Prognostic factors for discharge to home and residing at home 12 months after hip fracture: an Anoia hip study

Gamboa-Arango, Andrés; Duaso, Enric; Malafarina, Vincenzo; Formiga, Francesç; Marimón, Patrícia; Sandiumenge, Montserrat; Salgado, Maria-Teresa; Escalante, Enrique; Lumbreras, C.; Tarrida, Anna

doi:10.1007/s40520-019-01273-9

Cited by 9 publications

(6 citation statements)

References 35 publications

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“…Patients with the need for care have a higher risk of developing a PFF than patients who are independent in a community-dwelling living situation. Patients with a need for care (home dwelling or at nursing homes) account for up to 50% of patients with PFF [ 37 – 39 ]. Furthermore, the hazard ratio for mortality of patients who were living in nursing homes before the injury is 1.8 compared to patients not living in such an institution [ 40 ].…”

Section: Risk Factorsmentioning

confidence: 99%

Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures

Becker

Hafner

Pishnamaz

et al. 2022

Eur J Trauma Emerg Surg

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Background Proximal femur fractures (PFFs) occur frequently among geriatric patients due to diverse risk factors, such as a lower bone mineral density and the increased risk of falls. Methods In this review, we focus on recent literature of patient-specific risk factors and their impact on common complications and outcome parameters in patients with PFF. Results Patient- and treatment related factors have a significant impact on outcome and are associated with an increased risk of mortality, impairments in functional rehabilitation and complicative courses. Conclusion Geriatric patients at high risk for complications are nursing home inhabitants suffering from severe osteoporosis, dementia and sarcopenia. The early and ongoing assessment for these individual risk factors is crucial. Strategies including interdisciplinary approaches, addressing comorbidities and facilitating an optimal risk factor evaluation result in a beneficial outcome. The ongoing ambulant assessment and therapy of complicating factors (e.g., malnutrition, sarcopenia, frailty or osteoporosis) have to be improved.

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Section: Risk Factorsmentioning

confidence: 99%

Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures

Becker

Hafner

Pishnamaz

et al. 2022

Eur J Trauma Emerg Surg

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“…2,[4][5][6] Several risk factors have been raised regarding the risk of poor clinical outcomes such as age, sex, preexisting comorbidities, cognitive impairment, postoperative complications, reduced prefracture functional status, and hypomobility. [6][7][8][9] However, what remains unclear is, among those who were able to walk preoperatively, what type of patients lose their walking ability, given that some patients can maintain their walking ability. To clarify this issue, we investigated the factors related to the treatment of hip fractures by dividing the patients into the postoperative walking-ability-maintained group or walking-ability-not-maintained group.…”

Section: Introductionmentioning

confidence: 99%

“…Several risk factors have been raised regarding the risk of poor clinical outcomes such as age, sex, preexisting comorbidities, cognitive impairment, postoperative complications, reduced prefracture functional status, and hypomobility 6–9 . However, what remains unclear is, among those who were able to walk preoperatively, what type of patients lose their walking ability, given that some patients can maintain their walking ability.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with maintaining walking ability postoperation for hip fractures and the predictive value of the CGA7 score for postoperative walking ability

Morisaki,

Yoshii,

Tsuchida

et al. 2023

Geriatrics Gerontology Int

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AimPatients with hip fractures have a high rate of mortality or decreased mobility, despite early operative treatment and rehabilitation. The first aim of this study was to investigate the factors of decreased walking ability after hip fracture based on whether walking ability was or was not maintained postoperatively. The second aim was to examine the usefulness of the Comprehensive Geriatric Assessment 7 (CGA7), modified from the conventional Comprehensive Geriatric Assessment, for predicting postoperative walking ability.MethodsThis study included patients who were treated surgically for hip fractures. We divided patients by whether they did or did not maintain their walking ability postoperatively. We registered the following demographic data: walking ability preadmission and at discharge, CGA7 score, cognitive impairment, the patient's prefracture status, fracture type, surgical waiting time, hospital stay duration, limitation of weight‐bearing, postoperative complications, transfer to rehabilitation hospital, final living place, and follow‐up period. The characteristics of the two groups were compared using Wilcoxon's rank‐sum test, the chi‐squared test, or Fisher's exact test.ResultsAmong 855 patients, 616 (73.0%) patients maintained walking ability and 239 (27.0%) patients did not. Multivariate logistic regression revealed that the factors of age, sex, preoperative walking ability, and postoperative complications were significantly associated with maintaining postoperative walking ability. Furthermore, the higher the CGA7 score, the more likely were patients to maintain their walking ability (odds ratio, 0.72; 95% confidence interval, 0.61–0.85; P < 0.001).ConclusionsPatients who had a low CGA7 score had the potential risk of decreased walking ability. Geriatr Gerontol Int 2023; ••: ••–••.

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“…Having a good state of health and functionality are predictors of residing at home and maintaining functionality prior to a year after a hip fracture, while the worst state of health and functionality are predictors of mortality [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Descripción de los pacientes atendidos en la Escuela de Prevención de Fracturas y Caídas en el contexto de una Fracture Liaison Service. FLS Anoia

Chia¹,

Magaña

Gamboa-Arango

et al. 2022

Rev Osteoporos Metab Miner

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Objective:The aim of this study is to present the performance, treatment and functional results obtained in a Fracture and Fall Prevention Unit. Material and methods: Descriptive prospective study of patients with previous osteoporotic fracture, treated between April 25, 2016 and November 20, 2017. Results: We analyzed 43 patients with a mean age of 80.2 years (SD±5.19), 81.40% women (n=35). Number of fractures 61,28% hip (n=17), 25% vertebral (n=15) and 21% distal radius (n=13). At discharge, all the assessment scales used improved, highlighting the results of the SPPB (39.80%), TUG (30.66%) and Tinetti (21.60%). Conclusions:The profile patient treated corresponds to an 80.2-year-old woman, with a hip fracture, Tinetti 22:09, Daniels in extremities of 3. 95, 4:05, 3.81, 3.91, SPPB of 6.63, TUG of 17.81 and FIM of 87.19 points. An improved score in all the assessed scales is reported.

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Prognostic factors for discharge to home and residing at home 12 months after hip fracture: an Anoia hip study

Cited by 9 publications

References 35 publications

Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures

Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures

Factors associated with maintaining walking ability postoperation for hip fractures and the predictive value of the CGA7 score for postoperative walking ability

Descripción de los pacientes atendidos en la Escuela de Prevención de Fracturas y Caídas en el contexto de una Fracture Liaison Service. FLS Anoia

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