Prevalence of Dementia and Cognitive Impairment Among Older Adults With Hip Fractures

Seitz, Dallas; Adunuri, Nikesh; Gill, Sudeep S.; Rochon, Paula A.

doi:10.1016/j.jamda.2010.12.001

Cited by 190 publications

(125 citation statements)

References 76 publications

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“…A recent meta-analysis of 34 studies published up to June 2009 found that the estimated prevalence of dementia in the literature pertaining to hip fracture is 19.2% (95% confidence interval, 11.4%-30.6%). 10 Furthermore, individuals with dementia are more likely to fall, are more likely to fall repeatedly, and have a higher likelihood of sustaining a fracture secondary to fall, even when the number of falls are controlled for. [11][12][13] The reasons for this are likely multifactorial.…”

Section: Dementiamentioning

confidence: 99%

Cognitive Dysfunction in Hip Fracture Patients

Chaudhry¹,

Devereaux²,

Bhandari³

2013

Orthopedic Clinics of North America

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Section: Dementiamentioning

confidence: 99%

Cognitive Dysfunction in Hip Fracture Patients

Chaudhry¹,

Devereaux²,

Bhandari³

2013

Orthopedic Clinics of North America

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“…A considerable number of patients sustaining lower limb fractures have a preexisting diagnosis of depression, anxiety, schizophrenia, or dementia [8,23,36], but the impact of these psychiatric comorbidities on in-hospital outcomes is incompletely understood.…”

Section: Introductionmentioning

confidence: 99%

Do Psychiatric Comorbidities Influence Inpatient Death, Adverse Events, and Discharge After Lower Extremity Fractures?

Menendez

Neuhaus

Bot

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Psychiatric comorbidity is known to contribute to illness (the state of feeling unwell/unable to rely on one's body) and increased use of healthcare resources, but the effect on inpatient outcomes in fracture care is relatively unexplored. Questions/purposes Our primary null hypothesis is that a concomitant diagnosis of depression, anxiety, dementia, or schizophrenia is not associated with (1) discharge to another care facility rather than home after lower extremity fractures. Secondary study questions address the associations between psychiatric comorbidity and (2) longer inpatient stay and inpatient (3) adverse events; (4) blood transfusion; and (5) mortality after lower extremity fractures. Methods Using the National Hospital Discharge Survey database, we analyzed a total estimated number of 10,669,449 patients with lower limb fractures from 1990 to 2007. Sixty-four percent were women, and the mean ± SD age was 67 ± 22 years. The prevalence in the study population was 3.2% for depression, 1.6% for anxiety, 0.6% for schizophrenia, and 2.9% for dementia. Results A discharge diagnosis of psychiatric comorbidity was associated with a lower rate of discharge to home after accounting for an association with greater medical comorbidity (schizophrenia: odds ratio [OR], 5.6, 95% confidence interval [CI], 5.5-5.8; dementia: OR, 1.3, 95% CI, 1.2-1.3; depression: OR, 1.2, 95% CI, 1.2-1.3; anxiety: OR, 1.04, 95% CI, 1.02-1.06). Hospital stay was longer for patients with schizophrenia and dementia but shorter in patients with depression or anxiety compared with patients without any mental disorders. Schizophrenia was associated with more in-hospital adverse events and depression and anxiety with fewer events. A diagnosis of depression was associated with blood transfusion. Psychiatric comorbidity was not associated with a higher risk of in-hospital death.

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“…24 Cognitively impaired patients have longer length of hospital stay and higher physical dependence, mortality and institutionalisation. 25 …”

Section: Dementiamentioning

confidence: 99%

A new future for hip fracture care – orthogeriatrician lead in an ‘Acute’ Hip Unit

Gupta

Havelock²

2014

Clinical Medicine

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Prevalence of Dementia and Cognitive Impairment Among Older Adults With Hip Fractures

Cited by 190 publications

References 76 publications

Cognitive Dysfunction in Hip Fracture Patients

Cognitive Dysfunction in Hip Fracture Patients

Do Psychiatric Comorbidities Influence Inpatient Death, Adverse Events, and Discharge After Lower Extremity Fractures?

A new future for hip fracture care – orthogeriatrician lead in an ‘Acute’ Hip Unit

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