does Weekend Admission Affect Patient Outcomes? (suny.edu)
  • We conducted a study on the effect of weekend admission on short-term outcomes among US hip fracture patients. (suny.edu)
  • Newswise - There are significant variations in healthcare spending and care delivery across NHS hospitals in England and Wales following hip fracture, a new study aimed at understanding how hospital care impacts patients' outcomes and costs has revealed. (newswise.com)
  • The study, led by the University of Bristol and funded by Versus Arthritis , highlights the urgent need for evidence-based quality improvement strategies to reduce healthcare spending and improve patient outcomes in the year following a hip fracture. (newswise.com)
  • The study highlights the importance of addressing the way hospitals deliver hip fracture care to improve the effectiveness and efficiency of hip fracture services, and the need to develop evidence-based quality improvement strategies across the UK, to achieve financial savings while also improving patient outcomes. (newswise.com)
  • Celia Gregson , Professor in Clinical Epidemiology in the Musculoskeletal Research Unit at the University of Bristol and Chief Investigator of the study, commented, "The variation we have seen in patient outcomes and health spending following hip fracture are difficult to justify on purely clinical grounds, it tells us that the way we organise the delivery of care can be improved nationally. (newswise.com)
  • By prioritising orthogeriatrician assessment, getting patients out of bed promptly after surgery, providing seven-day physiotherapy, reducing delirium risk for patients, and holding monthly multidisciplinary clinical governance meetings, hospitals stand to improve patient outcomes and reduce their healthcare spending. (newswise.com)
  • Hip fractures are a major health problem and are associated with adverse outcomes in those affected by frailty. (units.it)
  • The Agency for Healthcare Research and Quality (AHRQ) is a federal agency for research on health care quality, costs, outcomes and patient safety. (mayoclinic.org)
  • Introduction: Comanagement of hip fractures is thought to optimize outcomes for these high-risk patients, but this practice is not universal. (wustl.edu)
  • We aimed to determine whether comanagement of patients with hip fracture affects 30-day outcomes. (wustl.edu)
  • Data collected included demographics, hip fracture type, postoperative outcomes, and length of stay (LOS). (wustl.edu)
  • Multiple hospital organisational factors are associated with adverse patient outcomes post-hip fracture in England and Wales: the REDUCE record-linkage cohort study. (ox.ac.uk)
  • We aimed to determine which hospital-level organisational factors predict adverse patient outcomes in the months following hip fracture. (ox.ac.uk)
  • We have identified multiple, potentially modifiable, organisational factors associated with important patient outcomes following hip fracture. (ox.ac.uk)
  • Medical-caregiver's (MC) are expected to generate a shared decision-making process with patients regarding goals and expected health-outcomes. (huji.ac.il)
  • Bergqvist J, Iderberg H, Mesterton J, Bengtsson N, Wettermark B, Henriksson R. Healthcare resource use, comorbidity, treatment and clinical outcomes for patients with primary intracranial tumors: a Swedish population-based register study. (janusinfo.se)
  • Evans M, Carrero JJ, Bellocco R, Barany P, Qureshi AR, Seeberger A, Jacobson SH, Hylander-Rössner B, Rotnitzky A, Sjölander A. Initiation of erythropoiesis-stimulating agents and outcomes: a nationwide observational cohort study in anaemic chronic kidney disease patients. (janusinfo.se)
  • Time in Therapeutic Range and Outcomes After Warfarin Initiation in Newly Diagnosed Atrial Fibrillation Patients With Renal Dysfunction. (janusinfo.se)
Complications10
  • The patient did not present any complications during surgery. (researchsquare.com)
  • Complications associated with poorly treated or misdiagnosed stress fractures are considerable. (medscape.com)
  • We conducted a systematic review and meta-analysis to determine the effect of early surgery on the risk of death and common postoperative complications among elderly patients with hip fracture. (cmaj.ca)
  • Proponents of early treatment argue that this approach minimizes the length of time a patient is confined to bed rest, thereby reducing the risk of associated complications, such as pressure sores, deep vein thrombosis and urinary tract infections. (cmaj.ca)
  • 8 However, those favouring a delay believe it provides the opportunity to optimize patients' medical status, thereby decreasing the risk of perioperative complications. (cmaj.ca)
  • Acromegaly leads to various skeletal complications, and fragility fractures are emerging as a new concern in patients with acromegaly. (e-enm.org)
  • Age, pre-fracture function, cognitive status, and complications continue to be associated five years after discharge. (bvsalud.org)
  • AHRQ has created software that screens billing records for potentially preventable complications (adverse events) that patients sometimes experience while receiving medical care. (mayoclinic.org)
