Einjahresverläufe nach proximalen Femurfrakturen

Cm, Müller-Mai; Us, Schulze Raestrup; Kostuj, Tanja; Dahlhoff, G.; Günster, Christian; Smektala, R.

doi:10.1007/s00113-013-2534-7

Cited by 49 publications

(26 citation statements)

References 18 publications

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“…13,15,16 Despite that the 1-year mortality is comparable to other studies based on conventional treatment. 2,5,17-19 Other studies regarding orthogeriatric multidisciplinary treatment 11,14,18,20,21 show similar results without significant reduction in the long-time mortality rate. Also, a meta-analysis in 2013 12 couldn’t show a significantly reduced long-term mortality rate by the use of interdisciplinary treatment.…”

Section: Discussionmentioning

confidence: 75%

“…An investigation of German health-care insurance data 5 including almost 8000 patients of a comparable cohort with hip fracture showed in contrast an increase in requirement of care after 1 year in every second patient. Besides the benefit for the patient, this could be a significant financial benefit for the health-care system and possibly help finance the additional costs of such a orthogeriatric cooperation, especially under the described “ward model” conditions.…”

Section: Discussionmentioning

confidence: 99%

“…The mean age and the gender ratio in our study population are comparable to other studies on geriatric trauma patients. 5 …”

Section: Discussionmentioning

confidence: 99%

“…Fragility fractures are accompanied by an increased rate of complications 1 and an excessive mortality (up to 35% after 1 year 2 ). The most serious concern is the loss of independence after the fracture and the subsequent requirement for care, 2-6 resulting not only in medical but also in socioeconomic problems. 7 …”

Section: Introductionmentioning

confidence: 99%

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Orthogeriatric Combined Management of Elderly Patients With Proximal Femoral Fracture: Results of a 1-Year Follow-Up

Förch

Kretschmer

Haufe

et al. 2017

Geriatr Orthop Surg Rehabil

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Introduction: According to the expected demographical changes, the number of elderly trauma patients will increase exponentially over the next decades. Different models of an interdisciplinary orthogeriatric care have been developed. But there is only limited evaluation of their benefit without clear and evidence-based results. In 2011, we monitored the results of our orthogeriatric combined management by conducting a 1-year follow-up. Methods: We treated 231 patients presenting a proximal femoral fracture on our orthogeriatric ward. We obtained the epidemiological data and the geriatric assessments from all these patients. One year after discharge, we sent them a written questionnaire. Primary end points were the mortality and the functional outcome, measured by Barthel score, the requirement of care, and the residential status. Results: One hundred sixtyseven (72%) of the 231 patients completed the follow-up. The average age at admission was 81.5 years (70-99 years). The mortality rate was 2.4% during hospital stay and 31.4% after 1 year. The average Barthel score was 44 points at the time of admission, 55 points at discharge, and 72 points after 1 year. Forty-five percent of the patients were in requirement of care at the time of their admission. At the 1-year follow-up, 63% of the patients had some form of care, thus showing an increase of 18%. At the moment of the fracture, 77% of the patients were living in their own home and 23% in a nursing home. After 1 year, the surviving patients show nearly unchanged conditions (75% own home vs 25% nursing home). Eighty-six percent of the patients coming from their own home were able to continue living there independently. Conclusion: The orthogeriatric care is successful in reducing the short-time mortality without showing any effect on 1-year mortality. But the surviving patients seem to benefit from an improved functional outcome.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

“…The mean age and the gender ratio in our study population are comparable to other studies on geriatric trauma patients. 5 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Orthogeriatric Combined Management of Elderly Patients With Proximal Femoral Fracture: Results of a 1-Year Follow-Up

Förch

Kretschmer

Haufe

et al. 2017

Geriatr Orthop Surg Rehabil

View full text Add to dashboard Cite

show abstract

“…становить від 12 до 24 % [2,7]. За даними зарубіжних авторів, показники летальності протягом першого року після перелому ПВСК коливаються від 21,5 до 40,0 % [25,26]. При цьому відмічено прогресивне збільшення смертності з віком пацієнта [8].…”

Section: вступunclassified