Article
Orthopedics
Helmi-Sisko Pyrhonen, Johan Lagergren, Olof Wolf, Alicja Bojan, Sebastian Mukka, Michael Moller, Cecilia Rogmark
Summary: This study compared the outcomes of intramedullary nails and sliding hip screws in the treatment of extracapsular hip fractures. The results showed no significant difference in the cumulative incidence of conversion to arthroplasty between the two implants. However, in 31-A2 fractures, the use of intramedullary nails was associated with a higher reoperation rate.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Orthopedics
Jhase Sniderman, Prushoth Vivekanantha, Ajay Shah, Oleg Safir, Jesse Wolfstadt, Paul Kuzyk
Summary: This study aimed to evaluate the outcome of hemiarthroplasty compared to traditional treatment of unstable intertrochanteric fractures. It was found that hemiarthroplasty may improve outcomes for patients with unstable intertrochanteric fractures, especially in type A3 fractures.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Jerry Arraut, Mark Kurapatti, Thomas H. Christensen, Joshua C. Rozell, Vinay K. Aggarwal, Kenneth A. Egol, Ran Schwarzkopf
Summary: This study aimed to investigate the influence of age on discharge disposition and 90-day outcomes of total hip arthroplasty (THA) performed for hip fractures in patients aged 80 years and older compared to younger patients. The study found that while older patients were more likely to require a higher level of post-hospital care, outcomes and perioperative complication rates were not significantly different compared to a younger patient cohort.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Geriatrics & Gerontology
Zhiwei Lian, Chunsu Zhu, Haowen Yuan, Jianmin Wang
Summary: This study examines the associations between changes in depressive symptoms and hip fracture (HF) risk. The results suggest that stable high and recent-onset depressive symptoms are associated with increased risk of HF, while no elevated HF risk is observed if symptoms remit.
Article
Health Care Sciences & Services
Avishai M. Tsur, Paula David, Abdulla Watad, Daniel Nissan, Arnon D. Cohen, Howard Amital
Summary: This study found that patients with ankylosing spondylitis are more likely to develop hip fractures earlier and more frequently compared to a matched cohort. It suggests that these patients might benefit from more proactive screening, mitigation, and prevention of risk factors for hip fractures.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Review
Medicine, General & Internal
Helen H. G. Handoll, Ian D. Cameron, Jenson C. S. Mak, Terence P. Finnegan
Summary: Multidisciplinary rehabilitation has a positive impact on older patients with hip fractures, reducing the occurrence of poor outcomes such as death or deterioration in residential status. However, evidence on other crucial outcomes is still lacking, indicating the need for further research in this area.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Orthopedics
Nicola Mondanelli, Andrea Facchini, Elisa Troiano, Francesco Muratori, Vanna Bottai, Stefano Giannotti
Summary: This study evaluated a series of PFFs in a single institution and found a small percentage of cases that met the criteria for PAFF. The prevalence of PAFFs was approximately 5.3%, and they were significantly associated with prolonged BP use and fractures occurring above the stem level.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Environmental Sciences
Bastien Bourrion, Cecile Souty, Lucie Fournier, Ana-Maria Vilcu, Thierry Blanchon, Pierre-Yves Boelle, Thomas Hanslik, Mathilde Francois
Summary: The study found that in real life, the use of bisphosphonates does not appear to reduce hospitalization rates for hip fractures, possibly due to it being prescribed for primary prevention and for a duration too short to be effective.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Orthopedics
V. Mezhov, L. L. Laslett, H. Ahedi, C. L. Blizzard, R. M. Aspden, J. S. Gregory, F. R. Saunders, I. P. Munugoda, G. Cai, F. Cicuttini, S. E. Graves, M. Lorimer, G. Jones
Summary: In addition to hip pain and radiographic hip OA, measures of hip shape, cam morphology, BMD and BMLs independently predict risk of THR in community dwelling older adults.
OSTEOARTHRITIS AND CARTILAGE
(2021)
Article
Geriatrics & Gerontology
James R. Latronica, Wen Jan Tuan, Taylor J. Clegg, Matthew L. Silvis, Curtis Bone
Summary: This study evaluated the cardiovascular event risk among individuals aged 65 and older with depression who were prescribed amphetamines. The results showed that the exposed cohort had improved lipid profiles and blood pressure compared to the control group, but had an increased risk of cardiovascular events.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2022)
Review
Medicine, General & Internal
Sharon R. Lewis, Richard Macey, Will G. P. Eardley, Jan Robert Dixon, Jonathan Cook, Xavier L. Griffin
Summary: This research evaluates the evidence for different types of internal fixation implants used in joint-preserving surgery for intracapsular hip fractures in older adults. The study found that there were no significant differences in early mortality, 12-month mortality, and unplanned return to theatre between the use of smooth pins and fixed angle plates for hip fractures. Similarly, there were no significant differences in functional status and health-related quality of life between screws and fixed angle plates. Further research is needed to increase the certainty of these outcomes.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Geriatrics & Gerontology
Sangsoo Han, Jiwon Park, Hae-Dong Jang, Sangun Nah, Joonhyeok Boo, Kyungdo Han, Jae-Young Hong
Summary: The severity of underweight is significantly associated with the risk of hip fracture. Subdivision of underweight helps estimate fracture risk more accurately.
JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE
(2022)
Article
Medicine, General & Internal
Kyohei Shiomoto, Akira Babazono, Yumi Harano, Takako Fujita, Peng Jiang, Sung-A Kim, Yasuharu Nakashima
Summary: This study investigated the incidence of vertebral and hip fractures in older people, finding that lower BMI was associated with increased fracture risk. There was a sex difference in the effect on vertebral fractures.
Article
Health Care Sciences & Services
Michael Millrose, Wolfgang Schmidt, Julian Krickl, Till Ittermann, Johannes Ruether, Hermann-Josef Bail, Markus Gesslein
Summary: This study analyzes different indicators of malnutrition that lead to worse outcomes in older patients with hip fractures. The results show that poor nutritional status is statistically associated with higher mortality and worse independence. Prescribing osteoporosis prophylaxis after surgery is protective against mortality and loss of independence. The conclusion is that malnutrition increases the risk for worse outcomes in geriatric patients with hip fractures, while osteoporosis prophylaxis helps to retain independence.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Geriatrics & Gerontology
Pei Du, Yanbin Zhu, Junfei Guo, Sufen Qi, Jin Qin, Cuiying Zheng, Zhiyong Hou, Yingze Zhang, Qing-Bao Tian, Zhongjun Feng
Summary: This study found that the incidence of surgical site infection (SSI) after hip fractures in older adults was 3.04%, with cerebrovascular disease and lower hematocrit identified as independent risk factors for SSI in femoral neck fractures, while heart disease was a risk factor and LDH level was a protective factor for SSI in intertrochanteric fractures. Targeted preoperative management based on these risk factors is crucial for preventing SSI in older hip fracture patients, and future multicentric studies are needed for further investigation.
AGING CLINICAL AND EXPERIMENTAL RESEARCH
(2022)
Article
Sport Sciences
Marcel Ballin, Peter Nordstrom, Johan Niklasson, Anna Nordstrom
Summary: The study found that every 30-min/day increment in LPA was associated with an 11% lower risk of CVD or all-cause mortality, while every 30-min/day increment in MPA was associated with a 36% lower risk. Additionally, every 1-h/day increment in ST increased the risk by 33%, but MPA could attenuate the increased risks associated with ST.
Article
Public, Environmental & Occupational Health
Jonathan Bergman, Marcel Ballin, Anna Nordstrom, Peter Nordstrom
Summary: This nationwide study in Sweden identified age, sex, and comorbidity as major risk factors for severe COVID-19. Additionally, hypertension, asthma, Down syndrome, and residence in a long-term care facility were associated with severe COVID-19.
EUROPEAN JOURNAL OF EPIDEMIOLOGY
(2021)
Correction
Endocrinology & Metabolism
J. Bergman, A. Nordstrom, A. Hommel, M. Kivipelto, P. Nordstrom
OSTEOPOROSIS INTERNATIONAL
(2021)
Article
Rehabilitation
Niklas Sorlen, Andreas Hult, Peter Nordstrom, Anna Nordstrom, Jonas Johansson
Summary: The efficacy of a 4-week balance exercise intervention on postural sway in older adults was found to be insignificant, with no significant differences detected between groups in postural sway outcomes. Hand grip strength showed significant improvement in the intervention group, while Timed Up & Go improvements were comparable between groups but only statistically significant in the control group.
BMC SPORTS SCIENCE MEDICINE AND REHABILITATION
(2021)
Article
Cardiac & Cardiovascular Systems
Marcel Ballin, Peter Nordstrom, Johan Niklasson, Anna Nordstrom
Summary: This study found that VAT was associated with cardiovascular risk in 70-year-old men, but not with all-cause mortality. Lowering VAT may help reduce the risk of cardiovascular disease in this population.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Jerry Ohlin, Yngve Gustafson, Hakan Littbrand, Birgitta Olofsson, Annika Toots
Summary: Beyond simple cognitive performance assessment, improving dementia screening procedures is timely given the ongoing phenomenon of population aging. A slow or declining gait speed is a potential early indicator of cognitive decline in very old people. This study found that declining and slow gait speed were associated with higher odds of dementia development, and gait decline was linked to cognitive decline in participants who developed dementia, supporting the potential of gait speed tests to predict future cognitive decline among very old people in community and nursing home settings.