  • Complications are more common among older patients with a displaced femoral neck fracture. (msdmanuals.com)
  • These fractures decrease quality of life, was not good enough for evaluation and adding to age-related complications with they were discarded. (who.int)
Wrist fractures1
  • 18% were of wrist fractures and more than twice that in females above the age of 50 years. (who.int)
Femoral Head5
  • In this classification, the fracture prognosis is dependent on the location of the injury and its interference with the blood flow to the femoral head. (medscape.com)
  • Femoral head fractures are a rare kind of hip fracture that may also be the result of a fall but are more commonly caused by more violent incidents such as traffic accidents. (wikipedia.org)
  • Avascular necrosis of the femoral head occurs frequently (20%) in intracapsular hip fractures, because the blood supply is interrupted. (wikipedia.org)
  • This patient had severe impaction of articular on the femoral head and acetabulum, which was an unusual configuration pattern within the normal population. (jhsmr.org)
  • In patients with femoral neck fractures, risk of osteonecrosis is increased because the fracture often disrupts the blood supply to the femoral head. (msdmanuals.com)
Methods5
  • Methods: A prospective cohort follow-up study of 390 hip fracture patients aged 65years and older was carried out. (vu.nl)
  • Patients and methods - We extracted data from the Swedish Fracture Register (SFR) on 19,935 patients ≥ 60 years with trochanteric fractures AO type 31-A1 or -A2 who had been treated with either SHS or IMN. (lu.se)
  • Methods We used an improvement methodology strategy to devise a bundle of care for patients with a fractured neck of femur. (bmj.com)
  • MATERIALS AND METHODS: We ascertained prior history of wrist fracture since age 50, measured calcaneal and hip BMD, and performed lateral spine films in a cohort of 9704 elderly community-dwelling women, and then followed them prospectively for incident vertebral and hip fractures. (healthpartners.com)
  • METHODS: We examined a national record-linkage cohort of 178,757 patients aged ≥60 years who sustained a hip fracture in England and Wales in 2016-19. (ox.ac.uk)
Elderly20
  • Most hip fractures occur in elderly individuals as a result of minimal trauma, such as a fall from standing height. (medscape.com)
  • In elderly patients, hip fracture most often results from a simple fall. (medscape.com)
  • The extensive literature has created partial treatment consensus: Undisplaced femoral neck fractures seem adequately treated with parallel screws/pins or a sliding hip screw, while the displaced femoral neck fractures should be given a prosthesis in elderly patients. (springer.com)
  • Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Molé D, Fessy MH, French Society of Orthopaedic Surgery and Traumatology (SoFCOT) (2012) Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. (springer.com)
  • Burgers PT, Van Geene AR, Van den Bekerom MP, Van Lieshout EM, Blom B, Aleem IS, Bhandari M, Poolman RW (2012) Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials. (springer.com)
  • This study aimed to assess the postoperative compliance of thromboprophylaxis in elderly patients undergoing hip fracture surgery and to confirm the correlation between compliance and VTE risk. (springeropen.com)
  • This retrospective cohort study included consecutive elderly hip fracture patients who undergoing surgery. (springeropen.com)
  • 2008 ) reported that fewer than 1 in 5 elderly patients discharged home after a hip or knee replacement surgery received postdischarge thromboprophylaxis. (springeropen.com)
  • The classic clinical presentation of a hip fracture is an elderly patient who sustained a low-energy fall and now has groin pain and is unable to bear weight. (wikipedia.org)
  • Singapore enjoys a unique healthcare ecosystem, where acute episodic care is largely delivered at acute hospitals [AHs (tertiary care corporatized hospitals, fully owned by the government)], while community hospitals (CHs) play an important role in the post-acute rehabilitative care for elderly patients, particularly those with comorbidities. (biomedcentral.com)
  • Earlier surgery was associated with a lower risk of death and lower rates of postoperative pneumonia and pressure sores among elderly patients with hip fracture. (cmaj.ca)
  • 2 As the elderly population increases, the annual number of hip fractures globally is expected to exceed 7 million over the next 40 to 50 years. (cmaj.ca)
  • UNLABELLED: In this large prospective cohort study of elderly women, the relationships between prior wrist fracture and incident hip and radiographic vertebral fractures were significantly attenuated when adjusted for BMD. (healthpartners.com)
  • CONCLUSION: In elderly women, prior wrist fracture is a risk factor for radiographic vertebral fracture independent of BMD. (healthpartners.com)
  • Hip fracture is one of the most common health care problems among elderly people. (psychopen.eu)
  • Short- and long-term prognostic factors associated with functional recovery in elderly patients with hip fracture: A systematic review. (bvsalud.org)
