Latest & greatest articles for hip fracture

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Top results for hip fracture

1. Excess mortality following hip fracture in patients with diabetes according to age: a nationwide population-based cohort study of 154,047 hip fracture patients

Excess mortality following hip fracture in patients with diabetes according to age: a nationwide population-based cohort study of 154,047 hip fracture patients to test the hypothesis that excess mortality conferred by diabetes following hip fracture decreases with advancing age.a nationwide population-based cohort study including 154,047 patients who were admitted with a hip fracture in Denmark from 1996 to 2012. Information on hip fracture diagnosis, diabetes, other comorbidities (...) (1.02-1.16) for patients ≥90 years. There was a statistically significant interaction between diabetes and age (P < 0.001).diabetes is associated with excess mortality following hip fracture across all ages, but the excess mortality decreases with advancing age.© The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

2019 EvidenceUpdates

2. Chemical thromboprophylaxis after hip fracture surgery

Chemical thromboprophylaxis after hip fracture surgery Rapid Review 1 Chemical thromboprophylaxis after hip fracture surgery Citation Yap G., Joseph C. & Melder A. 2018. Chemical thromboprophylaxis after hip fracture surgery: Rapid Literature Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Contact cce@monashhealth.org Background Few studies are available in the literature reporting on the prevention of venous thromboembolism in patients with a hip fracture (...) compared to those with hip arthroplasty [2] . The Director of Orthopaedic Surgery requested a review of the evidence around the most suitable chemical thromboprophylaxis for patients who have undergone hip surgery. Objectives To determine the recommended chemical thromboprophylaxis (choice, dose and duration) for patients after hip fracture surgery in the prevention of venous thromboembolism (VTE); and improvement outcomes related to deep vein thrombosis (DVT), pulmonary embolism (PE), bleeding

2019 Monash Health Evidence Reviews

3. Pre-operative administration of tranexamic acid in hip fracture surgery

Pre-operative administration of tranexamic acid in hip fracture surgery Rapid Literature Review 1 Pre-operative administration of tranexamic acid in hip fracture surgery Citation Yap G. & Melder A. 2018. Pre-operative administration of tranexamic acid in hip fracture surgery: Rapid Literature Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Email: CCE@monashhealth.org Background The use of Tranexamic acid (TXA) as an antifibrinolytic agent is established (...) in reducing peri- and postoperative blood loss in surgery [1] . As the fibrinolytic system is activated after the injury and continues to increase during surgery, blood loss in interchochanteric fractures is substantially greater than that in elective total hip arthroplasties. Therefore, it is important to evaluate the safety and effectiveness of TXA in hip fractures [1] . The CCE was requested to undertake a review of the evidence around the safety and efficacy of pre-operative administration

2019 Monash Health Evidence Reviews

4. Effectiveness of Supervised Home-Based Exercise Therapy Compared to a Control Intervention on Functions, Activities, and Participation in Older Patients After Hip Fracture: A Systematic Review and Meta-analysis

Effectiveness of Supervised Home-Based Exercise Therapy Compared to a Control Intervention on Functions, Activities, and Participation in Older Patients After Hip Fracture: A Systematic Review and Meta-analysis The aim of this review was to investigate whether supervised home-based exercise therapy after hospitalization is more effective on improving functions, activities, and participation in older patients after hip fracture than a control intervention (including usual care). Furthermore, we (...) (instrumental) ADL and short-term effects on balance, endurance, and mobility. Conflicting evidence was found for strength, long-term balance, short-term gait (comfortable), long-term self-reported ADL, and long-term mobility.Research findings show no evidence in favor of home-based exercise therapy after hip fracture for most outcomes of functions, activities, and participation. However, trials in this field have low therapeutic validity (absence of rationale for content and intensity and reporting

2019 EvidenceUpdates

5. Local nerve blocks can improve outcomes for people with hip fracture

Local nerve blocks can improve outcomes for people with hip fracture Local nerve blocks can improve outcomes for people with hip fracture Discover Portal Discover Portal Local nerve blocks can improve outcomes for people with hip fracture Published on 26 September 2017 doi: Local nerve blocks around the time of hip fracture surgery reduced pain on movement within 30 minutes of injection. People had less need for opioid pain-relief and were quicker to mobilise after surgery. Also, one case (...) of pneumonia was prevented for every seven people given pain relief using a nerve block. By injecting local anaesthetics close to the nerves to relieve pain after a hip fracture, it is hoped that the need for opioids can be reduced and people might recover more quickly. Nerve blocks are not standard in UK hospitals for this. This updated Cochrane review identified 31 trials providing moderate to high-quality evidence. The benefits were small but could make a meaningful difference to the patient’s