JOURNAL OF AGING AND PHYSICAL ACTIVITY
(2021)
Article
Geriatrics & Gerontology
Marcel Ballin, Jonathan Bergman, Miia Kivipelto, Anna Nordstrom, Peter Nordstrom
Summary: This retrospective cohort study aimed to compare the 30-day mortality in LTCF residents with and without COVID-19, and investigate the impact of various risk factors on mortality in COVID-19 cases. The study found a significantly higher mortality rate in COVID-19 cases compared to controls, with factors like older age, male sex, and neuropsychological conditions contributing to higher mortality rates in COVID-19 patients.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Chemistry, Analytical
Daniel Kelly, Karla Munoz Esquivel, James Gillespie, Joan Condell, Richard Davies, Shvan Karim, Elina Nevala, Antti Alamaki, Juha Jalovaara, John Barton, Salvatore Tedesco, Anna Nordstrom
Summary: The increased use of sensor technology is crucial for remote rehabilitation, but human factors must be fully considered. The SENDoc project in Northern Europe evaluates human factors associated with sensors for remote rehabilitation. The main considerations for adopting balance assessment technology in remote rehabilitation settings are deployment constraints, usability, comfort, and accuracy.
Article
Endocrinology & Metabolism
Peter Nordstrom, Jonathan Bergman, Marcel Ballin, Anna Nordstrom
Summary: This nationwide cohort study investigated trends in hip fracture incidence, hospital length of stay, and 30-day mortality after admission in Sweden. The results showed a decrease in hip fracture incidence over the past 20 years, but an increase in short-term mortality.
CALCIFIED TISSUE INTERNATIONAL
(2022)
Article
Geriatrics & Gerontology
Marcel Ballin, Peter Nordstrom, Anna Nordstrom
Summary: This study found that greater amounts of physical activity are associated with lower odds of metabolic syndrome in older adults.
JOURNAL OF AGING AND PHYSICAL ACTIVITY
(2021)
Article
Environmental Sciences
Salvatore Tedesco, Martina Andrulli, Markus akerlund Larsson, Daniel Kelly, Antti Alamaeki, Suzanne Timmons, John Barton, Joan Condell, Brendan O'Flynn, Anna Nordstroem
Summary: As global demographics shift, aging becomes a significant focus, with the application of proper prognostic indices in clinical decisions on mortality prediction becoming increasingly important. Machine learning can transform prognostic modeling, as shown in the development of machine learning models for all-cause mortality prediction in healthy older adults. Random undersampling with random forest proved to have the best results, although probability calibration slightly reduced average performance but increased model robustness.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Medicine, General & Internal
Peter Nordstrom, Marcel Ballin, Anna Nordstrom
Summary: This cohort study found that family members without immunity had a 45% to 97% lower risk of contracting COVID-19 as the number of immune family members increased, emphasizing the importance of vaccination in reducing transmission within families.
JAMA INTERNAL MEDICINE
(2021)
Article
Education, Special
S. Fjellstrom, E. Hansen, J. Hollta, M. Zingmark, A. Nordstrom, M. Lund Ohlsson
Summary: The study examined the effectiveness of a web-based training program on the health of individuals with intellectual disability (ID). The results showed that participants experienced a decrease in fat mass and waist circumference, as well as an increase in physical activity level. The web-based training program received high satisfaction ratings, and there were no differences in quality of life among the participants.
JOURNAL OF INTELLECTUAL DISABILITY RESEARCH
(2022)
Article
Medicine, General & Internal
Peter Nordstrom, Marcel Ballin, Anna Nordstrom
Summary: This study examined the safety and effectiveness of COVID-19 vaccination in adolescents and identified risk factors for COVID-19 hospitalisation. The results showed that COVID-19 vaccination did not increase the risk of hospitalisation in adolescents, and receiving 2 doses of the vaccine was associated with a lower risk of COVID-19 hospitalisation, particularly in high-risk groups. However, the risk of severe COVID-19 in the general adolescent population was extremely low, indicating that additional vaccine doses may not be necessary at this stage of the pandemic.
Review
Health Care Sciences & Services
Kevin Moore, Emma O'Shea, Lorna Kenny, John Barton, Salvatore Tedesco, Marco Sica, Colum Crowe, Antti Alamaki, Joan Condell, Anna Nordstrom, Suzanne Timmons
Summary: The motivation behind older adults' use of wearable devices is crucial for long-term use, with the useful purpose and user experience of the device significantly impacting acceptance and use. Additionally, a support structure plays a key role in the long-term adoption of wearable devices.
JMIR MHEALTH AND UHEALTH
(2021)