  • This systematic review aimed to identify short- and long-term associated factors to functional recovery of elderly hip fracture patients after discharge. (bvsalud.org)
  • We found 74 associated factors to functional recovery of elderly hip fracture patients . (bvsalud.org)
  • Most of the associated factors for functional recovery of elderly hip fracture were biological , sociodemographic, or inherent factors to patients ' baseline characteristics, including their pre-facture functional capacity. (bvsalud.org)
  • Schmidt-Mende K, Andersen M, Wettermark B, Hasselström J. Educational intervention on medication reviews aiming to reduce acute healthcare consumption in elderly patients with potentially inappropriate medicines -A pragmatic open-label cluster randomized controlled trial in primary care. (janusinfo.se)
Total hip arthropl1
Types of Hip Fractures2
  • Intertrochanteric fractures are considered one of the three types of hip fractures. (medscape.com)
  • The other two types of hip fractures are fractures of the femoral neck , which are proximal or cephalad to trochanteric fractures, and subtrochanteric fractures , which are distal to or below the trochanters. (medscape.com)
Postoperative1
Aged 65 years4
  • From January 1, 2018, to April 30, 2023, 7,746 medical records were retrospectively collected for patients aged ≥ 65 years who were hospitalised for hip fracture in Beijing Jishuitan Hospital, Capital Medical University. (biomedcentral.com)
  • Patients aged 65 years and older who underwent femoral neck or intertrochanteric fracture surgery in our hospital from January 1, 2018, to April 30, 2023, and whose discharge diagnoses included acute cholecystitis were included in this retrospective analysis. (biomedcentral.com)
  • Our study prospectively examined patients with hip fracture aged 65 years and over who applied to the Atatürk University Medical Faculty Hospital Orthopedics Service in 2020-2021. (e-agmr.org)
  • The target population was all consenting patients aged 65 years or older admitted with an acute hip fracture to the orthopedic units at two Calgary, Alberta hospitals. (biomedcentral.com)
Subtrochanteric3
  • Subtrochanteric fracture: The proximal femur usually is held in flexion and external rotation. (medscape.com)
  • Subtrochanteric fractures. (advancedortho.net)
  • Less common are the subtrochanteric fractures, greater trochanter fracture, and less trochanter fracture. (advancedortho.net)
Neck of fe1
  • Conclusion Although fractures of the neck of femur do not necessarily result in the physiological derangement associated with sepsis, it is evident that the use of a bundle of care will ensure that hip fracture patients are managed in a timely, person-centred and safe fashion as recommended in SIGN 111. (bmj.com)
Trauma7
  • We present an atypical case of bilateral FNF in an 83-year-old patient secondary to a low-energy trauma and resolved in a single-stage. (researchsquare.com)
  • 1.5.1 Schedule hip fracture surgery on a planned trauma list. (nice.org.uk)
  • The delivery of acute orthopedic trauma care to an injured, pregnant patient is a highly complex endeavor requiring an interdisciplinary, team-based approach. (hindawi.com)
  • The patient underwent a primary trauma survey by the trauma surgery team and was determined to be stable. (hindawi.com)
  • This online interprofessional educational enduring material is designed for all physicians and nurses involved in the care of trauma patients. (texashealth.org)
  • Herein, is the described the case of a 60-year-old male with osteogenesis imperfecta (OI), presenting with an acetabulum fracture after low-energy trauma. (jhsmr.org)
  • The of the remaining patients, none of whom economic burden in 1995 in the USA was had prior history of trauma to the spine, about US$ 14 billion, which was spent to were reviewed. (who.int)
Clinical7
  • As the National Centre for Orthopaedics, we believe that summarising and sharing the clinical characteristics of perioperative acute cholecystitis in older patients with hip fracture in our hospital is representative and necessary. (biomedcentral.com)
  • Pregnant patients that sustain displaced acetabular fractures are a rare subgroup that can oftentimes present a clinical conundrum. (hindawi.com)
  • Translation of evidence-based multi-component delirium prevention strategies into everyday clinical care, using the electronic medical record, was not found to be effective at decreasing delirium rates among hip facture patients. (biomedcentral.com)
  • Clinical outcome data on consecutive hip fracture patients seen in 12 months pre-intervention were then compared with the post-intervention group. (biomedcentral.com)
  • In spite of existing inpatient pathways for patients admitted with hip fractures in Singapore AHs, there are inter- and intra-hospital variations in the level of coordination between different clinical teams (e.g. geriatricians, orthopaedics, anaesthetists, emergency physicians, case managers and therapists), length of stay, time to surgery and bill sizes, often causing fragmentation of care. (biomedcentral.com)
  • Dr Rita Patel , Senior Research Associate in Medical Statistics at Bristol and statistician for the study, added: "If a consultant orthogeriatrician attends hospital clinical governance meetings, a further cost saving of £356 per patient could potentially be achieved, as well as patients spending fewer days spent in the hospital in the year following hip fracture. (newswise.com)
