The long-term postoperative trajectory of geriatric patients admitted for a hip fracture: A prospective observational cohort study

Beauchamp-Chalifour, Philippe; Belzile, Étienne L.; Racine, Louis-Charles; Nolet, Marie-Pier; Lemire, Stéphane; Jean, Sonia; Pelet, Stéphane

doi:10.1016/j.otsr.2019.11.017

Cited by 20 publications

(6 citation statements)

References 9 publications

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“…Although all patients with unstable ITF were given anticoagulant prophylaxis from the first day of hospitalization and anticoagulant maintenance and anti-embolic stockings were used for 30 days after discharge, deep vein thrombosis was more common in the group undergoing PFN surgery. Studies in the literature that show that prolonged immobilization increases deep vein thrombosis support our results [22].…”

Section: Discussionsupporting

confidence: 91%

Comparison of long-stemmed cementless hemiarthroplasty with proximal femur nail in unstable intertrochanteric femur fractures over 85 years of age

Dağtaş¹,

Ünal²

2020

Journal of Surgery and Medicine

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Section: Discussionsupporting

confidence: 91%

Comparison of long-stemmed cementless hemiarthroplasty with proximal femur nail in unstable intertrochanteric femur fractures over 85 years of age

Dağtaş¹,

Ünal²

2020

Journal of Surgery and Medicine

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“…Hence, only one of them was included 39 . Another five studies (four identified from databases 44–47 and one through hand searching 48 ) were also excluded because the authors did not respond to queries such as when malnutrition was diagnosed or the type of nutrition assessment tool used. In addition, studies (n = 3) that used the Academy/ASPEN criteria 54,55 and the GLIM 37 were excluded because malnutrition was not diagnosed within 48 h of hospital admission.…”

Section: Resultsmentioning

confidence: 99%

“…Reviews were deemed relevant if they reported the prevalence of malnutrition and its associations in hip fracture patients, but these reviews included studies that used nonestablished nutrition assessment tools. Where studies needed further clarity on whether it meets the inclusion criteria (ie, type of nutrition assessment tool used, if the diagnosis of malnutrition in patients was conducted within 48 h of hospital admission, and if patients were identical between studies), authors were contacted to minimize the unnecessary exclusion of studies 33–48 . Studies were excluded from our review if the authors did not respond.…”

Section: Methodsmentioning

confidence: 99%

A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes

Foo

Wong

Lew

2021

J Parenter Enteral Nutr

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Background Malnutrition is associated with poorer outcomes in hospitalized patients. However, in hip fracture patients, the associations between malnutrition and poorer outcomes are unclear because of the use of nonestablished nutrition assessment tools in previous studies that may have some degree of misclassification bias. Therefore, this review aims to determine (1) the prevalence of malnutrition diagnosed in hospitalized hip fracture patients using established nutrition assessment tools and (2) the outcomes associated with malnutrition given some of the nonestablished nutrition assessment tools used in previous studies. Methods Four electronic databases were used. Studies that used established nutrition assessment tools to diagnose malnutrition in hip fracture patients within 48 h of hospital admission were included. Results Nine studies were included (n = 1665). Patients’ mean age ranged from 79.9 to 86.1 years. Eight studies reported the frequencies of each sex, and for females, it ranged from 70% to 81.8%. The prevalence of malnutrition was 4.0% to 39.4%. Malnutrition was independently associated with (1) increased mortality and (2) functional dependence. There was also a trend towards more supported living arrangements and impaired mobility in the longer term. Malnutrition was not associated with (1) hospital length of stay, (2) hospital readmissions, and (3) incidence of complications. Conclusion The prevalence of malnutrition in hip fracture patients is highly variable and is associated with poorer outcomes. Therefore, identifying malnourished hip fracture patients using established nutrition assessment tools is important, and adequate resources can be allocated to prevent malnutrition through early screening and intervention.

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“…Patients following trajectory 1 were younger while those in trajectory 5 had lower MNA scores. Delay between discharge from the attending staff and true departure from the hospital was associated with low MNA scores, low MMSE scores and with the need for a rehabilitation centre (trajectory 3) [79]. Early assessment of nutritional status and early intervention are important for successful postoperative rehabilitation.…”

Section: Malnutritionmentioning

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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The long-term postoperative trajectory of geriatric patients admitted for a hip fracture: A prospective observational cohort study

Cited by 20 publications

References 9 publications

Comparison of long-stemmed cementless hemiarthroplasty with proximal femur nail in unstable intertrochanteric femur fractures over 85 years of age

Comparison of long-stemmed cementless hemiarthroplasty with proximal femur nail in unstable intertrochanteric femur fractures over 85 years of age

A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes

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

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