The Influence of Cognitive Function on Outcome After a Hip Fracture

Abstract

The systematic use of the Short Portable Mental Status Questionnaire upon admission to the orthopaedic ward identifies patients with a hip fracture who have severe cognitive dysfunction and effectively predicts their outcome with regard to the ability to walk, ability to perform the activities of daily living, and mortality, and it can be recommended for use in the care of elderly patients with a hip fracture.

An updated systematic review of Health State Utility Values for osteoporosis related conditions

“…This is suggestive of recall bias; however, subsequent values for these studies are also higher than those from Czoski-Murray et al [10] implying possible differences in study population. Retro- spective prefracture values and postfracture values for Soderqvist et al [19] are closer to those found in CzoskiMurray et al [10] None of the three studies with prefracture utility values suggest a return to full prefracture health at final follow-up. Most values suggest a nonlinear recovery process.…”

“…The results from Borgstrom et al [44], Tidermark et al [17], and Blomfeldt et al [14] are from Sweden and give higher values both pre-and post-hip fracture than those from Soderqvist et al [19] (also from Sweden) or CzoskiMurray et al [10] for the UK. Values for 12 and 24 months in Czoski-Murray et al [10] are considerably higher if only those with full data are considered, but lower when multiple imputation of missing values is used.…”

“…"Index to Theses" and "ISI Proceedings" were searched from 2003 to 2007 (on 19 July 2007) to identify abstracts and conference abstracts 2 . Reference lists of relevant studies were checked to pick up studies that were not identified by the electronic search.…”

“…An estimate of the QALY loss for the first year is derived by taking EQ-5D results from Borgstrom et al [44], Blomfeldt et al [14], Tidermark et al [17], Soderqvist et al [19], and the Czoski-Murray et al [10] full sample data, weighted both by the inverse of the variance and by sample size, and assuming a linear progression in health change between time periods (Table 2). Zethraeus [11] is not included in this estimate due to the high dropout rate of this study.…”

Morbimortalidad en Pacientes con Diagnóstico de Fractura de Cadera Atendidos en el Hospital de Especialidades José Carrasco Arteaga, 2015

“…El tratamiento tiene como objetivo recuperar el nivel de independencia y deambulación previo, la reducción quirúrgica se acompaña de una alta incidencia de complicaciones y un prolongado periodo de rehabilitación que incrementa si la resolución es tardía; se calcula que la tasa de mortalidad en un 1 año es cercana al 30 % [6,11,15]; sin embargo, sin cirugía los resultados son pobres e incapacitantes por lo que la cirugía se ha convertido en el tratamiento de elección [11,16,17].…”