  • Above this dose a proportion of patients may show some adrenocortical suppression, though it is unlikely to be of clinical importance. (nature.com)
Care for hip fracture patients1
  • The implementation of VC methodology has enabled consistent delivery of high-quality, reliable and comprehensive evidence-based care for hip fracture patients at Changi General Hospital. (biomedcentral.com)
Proximal2
  • An 83-year-old female patient, with a low functional demand, Alzheimer's disease and a history of pelvic and proximal humeral fractures due to osteopenia. (researchsquare.com)
  • Cooper also contributed to the knowledge of intertrochanteric fractures with his book of 1822, in which he was the first to distinguish between fractures of the neck of the proximal femur (intracapsular) and those outside the joint capsule (extracapsular) through the trochanteric level. (medscape.com)
Undergoing hip fracture surgery2
  • The multivariate analysis showed that non-compliance was an independent risk factor of suffering VTE undergoing hip fracture surgery. (springeropen.com)
  • 2012 ). In 2012, American College of Chest Physicians guidelines on antithrombotic and thrombolytic therapy were published (ACCP9), and it was recommended that anticoagulant should be used in patients undergoing hip fracture surgery for at least 10-14days postoperatively, but preferably for as much as 28-35days (Falck-Ytter et al. (springeropen.com)
Abstract1
  • ABSTRACT The study aimed to determine hospital-based prevalence of vertebral fractures in post- menopausal Saudi Arabian women. (who.int)
Prognosis3
  • The type of procedure the doctor recommends for you is based upon your fracture type, age, activity level, prognosis for recovery, and other illness you have. (advancedortho.net)
  • Tension fractures have a poor prognosis and tend to be unstable. (medscape.com)
  • Although all three types of fractures are commonly referred to simply as hip fractures, the above distinctions between them are important because the anatomy, prognosis, and management are different for each type. (medscape.com)
20173
  • The percentages of ED visits among older adults related to falls and hip fractures in NSSP were compared with the percentages in HCUP-NEDS in 2017 and 2018. (cdc.gov)
  • In both 2017 and 2018, a higher percentage of ED visits among older women and adults aged 85 years or older were related to falls or hip fractures compared with older men and younger age groups across both data sets. (cdc.gov)
  • CONCLUSION: A smaller percentage of older adults' ED visits met the falls and hip fracture definitions in NSSP compared with HCUP-NEDS in 2017 and 2018. (cdc.gov)
Screws5
  • Background and purpose - Intramedullary nails (IMN) have become increasingly common as treatment for trochanteric hip fractures (THF) although they are costlier, and without proven superiority compared with sliding hip screws (SHS). (lu.se)
  • Bhandari M, Schemitsch E, Jönsson A, Zlowodzki M, Haidukewych GJ (2009) Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis. (springer.com)
  • Until now, hip fractures are generally treated by systems of plates and hip screws, or intra medullary nails and hip screws, connecting the femur to the capsule. (israel21c.org)
  • Options for surgery may include a total hip replacement or stabilizing the fracture with screws. (wikipedia.org)
  • Treatment of broken hips requires surgery to either replace the broken portion or repair it with a metal plate and screws. (nuh.com.sg)
Older hip fracture patients2
  • Delirium occurs in up to 65% of older hip fracture patients. (biomedcentral.com)
  • The objective of this study was to implement and evaluate the effectiveness of an evidence-based electronic care pathway, which incorporates multi-component delirium strategies, among older hip fracture patients. (biomedcentral.com)
Intertrochanteric hip fractures1
Reduction7
  • This system is based on the fracture pattern and the ability to obtain a stable reduction. (medscape.com)
  • Reduction of the hip fracture-dislocation was attempted. (hindawi.com)
  • In the control questionnaire fracture risk and its reduction with treatment was shown in a written format. (otago.ac.nz)
  • The intervention questionnaire showed fracture risk and its reduction with treatment visually using a grid of 1000 squares each representing a person. (otago.ac.nz)
  • We assessed the use of the hip fracture core-set and key-performance indicators for secondary fracture reduction . (bvsalud.org)
  • [ 5 ] In 1902, Royal Whitman first reported on the reduction of fractures with abduction, internal rotation, and traction under anesthesia with immobilization in a spica cast from the nipple line to the toes. (medscape.com)
  • Portable radiographic machines and the subsequent development of portable fluoroscopy machines with image-intensification screens and low-radiation technology enabled control and confirmation of the fracture reduction in the operating room (OR). (medscape.com)
Suffer a hip fracture1
