Article
Geriatrics & Gerontology
Banne Nemeth, Marleen van der Kaaij, Rob Nelissen, Jan-Kees van Wijnen, Katja Drost, Gerard Jan Blauw
Summary: The introduction of the WOLK hip airbag in long-term care facilities for older patients significantly reduced the incidence of hip and pelvic fractures by almost half.
Article
Rehabilitation
Nikhil K. Prasad, Rashmita Bajracharya, Marniker Wijesinha, Alan Rathbun, Denise Orwig, Laurence Magder, Ann Gruber-Baldini, Kathleen Mangione, Rebecca L. Craik, Jay Magaziner
Summary: This study compares participants from two different studies and finds that home-based multi-component physical therapy programs can provide better functional improvement after hip fracture compared to usual care.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Health Care Sciences & Services
Walter P. Wodchis, Zeynep Or, Carl Rudolf Blankart, Femke Atsma, Nils Janlov, Yu Qing Bai, Anne Penneau, Mina Arvin, Hannah Knight, Kristen Riley, Jose F. Figueroa, Irene Papanicolas
Summary: This study compared the use of different post-acute care settings in different countries following a hip fracture, as well as three important outcomes: total expenditure, total days of care in different settings, and overall longevity. Variations were found across countries in terms of utilization of services, longevity, and expenditures, suggesting opportunities for organizing post-acute care differently to maximize independence and mitigate costs.
HEALTH SERVICES RESEARCH
(2021)
Article
Geriatrics & Gerontology
Michael P. Cary, Farica Zhuang, Rachel Lea Draelos, Wei Pan, Sathya Amarasekara, Brian J. Douthit, Yunah Kang, Cathleen S. Colon-Emeric
Summary: This study evaluated machine learning models to predict mortality for Medicare beneficiaries aged >65 years treated for hip fracture in Inpatient Rehabilitation Facilities. Both logistic regression and multilayer perceptron performed similarly in predicting 30-day and 1-year mortality, but MLP models showed better ability to calibrate to local data and yield clinical specificity in mortality prediction.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Orthopedics
Laurence Weinberg, Bobby Ou Yang, Luka Cosic, Sarah Klink, Peter Le, Jasun Kai Li, Anoop Ninan Koshy, Daryl Jones, Rinaldo Bellomo, Chong Oon Tan, Dong-Kyu Lee
Summary: In nonagenarian patients undergoing hip fracture surgery, the 30-day mortality rate was 7.4% and the 30-month mortality rate was 18.2%. Postoperative complications were found to be independently associated with higher mortality, particularly when occurring early after surgery.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Geriatrics & Gerontology
Kilian Rapp, Clemens Becker, Chris Todd, Martin Rehm, Dietrich Rothenbacher, Claudia Konnopka, Hans-Helmut Koenig, Thomas Friess, Gisela Buechele
Summary: In Germany, geriatricians provide acute and subacute care for hip fracture patients. The study found that high rates of acute geriatric care were associated with lower mortality, while high rates of subacute rehabilitation were associated with lower care home admission and mortality.
Article
Health Care Sciences & Services
Chun-Feng Huang, Po-Jung Pan, Yi-Hung Chiang, Shung-Haur Yang
Summary: The study aimed to examine the efficacy of rehabilitation-based multidisciplinary care for older individuals with hip fractures, showing that such care improved physical activity, gait, balance, and depression scale ratings, and resulted in lower refracture and one-year mortality rates compared to standard therapy.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2021)
Review
Geriatrics & Gerontology
Signe Hulsbaek, Carsten Juhl, Alice Ropke, Thomas Bandholm, Morten Tange Kristensen
Summary: The meta-analysis shows that exercise therapy has a moderate effect on mobility, activities of daily living, lower limb muscle strength, balance, and health-related quality of life in older patients following hip fracture, both in short-term and long-term outcomes.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2022)
Article
Clinical Neurology
Iwona Sarzynska-Dlugosz
Summary: Stroke is a global healthcare challenge with increasing prevalence, necessitating high-quality care to mitigate its negative impacts. This article synthesizes information from systematic reviews, guidelines, and primary literature to propose an optimal strategy for long-term post-stroke care. It also emphasizes the unmet needs of patients, such as early diagnosis of complications and comprehensive therapy.
FRONTIERS IN NEUROLOGY
(2023)
Article
Medicine, General & Internal
Monica Pizzonia, Chiara Giannotti, Luca Carmisciano, Alessio Signori, Gianmarco Rosa, Federico Santolini, Irene Caffa, Fabrizio Montecucco, Alessio Nencioni, Fiammetta Monacelli
Summary: The study validated the modified 19-item Frailty Index (mFI-19) compared to the gold standard comprehensive geriatric assessment (CGA), finding similar predictive accuracies in long-term mortality. This research provides a methodologically robust frailty screening assessment for older adults with hip fractures.
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION
(2021)
Article
Geriatrics & Gerontology
Genny Ng, Jeremie Larouche, Sid Feldman, Ashley Verduyn, Sarah Ward, Brian M. Wong, Amanda Mayo
Summary: During the COVID-19 pandemic, a fracture care pathway was developed and implemented in long-term care homes to reduce the risk of COVID-19 exposure and extended isolation days caused by transfer to the hospital. The pathway provided rapid diagnostic imaging and stabilization in the care home, minimizing the need for transportation and reducing exposure risk. Evaluation showed that 100% of residents did not transfer to the emergency department and 47% did not require additional care in a fracture clinic.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Medicine, General & Internal
Mun Jeong Kang, Bo Ryun Kim, Sang Yoon Lee, Jaewon Beom, Jun Hwan Choi, Jae-Young Lim
Summary: This is a retrospective cohort study that aimed to determine the predictors of functional outcomes and quality of life for patients who underwent surgery for fragility hip fracture. The study was conducted in three tertiary rehabilitation facilities and followed up with 165 patients for six months postoperatively. The study found that age, fracture site, operation type, comorbidities, and initial physical and cognitive function significantly influenced the recovery of function and quality of life at six months.
Article
Geriatrics & Gerontology
Rashmita Bajracharya, Jack M. Guralnik, Michelle D. Shardell, Alan M. Rathbun, Takashi Yamashita, Marc C. Hochberg, Ann L. Gruber-Baldini, Jay S. Magaziner, Denise L. Orwig
Summary: Men have higher all-cause mortality and infection-specific mortality rates compared to women after hip fracture, indicating the need for sex-specific interventions to narrow the significant differences in long-term mortality rates.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Medicine, General & Internal
Debora Tiso, Monica Pizzonia, Chiara Giannotti, Luca Tagliafico, Alessio Signori, Alessio Nencioni, Fiammetta Monacelli
Summary: This study investigates the impact of surgical stress and frailty on mortality, disability, and morbidity in persons aged >90 years. Through analyzing data of 205 older adult patients with hip fractures, the study finds that frailty, accompanied by malnutrition, delayed verticalization, and post-operative respiratory complications, is associated with a two-fold increase in long-term mortality risk in the ultra-old.
FRONTIERS IN MEDICINE
(2023)
Article
Surgery
Julia Bryarly, Karen Kowalske
Summary: Given the increasing number of individuals surviving severe burns, clinicians need to be knowledgeable about complications, outcomes, and long-term challenges. The development of a strong infrastructure in burn centers is necessary to address these challenges, and it is important for the burn community to actively investigate treatment approaches in order to guide best practices and promote evidence-based protocols.
SURGICAL CLINICS OF NORTH AMERICA
(2023)
