One-year mortality rate after fragility hip fractures and associated risk in Nan, Thailand

Daraphongsataporn, Nuttorn; Saloa, Surapot; Sriruanthong, Kaiwan; Philawuth, Nattaphon; Waiwattana, Krairoek; Chonyuen, Prapan; Pimolbutr, Kununya; Sucharitpongpan, Worapong

doi:10.1016/j.afos.2020.05.005

Cited by 18 publications

(18 citation statements)

References 28 publications

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“…One-year mortality in hip fracture patients from the Nan province (Thailand) was 19%, 6.21 times higher than expected compared with the age-matched population. Mortality among hip fracture patients was also significantly higher among those aged older than 80 years, non-ambulatory before the fracture and at hospital discharge, or suffering end-stage renal disease, delirium, and pneumonia [262].…”

Section: Prognostic Factors and Mortalitymentioning

confidence: 93%

Orthogeriatric Care: Reviewing Improvements in Outcomes

Tarazona-Santabalbina¹,

Ojeda-Thies²,

Rodríguez³

et al. 2021

Preprint

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Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Orthogeriatric co-management units have increased quality of care, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.

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Section: Prognostic Factors and Mortalitymentioning

confidence: 93%

Orthogeriatric Care: Reviewing Improvements in Outcomes

Tarazona-Santabalbina¹,

Ojeda-Thies²,

Rodríguez³

et al. 2021

Preprint

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“…In 2019, Sucharitpongpan et al reported the incidence of hip fractures in Nan province (Northern part of Thailand) from 2015 to 2017 of approximately 211.6, 214.9 and 238.5 per 100,000 person-years, respectively [ 106 ]. In 2020, as noted in Table 2 previously, the same group of investigators reported that the 1-year mortality of fragility hip fracture was approximately 19% [ 28 ]. Compared with the age-matched population in Nan province, hip fractures increased the mortality rate by 6.2 times.…”

Section: Global Regional National and Local Quality Improvement Initi...mentioning

confidence: 99%

Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region

Mitchell

Ang²,

Mercado-Asis³

et al. 2022

Arch Osteoporos

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Summary This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health improvement Road Maps to be implemented at scale during the United Nations ‘Decade of Healthy Ageing’. Purpose This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvement initiatives intended to improve the care and prevention of fragility fractures across the Asia Pacific region. Methods The review focuses on published studies, reports and quality improvement initiatives undertaken during the period July 2019 to May 2022. Results Epidemiological studies conducted in countries and regions throughout Asia Pacific highlight the current and projected increasing burden of fragility fractures. Recent studies and reports document a persistent and pervasive post-fracture care gap among people who have sustained fragility fractures. Global initiatives developed by the Fragility Fracture Network and International Osteoporosis Foundation have gained significant momentum in the Asia Pacific region, despite the disruption caused by the COVID-pandemic. The Asia Pacific Fragility Fracture Alliance has developed educational resources including a Hip Fracture Registry Toolbox and a Primary Care Physician Education Toolkit. The Asia Pacific Osteoporosis and Fragility Fractures Society—a new section of the Asia Pacific Orthopaedic Association—is working to engage orthopaedic surgeons across the region in the care and prevention of fragility fractures. The Asia Pacific Consortium on Osteoporosis developed a framework to support national clinical guidelines development groups. Considerable activity at the national level is evident in many countries across the region. Conclusion Development and implementation of national Road Maps informed by the findings of this review are urgently required to respond to the epidemiological emergency posed by fragility fractures during the United Nations ‘Decade of Healthy Ageing’.

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“…One-year mortality in hip fracture patients from the Nan Province (Thailand) was 19%, or 6.21 times higher than expected compared with the age-matched population. Mortality among hip fracture patients was also significantly higher among those aged older than 80 years, non-ambulatory before the fracture and at hospital discharge, or suffering end-stage renal disease, delirium, and pneumonia [ 138 ].…”

Section: Prognostic Factors and Mortalitymentioning

confidence: 99%

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

Tarazona-Santabalbina

Ojeda-Thies

Rodríguez

et al. 2021

IJERPH

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Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Quality of care in orthogeriatric co-management units has increased, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.

show abstract

One-year mortality rate after fragility hip fractures and associated risk in Nan, Thailand

Cited by 18 publications

References 28 publications

Orthogeriatric Care: Reviewing Improvements in Outcomes

Orthogeriatric Care: Reviewing Improvements in Outcomes

Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

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