  • Presently, about one out of every six American women will suffer a hip fracture, mostly after the age of 50. (israel21c.org)
Intracapsular hip fracture2
Rate of hip fracture1
  • Worldwide, the rate of hip fracture is approximately 150 per 100,000 persons in North America and Europe. (medscape.com)
Stress fracture1
  • with a stress fracture or severe impaction fractures (types 1 and 2, respectively), the only physical findings may be minor pain with little or no limitation in range of motion. (medscape.com)
Surgery30
  • 1 year after surgery, the patient was painless, walking with assistance, and no evidence of prosthetic loosening on the control x-ray. (researchsquare.com)
  • Of these 10 cases, five femoral neck fractures and five intertrochanteric fractures received orthopaedic surgery. (biomedcentral.com)
  • The median onset time of acute cholecystitis was five days (2-14 days) after fracture, including five cases before orthopaedic surgery and five cases after orthopaedic surgery. (biomedcentral.com)
  • Hospital stay following a hip surgery is generally 3 days. (advancedortho.net)
  • In this study we found fewer than 1 in 5 patients maintained compliant with thromboprophylaxis guidelines after discharge following hip surgery. (springeropen.com)
  • 2008 ). Major orthopedic surgery (include hip or knee replacement or hip fracture surgery) is associated with a high risk of VTE for a long time period (Anderson et al. (springeropen.com)
  • 2012 ). There is a clear trend toward shorter hospitalization of patients after major orthopedic surgery, leading to greater importance of outpatient thromboprophylaxis (Bergqvist et al. (springeropen.com)
  • Thus the aim of this study was to assess the prevalence of thromboprophylaxis compliance and its impacts on the rate of VTE after surgery of hip fracture within 6weeks. (springeropen.com)
  • Nearly every case requires some form of surgery to return the patient to a maximum level of functioning. (israel21c.org)
  • VC patients showed significant improvement in median time to surgery (97 to 50.5 h), as well as proportion of patients operated within 48 h from hospital admission (48% from 18.8%) as compared to baseline pre-intervention data. (biomedcentral.com)
  • A Canadian study evaluated vitamin D intake among 573 hip fracture patients over the course of two years following hip fracture surgery. (oscbrokenbones.com)
  • Vitamin D supplementation following hip fracture surgery is grossly under-prescribed," said co-study author Mohit Bhandari, M.D., Professor and Academic Chair of the Division of Orthopaedic Surgery at McMaster University. (oscbrokenbones.com)
  • The weekend effect for hip fracture surgery. (suny.edu)
  • We searched electronic databases (including MEDLINE and EMBASE), the archives of meetings of orthopedic associations and the bibliographies of relevant articles and questioned experts to identify prospective studies, published in any language, that evaluated the effects of early surgery in patients undergoing procedures for hip fracture. (cmaj.ca)
  • 12 Uncertainty exists about whether 24, 48 or 72 hours, or a longer period, should be considered to represent an "unacceptable delay" for hip fracture surgery. (cmaj.ca)
  • Method: We analysed the baseline characteristics with a focus on pain scores in patients admitted with a hip fracture (undergoing surgery) to three teaching hospitals over New South Wales, Australia, between January 2011 and April 2013. (jensonmak.com.au)
  • Guidelines from the American College of Surgeons and Canadian Institute for Health recommend hip fracture surgery within 48 hours. (the-hospitalist.org)
  • This study aims to determine a time to surgery threshold for hip-fracture surgery. (the-hospitalist.org)
  • Of the 42,230 adult patients in this study, 14,174 (33.6%) received hip-fracture surgery within 24 hours of emergency department arrival. (the-hospitalist.org)
  • Broken hip after surgery. (mayoclinic.org)
  • Accelerated surgery after a hip fracture can decrease the exposure time to such contributors and may reduce the risk of AKI. (mcmaster.ca)
  • 90% of patients promptly after surgery predicted a 2-day shorter LOS (95% confidence interval [CI]: 1.2-2.6). (ox.ac.uk)
  • On investigation, it revealed that her femoral canal was narrowed due to which there was a fracture in the femur and the surgery would be complex. (wockhardthospitals.com)
  • A hip replacement surgery with the acetabular correction of femur fracture was planned. (wockhardthospitals.com)
  • He specializes in joint replacement surgery of the hip, knee, and shoulder. (wockhardthospitals.com)
  • Dr. Khanna carried out a successful hip replacement surgery and corrected the abnormality in the femur. (wockhardthospitals.com)
  • The surgery also ensured that the femur was stabilized to prevent recurring fractures below the joint. (wockhardthospitals.com)
  • The post-surgery patient recovered well and was able to walk without a walker and any support. (wockhardthospitals.com)
  • The purpose of this study was to evaluate whether travel time for surgery was different for colon versus rectal cancer patients. (cdc.gov)
