Increasing burden of major trauma in elderly adults during 2003–2015: Analysis of real-world data from Taiwan

Lee, I-Ying; Shih, C.Y.; Wei, Yu-Ting; Weng, Tzu-Chun; Shieh, Shyh‐Jou; Wang, Jung-Der

doi:10.1016/j.jfma.2021.02.008

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…22 A modified Charlson Comorbidity Index (CCI) score was calculated for each patient based on Quan et al's coding algorithms. 23 Functional status of ADL includes the following parameters: (1) eating, (2) transferring, (3) grooming, (4) toileting, (5) bathing, (6) walking on a flat floor, (7) using stairs, (8) dressing, (9) defecating, and (10) micturating. 24 The Low-ADL group was defined as patients with a lower score at discharge than the score at admission and patients with a score of 0 (completely dependent) at admission that did not change until discharge.…”

Section: Selection Of Patients and Variablesmentioning

confidence: 99%

“…The frequency of postoperative functional decline in the elderly is higher than that in younger generations 3. Decreased patient function leads to increased caregiver burden and social costs 4–7. In addition, an interview survey of elderly people suffering from serious illnesses reported that about 75% of patients who are expected to have severe functional deterioration do not want treatment even if the burden is light 8.…”

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confidence: 99%

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A formula for predicting postoperative functional decline using routine medical data in elderly patients after hip fracture surgery

Fukuda

Imai

Maruo

et al. 2023

Current Orthopaedic Practice

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Background: If functional decline after hip surgery can be predicted without special assessment, the effects of new treatments and rehabilitation practices can be easily compared with previous cases or those in other countries. The purpose of this study was to develop and examine a formula for such prediction. Methods: Data of 3,120 patients older than 65 yr with hip fracture were analyzed. The Barthel Index was used for evaluating activities of daily living (ADL). Low ADL was defined as patients with a lower score at discharge than the score at admission and patients with complete dependence at admission that did not change until discharge. Three models were developed in a training sample: Basic, Comorbidity, and Laboratory & Vital Signs models were created by inputting basic patient data, the basic data plus comorbidities, the basic data and comorbidities plus 8 laboratory test results and 5 vital signs, respectively. All potential variables with statistical significance < 0.2 on univariate analyses and some variables that may be clinically meaningful were included in multivariable models. The final model was developed by stepwise logistic regression. Results: The c-statistic of the Laboratory & Vital Signs formula was 0.701 and the predictive value was 76.9%. The c-statistics of the Basic and Comorbidity formulas were 0.643 and 0.664, respectively. Applying the Laboratory & Vital Signs formula to the validation sample, the c-statistic was 0.663. Conclusions: The formula developed from the medical data collected routinely before surgery could predict low ADL following hip fracture surgery in elderly patients. Level of Evidence: IVb

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Section: Selection Of Patients and Variablesmentioning

confidence: 99%

mentioning

confidence: 99%

A formula for predicting postoperative functional decline using routine medical data in elderly patients after hip fracture surgery

Fukuda

Imai

Maruo

et al. 2023

Current Orthopaedic Practice

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“…Trauma is identified as one of the leading causes of mortality, morbidity, and functional disability among different age groups, resulting in substantial personal and societal burdens. 1 , 2 Trauma‐related injuries with both blunt and penetrating natures typically induce moderate to severe pain, which can remain up to months and years after the injuries. 3 , 4 Based on a recent study, most patients with minor traumas remain in pain up to 6 months after their trauma.…”

Section: Introductionmentioning

confidence: 99%

Alleviating severity of limb trauma pain with coadministration of topical sesame oil and standard treatments: A GRADE‐assessed systematic review and meta‐analysis of randomised controlled trials

Razani,

Nasiri,

Yarahmadi

et al. 2024

International Wound Journal

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Recent randomised controlled trials (RCTs) have investigated the analgesic activity of sesame oil among patients with limb trauma; nevertheless, their findings are inconsistent. Hence, this review aimed to clarify the impact of topical administration of sesame oil on acute pain of adult outpatients with minor limb trauma. The online databases (e.g., Scopus, PubMed, Web of Science) were searched up to 31 January 2024. The RCTs were included if they compared the effect of applying standard treatments plus topical sesame oil to administering standard treatments alone or with a placebo/sham treatment. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) and the Cochrane Collaboration's risk of bias tool were applied to address the evidence quality and the study's methodological rigour, respectively. Four RCTs had the inclusion criteria, and their findings were pooled in a meta‐analysis employing a random‐effects approach. According to the pooled analysis, the reduction in mean change of the pain score from baseline to the second/third intervention day was significantly higher in favour of clients who received standard care plus daily massage of the trauma site with sesame oil compared to those who received a control condition (weighted mean difference: −1.10; 95% confidence interval [−1.62, −0.57]; p < 0.001). However, the evidence quality was moderate, and only two studies had good methodological rigour. Hence, more high‐quality studies are needed to make a solid evidence‐based conclusion about the favourable consequence of topical sesame oil on alleviating acute traumatic limb pain.

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Estimating Taiwan's QALY league table for catastrophic illnesses: Providing real-world evidence to integrate prevention with treatment for resources allocation

Wang,

Lai,

Yang

et al. 2024

Journal of the Formosan Medical Association

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Increasing burden of major trauma in elderly adults during 2003–2015: Analysis of real-world data from Taiwan

Cited by 4 publications

References 24 publications

A formula for predicting postoperative functional decline using routine medical data in elderly patients after hip fracture surgery

A formula for predicting postoperative functional decline using routine medical data in elderly patients after hip fracture surgery

Alleviating severity of limb trauma pain with coadministration of topical sesame oil and standard treatments: A GRADE‐assessed systematic review and meta‐analysis of randomised controlled trials

Estimating Taiwan's QALY league table for catastrophic illnesses: Providing real-world evidence to integrate prevention with treatment for resources allocation

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