Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients with Hip Fractures

Forni, Cristiana; D'Alessandro, Fabio; Genco, Rossana; Mini, Sandra; Notarnicola, Teresa; Vitulli, Arianna; Capezzali, Daniela; Morri, Mattia

doi:10.1097/01.asw.0000530685.39114.98

Cited by 11 publications

(18 citation statements)

References 17 publications

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“…Pressure ulcers are a relatively common complication in older adults with hip fractures, especially high-risk patients or with certain treatments. Pre-emptively identifying patients at highest risk of pressure injury taking these factors into account could help provide and targeted care [98].…”

Section: Pressure Soresmentioning

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.

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Section: Pressure Soresmentioning

confidence: 99%

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

Tarazona-Santabalbina

Ojeda-Thies

Rodríguez

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

Section: Pressure Soresmentioning

confidence: 99%

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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“…Consideram-se de alto risco para LP os pacientes que apresentem múltiplos fatores que afetem: condições mecânicas, como pontos de aumento da pressão na pele, fricção ou cisalhamento e fatores relacionados às características morfológica e fisiológica dos tecidos, como no paciente idoso 1, 10,12,19,20 .…”

Section: Conhecer O Risco De Lesão Por Pressãounclassified

“…• Está indicada dieta hiperproteica para os pacientes com risco de LP e hiperproteica, rica em nutrientes específicos, como arginina, prolina, zinco, vitamina C e antioxidantes, para LP instalada. Essa dieta pode ser ofertada pela via oral, na forma de suplemento nutricional oral, ou por meio da dieta enteral 11,12,[19][20][21][22][30][31][32][33]72 ;…”

Section: Abordagem Práticaunclassified

Campanha Diga Não à Lesão por Pressão

Machado¹,

Piovacari²,

Ferrer³

et al. 2020

Braspen J

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Pressure ulcer (PU) can be classified according to tissue impairment, etiology, healing time and tissue characteristics. Currently, it is the third type of adverse event most reported by the patient safety centers of health services in the country, according to the National Report of Incidents Related to Health Care. The classification and the identification of risk factors are essential for implementation of preventive and therapeutic actions in susceptible patients. Nutritional status is a fundamental piece for the prevention and development of PU, making it essential to integrate the interdisciplinary team in the prevention and treatment of PU, with a focus on quality, safety and patient experience. In this sense, the objective of this campaign is to disseminate knowledge, providing technical support for patient care and reducing PU rates. A mnemonic was developed with the word “CICATRIZATION”, in which each letter proposes steps that help in the identification of risk, assessment, treatment and monitoring of PU. Thus, the sequence of 12 steps established in this campaign is suggested as a measure to assist health professionals in this management

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Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients with Hip Fractures

Cited by 11 publications

References 17 publications

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

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

Orthogeriatric Care: Reviewing Improvements in Outcomes

Campanha Diga Não à Lesão por Pressão

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