  • Although travel times to the nearest surgery facilities were not significantly different for colon versus rectal cancer patients, rectal cancer patients on average traveled 15 minutes longer to their actual surgery facility and bypassed 2 more facilities to obtain surgery. (cdc.gov)
Occur7
  • Stress fractures occur most often in the femoral neck and are classified according to the location (ie, inferior or compression, superior or tension). (medscape.com)
  • however, hip fractures also occur and are concerning. (e-agmr.org)
  • Such fractures most often occur as a result of a fall. (wikipedia.org)
  • Shortening, varus deformity, valgus deformity, and rotational malunion all occur often because the fracture may be unstable and collapse before it heals. (wikipedia.org)
  • Tendonitis is the inflammation of the tendons and can occur in any of the tendons that surround the hip joint. (nuh.com.sg)
  • One of the most common places for osteonecrosis to occur is in the hip joint. (nuh.com.sg)
  • Hip fractures may occur in the head, neck, or area between or below the trochanters (prominences) of the femur. (msdmanuals.com)
Postmenopausal1
  • NICE technology appraisal guidance on preventing osteoporotic fragility fractures in postmenopausal women (alendronate, denosumab, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide). (nice.org.uk)
Year of a hip fracture2
  • Men were also more likely than women to die within 1 year of a hip fracture. (medscape.com)
  • The findings show that older people have a high chance of dying within a year of a hip fracture, and that quality of care varies hugely between NHS hospitals in England and Wales. (newswise.com)
Cohort Study3
  • Enocson A, Tidermark J, Tornkvist H, Lapidus LJ (2008) Dislocation of hemiarthroplasty after femoral neck fracture: better outcome after the anterolateral approach in a prospective cohort study on 739 consecutive hips. (springer.com)
  • Obesity Paradox" Holds True for Patients with Hip Fracture: A Registry-Based Cohort Study. (ki.se)
  • Forslund T, Wettermark B, Andersen M, Hjemdahl P. Stroke and bleeding with NOAC or warfarin treatment in patients with non-valvular atrial fibrillation: a population based cohort study. (janusinfo.se)
Among hip fracture1
Acute4
  • This study's aim is to describe the characteristics of perioperative acute cholecystitis in older patients with hip fracture. (biomedcentral.com)
  • This is the first study on the characteristics of acute cholecystitis in older patients with hip fracture in China. (biomedcentral.com)
  • Our 10 cases with hip fractures accompanied by acute cholecystitis have common characteristics of poor-to-moderate functional capacity before fracture, increased blood glucose levels and enhanced protein metabolism after fracture. (biomedcentral.com)
  • In older patients, acute cholecystitis is more likely to lead to septic shock and, eventually, death [ 4 ]. (biomedcentral.com)
Occult hip fracture1
  • Cannon J, Silvestri S, Munro M (2009) Imaging choices in occult hip fracture. (springer.com)
Incident hip fracture1
  • The association between prior wrist fracture and incident hip fracture is largely explained by hip BMD. (healthpartners.com)
Acetabulum fracture3
  • We report the case of an 18-year-old female who sustained a left acetabulum fracture with a concurrent hip dislocation at 35 weeks' gestation following a motor vehicle accident. (hindawi.com)
  • We report a case of an 18-year-old female who was involved in an MVA and subsequently sustained a left acetabulum fracture with concomitant hip dislocation as well as a right distal radius fracture. (hindawi.com)
  • Radiographs were obtained demonstrating a left-sided, displaced transverse posterior wall acetabulum fracture with concomitant hip dislocation as well as a right-sided, volarly displaced distal radius and ulnar styloid fracture (Figures 1 and 2 ). (hindawi.com)
Vertebral fracture1
  • 7 ], their diagnosis and management is viewed for the presence of vertebral fracture delayed until a visible limb fracture occurs. (who.int)
Trochanteric fracture1
  • with a lesser trochanteric fracture, pain occurs during flexion and internal rotation. (medscape.com)
Mobility8
  • Aim: To measure functional recovery and determine risk factors for failure to return to the prefracture level of mobility of hip fracture patients 1year postoperatively. (vu.nl)
  • Patients were stratified in categories based on prefracture mobility: mobile without aid, with aid in- and outdoors, or only mobile indoors. (vu.nl)
  • Results: Nearly half of all patients regained their prefracture level of mobility after 1year. (vu.nl)
  • Mobile patients without an aid were less likely to return to their prefracture mobility level compared with patients who were mobile with aid or mobile indoors. (vu.nl)
  • Conclusions: The risk not to regain prefracture mobility is highest in mobile patients without an aid. (vu.nl)
  • Bensen AS, Jakobsen T, Krarup N (2014) Dual mobility cup reduces dislocation and re-operation when used to treat displaced femoral neck fractures. (springer.com)
  • This may not be as much of a concern in patients with limited independence and mobility. (wikipedia.org)
  • Results: Both CM and PCM patients were older, with more dementia, poorer mobility, and more comorbidities than NCM patients. (wustl.edu)
Prevention5
  • Virsøe-Frandsen et al conducted a systematic review to investigate the effect of simple preoperative interventions for the prevention of delirium in patients with hip fractures with the aim to implement resource-sparring treatments for the initial admission phase. (ugeskriftet.dk)
  • The takeaways from the study are that "a greater effort on fracture prevention should be made to avoid the continuous increase in the number of hip fractures," he said. (medscape.com)
  • The following patient information was developed to help you better understand hip fractures: the different types, treatment options, risks, recovery and future fracture prevention. (advancedortho.net)
  • Modest adjustment of BMD drug treatment thresholds for prevention of osteoporotic fractures in those with prior wrist fracture compared with those without prior wrist fracture may be reasonable, but validation of such an approach would require intervention trials in patients with prior wrist fracture. (healthpartners.com)
  • The pharmacy sector is a key partner in the National Diabetes Prevention Program (National DPP), as pharmacists frequently care for patients at high risk for type 2 diabetes. (cdc.gov)
Acetabular2
  • However, until recently, almost all pregnant patients with acetabular fractures were treated nonoperatively unless the patient's gestational age allowed for safe delivery [ 1 , 4 , 5 ]. (hindawi.com)
  • Displaced acetabular fractures. (jhsmr.org)
Risk32
  • As the studies had a high risk of bias, the authors conclude that these treatments should be investigated further in the preoperative setting in hip fracture patients, either in combination or as single interventions. (ugeskriftet.dk)
  • and more closely following up with patients with the aforementioned risk factors. (e-agmr.org)
  • The risk of death in the year following a fracture is about 20% in older people. (wikipedia.org)
  • citation needed] Hip fracture patients are at considerable risk for thromboemoblism, blood clots that dislodge and travel in the bloodstream. (wikipedia.org)
  • Current guidelines by the U.S. Food and Nutrition Board recommend 600 International Units (IUs) of vitamin D daily for adults and 800 IUs for those over the age of 70 to strengthen bones and reduce the risk of fractures. (oscbrokenbones.com)
  • Therefore, this study investigated the risk of fractures in Korean patients with acromegaly. (e-enm.org)
  • Compared with controls, patients surgically treated for acromegaly had a higher risk of hip fractures. (e-enm.org)
  • The risk factors for fracture in patients with acromegaly were consistent with widely accepted risk factors in the general population. (e-enm.org)
  • Why was hip fracture risk in depressed older patients higher shortly before an antidepressant prescription was filled? (medpagetoday.com)
  • Hip fractures lower a patient's quality of life and the risk of fracture may be reduced by using bisphosphonates. (otago.ac.nz)
  • So the problem is that patients must weigh up the benefits of lowering the already low risk, with the cons of the potential side effects. (otago.ac.nz)
  • To trial the use of the DA with GPs to determine how the presentation of fracture risk in either written or visual form affects the likelihood of GPs' recommending bisphosphonates. (otago.ac.nz)
  • The cases included a patient at low, medium and high risk of hip fracture. (otago.ac.nz)
  • Case 1 (low fracture risk) had an 18% prescription rate for controls and a 10% for interventions. (otago.ac.nz)
  • In Sweden, the lifetime risk of hip fracture is 20% among women and 11% among men. (ki.se)
  • Sexually transmitted diseases such as gonorrhea and Chlamydia trachomatis should also be considered in at risk patients. (pearls4peers.com)
  • Invasive monitors (eg, arterial lines, central lines, and Swan-Ganz catheters) may provide additional data about various hemodynamic parameters (eg, preload, afterload, end-organ perfusion and cardiac output) that are useful in high-risk patients susceptible to tissue hypoperfusion. (medscape.com)
  • There is evidence to suggest that invasive hemodynamic monitoring and protocol-based intervention for high-risk patients may allow earlier identification of decreased tissue perfusion and earlier intervention with medications and fluids. (medscape.com)
  • Invasive hemodynamic monitoring may be warranted for high-risk patients or for patients undergoing complex, longer procedures with anticipated derangement of hemodynamic function. (medscape.com)
  • Clinicians must be able to identify appropriate situations for invasive hemodynamic monitoring in the care of high-risk perioperative patients while remaining fully cognizant of the risks associated with such monitoring. (medscape.com)
  • In cases where hemodynamic perturbations are expected (eg, those involving blood loss or volume shifts) or for high-risk patients who may not tolerate significant derangements in hemodynamics (eg, those with heart failure or intracranial pathology), invasive hemodynamic monitoring may be beneficial. (medscape.com)
  • Evidence of the association between proton pump inhibitor use and risk of hip fracture is contradictory. (medscape.com)
  • Aim To investigate whether the long-term use of proton pump inhibitor is associated with risk of hip fractures among community-dwelling persons with Alzheimer's disease. (medscape.com)
  • Results Long-term or cumulative proton pump inhibitor use was not associated with an increased risk of hip fracture. (medscape.com)
  • Current proton pump inhibitor use was associated with an increased risk of hip fracture (adjusted OR 1.12, 95% CI 1.03-1.22). (medscape.com)
  • Conclusions The increased risk of hip fracture was evident only in short-term proton pump inhibitor use, but no association was found for long-term or cumulative use. (medscape.com)
  • Thus, our findings do not support previous assumptions that long-term proton pump inhibitor use would be associated with an increased risk of hip fractures. (medscape.com)
  • Hip fractures are a major health concern among older persons with Alzheimer's disease, and Alzheimer's disease itself seems to be a risk factor for falling, and consequently, hip fractures. (medscape.com)
  • Association between PPI use and risk of fractures remains unclear. (medscape.com)
  • Several previous studies have found association between PPI use and an increased risk of hip fracture [ 12-16 ] but there are also studies which did not find an association. (medscape.com)
  • [ 25 ] To our knowledge, no previous study has investigated whether current use, duration of current use, past use or cumulative PPI use are associated with risk of hip fracture among persons with Alzheimer's disease. (medscape.com)
  • Thus, the objective of this study was to investigate whether there is an association between long-term PPI use and risk of hip fractures among community-dwelling persons with clinically verified diagnosis of Alzheimer's disease. (medscape.com)
Hospital13
  • 1.3.2 Offer immediate analgesia to people presenting at hospital with suspected hip fracture, including people with cognitive impairment. (nice.org.uk)
  • You, or a loved one, were recently admitted to the hospital with a hip fracture. (advancedortho.net)
  • 2012 ). This means that the vast majority of patients may receive a daily pharmacological prophylaxis at home when discharge from hospital. (springeropen.com)
  • Few studies have assessed patient compliance with thromboprophylaxis after hospital discharge suggesting that patients can learn to self-administer treatments and comply with thromboprophylactic regimens (Colwell et al. (springeropen.com)
  • The ValuedCare (VC) program was developed in three distinct phases as an ongoing collaboration between the Geisinger Health System (GHS), USA, and Changi General Hospital (CGH), Singapore, modelled after the GHS ProvenCare® Fragile Hip Fracture Program. (biomedcentral.com)
  • Hip fracture is a serious health concern, with more than 70,000 older adults admitted to a UK hospital each year. (newswise.com)
  • Patients spent an average of 32 days in hospital in the year following a hip fracture, resulting in substantial inpatient costs of on average £14,642 per patient - a cost similar to that incurred in the year after a stroke, and that exceeds costs of many common cancers. (newswise.com)
  • The researchers identified that in hospitals where patients are up and about quickly after their operation and where physiotherapy is provided seven days a week, patient costs were lower, and patients spent fewer days in hospital in the year following hip fracture. (newswise.com)
  • Among Medicare beneficiaries aged 66 years or older, older adults with IBD were more likely to be hospitalization for hip fractures and have 30-day readmission and longer hospital stays. (cdc.gov)
  • Hooker JB, Mold JW, Kumar S. Sterile pyuria in patients admitted to the hospital with infections outside of the urinary tract. (pearls4peers.com)
  • At this ly been hospitalized in Tan Tock Seng Hospital, the hospi- time, physicians were notified that the patient was on a tal in which the first SARS outbreak in Singapore occurred surveillance program for SARS. (cdc.gov)
  • In 1990, the estimated 281,000 patients hospitalized for hip fractures had an average hospital stay of 12.8 days. (cdc.gov)
  • In 2003, the estimated 304,000 patients with hip fractures had an average hospital stay of 6.5 days. (cdc.gov)
Functional recovery1
  • Literature shows that high self-efficacy expectations and positive affect are some of the key issues in functional recovery after hip fracture. (psychopen.eu)
Hospitals3
  • But this cost varied substantially between hospitals, with more than a two-fold difference in spending, ranging from £10,867 to £23,188 per patient, between 172 NHS hospitals studied in England and Wales. (newswise.com)
  • At the outset, the patient was very impressed with the coordination she received from the dedicated international team from Wockhardt Hospitals at South Mumbai. (wockhardthospitals.com)
  • The patient can now walk pain-free and can carry out her daily life confidently thanks to Wockhardt Hospitals, India. (wockhardthospitals.com)
Conclusions2
  • 01). Conclusions: Comanaged patients with hip fracture had poorer cognition, function, and general health, with the shortest LOS. (wustl.edu)
  • CONCLUSIONS: Receipt of hip fracture care should be reliable and equitable across the country. (ox.ac.uk)
Hemiarthroplasty5