2019 NIHR Dissemination Centre

6. Comprehensive assessment may reduce risk of delirium after hip fracture

Comprehensive assessment may reduce risk of delirium after hip fracture Comprehensive assessment may reduce risk of delirium after hip fracture Discover Portal Discover Portal Comprehensive assessment may reduce risk of delirium after hip fracture Published on 29 August 2017 doi: Comprehensive geriatric assessment reduced the risk of delirium by 20% in patients having hip fracture surgery. Forty-three percent developed delirium on average compared with 53% who didn’t receive these assessments (...) . The assessment of the older persons’ medical condition was typically undertaken by a team of healthcare professionals who assessed functional ability, living circumstances and risk factors in order to develop a tailored plan for prevention and treatment of delirium after surgery. This review identified four trials in people having surgery for hip fracture. Two assessed teams where geriatricians visited patients on orthopaedic wards. The other trials reported ward assessments where patients were already being

2019 NIHR Dissemination Centre

7. Specialist hip fracture services linked to fewer deaths in South Central region

Specialist hip fracture services linked to fewer deaths in South Central region Specialist hip fracture services linked to fewer deaths in South Central region Discover Portal Discover Portal Specialist hip fracture services linked to fewer deaths in South Central region Published on 31 January 2017 doi: Following a hip fracture, nurse-led fracture liaison services or specialist consultant (orthogeriatrician) input both reduce deaths. They did not reduce the small number of people having (...) a second hip fracture within two years of the first. Both models of care were cost effective, although the orthogeriatric model was favoured. Despite national guidance recommending both use of a fracture liaison service and orthogeriatric model of care, variation exists and some hospitals have neither. This NIHR-funded study analysed linked patient records in a time series analysis conducted in the South Central region of England. It looked at the impact over time of each model. It included people over

2019 NIHR Dissemination Centre

8. Development and Validation of a Simple Hip Fracture Risk Prediction Tool for Type 2 Diabetes: The Fremantle Diabetes Study Phase I

Development and Validation of a Simple Hip Fracture Risk Prediction Tool for Type 2 Diabetes: The Fremantle Diabetes Study Phase I To develop a type 2 diabetes hip fracture risk tool in community-based patients, to validate it in an independent cohort, and to compare its performance against the only published prediction equation to include type 2 diabetes as a risk factor (QFracture).Hip fracture hospitalizations in 1,251 participants with type 2 diabetes aged 40-89 years from the longitudinal (...) Fremantle Diabetes Study Phase I (FDS1) were ascertained between entry (1993-1996) and end-2012. Competing risk regression modeling determined independent predictors of time to first fracture over 10 years and the coefficients incorporated in a risk model. The model was validated in 286 participants with type 2 diabetes from the Busselton Health Study (BHS).Fifty FDS1 participants (4.0%) experienced a first hip fracture during 10,306 person-years of follow-up. Independent predictors of fracture were

2019 EvidenceUpdates

9. The frequency of radiographically occult operative hip fracture: a systematic review and meta-analysis

The frequency of radiographically occult operative hip fracture: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

10. Time-to-surgery following hip fracture - would a 24-hour target improve outcomes? A systematic review and meta-analysis

Time-to-surgery following hip fracture - would a 24-hour target improve outcomes? A systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

11. The impact of frailty on adverse outcomes in older adults with hip fractures: a systematic review and meta-analysis

The impact of frailty on adverse outcomes in older adults with hip fractures: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated

2019 PROSPERO

12. The risk of peri-prosthetic femoral shaft fractures in proximal femoral nails and Gamma nails compared with sliding/dynamic hip screw in intertrochanteric femoral fractures - a systematic review

The risk of peri-prosthetic femoral shaft fractures in proximal femoral nails and Gamma nails compared with sliding/dynamic hip screw in intertrochanteric femoral fractures - a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears

2019 PROSPERO

13. Major osteoporotic fracture to hip fracture incidence rate ratios: a systematic review of observational studies

Major osteoporotic fracture to hip fracture incidence rate ratios: a systematic review of observational studies Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

14. Association of iron supplementation with risk of transfusion, hospital length of stay and mortality in geriatric patients with hip fracture: a meta-analysis

Association of iron supplementation with risk of transfusion, hospital length of stay and mortality in geriatric patients with hip fracture: a meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO

15. How Effective Is a Regional Nerve Block for Treating Pain Associated With Hip Fractures?

How Effective Is a Regional Nerve Block for Treating Pain Associated With Hip Fractures? TAKE-HOME MESSAGE Regional nerve blockade reduces pain on movement, risk of pneumonia, and time to ?rst mobilization among patients with hip fractures with no major complications. How Effective Is a Regional Nerve Block for Treating Pain Associated With Hip Fractures? EBEM Commentators Michael Gottlieb, MD, RDMS Nicholas Chien, MD Thomas Seagraves, MD Department of Emergency Medicine Rush University Medical (...) independently assessed potentially eligible randomized controlled trials for inclusion. Disagreements were resolved by discussion between the 2 reviewers. DATA EXTRACTION AND SYNTHESIS Two authors independently extracted data and resolved PAIN MANAGEMENT AND SEDATION/SYSTEMATIC REVIEW SNAPSHOT 378 Annals of Emergency Medicine Volume 71, no. 3 : March 2018at overall low or moderate risk of bias. Commentary Hip fractures are a common emer- gency department (ED) presenta- tion,withmorethan300,000visits

2018 Annals of Emergency Medicine Systematic Review Snapshots

16. Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents

Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents To examine the association between central nervous system (CNS) medication dosage burden and risk of serious falls, including hip fractures, in individuals with a history of a recent fall.Nested case-control study.Veterans Health Administration (VHA) Community Living Centers (CLCs).CLC residents aged 65 and older with a history of a fall or hip fracture (...) , and the outcome of recurrent serious falls.More cases (44.3%) than controls (35.8%) received 3.0 or more CNS SDDs (p = .02). Risk of serious falls was greater in residents with 3.0 or more SDDs than in those with 0 (adjusted odds ratio (aOR)=1.49, 95% confidence interval (CI)=1.03-2.14). Those with 1.0 to 2.9 SDDs had a risk similar to that of those with 0 SDDs (aOR=1.03, 95%CI=0.72-1.48).Nursing home residents with a history of a fall or hip fracture receiving 3.0 or more CNS SDDs were more likely to have

2018 EvidenceUpdates

17. Moving Beyond Hip Fracture Risk Assessment for Patients on Dialysis (PubMed)

Moving Beyond Hip Fracture Risk Assessment for Patients on Dialysis 30450449 2018 12 07 2468-0249 3 6 2018 Nov Kidney international reports Kidney Int Rep Moving Beyond Hip Fracture Risk Assessment for Patients on Dialysis. 1253-1254 10.1016/j.ekir.2018.09.004 Nikkel Lucas E LE Penn State College of Medicine, Penn State Bone and Joint Institute, Hershey, Pennsylvania, USA. eng Editorial 2018 09 14 United States Kidney Int Rep 101684752 2468-0249 2018 11 20 6 0 2018 11 20 6 0 2018 11 20 6 1

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2018 Kidney international reports

18. Mortality effects of timing alternatives for hip fracture surgery (PubMed)

Mortality effects of timing alternatives for hip fracture surgery The appropriate timing of hip fracture surgery remains a matter of debate. We sought to estimate the effect of changes in timing policy and the proportion of deaths attributable to surgical delay.We obtained discharge abstracts from the Canadian Institute for Health Information for hip fracture surgery in Canada (excluding Quebec) between 2004 and 2012. We estimated the expected population-average risks of inpatient death within (...) 30 days if patients were surgically treated on day of admission, inpatient day 2, day 3 or after day 3. We weighted observations with the inverse propensity score of surgical timing according to confounders selected from a causal diagram.Of 139 119 medically stable patients with hip fracture who were aged 65 years or older, 32 120 (23.1%) underwent surgery on admission day, 60 505 (43.5%) on inpatient day 2, 29 236 (21.0%) on day 3 and 17 258 (12.4%) after day 3. Cumulative 30-day in-hospital

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2018 EvidenceUpdates

19. Effect of Depth of Sedation in Older Patients Undergoing Hip Fracture Repair on Postoperative Delirium: The STRIDE Randomized Clinical Trial

Effect of Depth of Sedation in Older Patients Undergoing Hip Fracture Repair on Postoperative Delirium: The STRIDE Randomized Clinical Trial Postoperative delirium is the most common complication following major surgery in older patients. Intraoperative sedation levels are a possible modifiable risk factor for postoperative delirium.To determine whether limiting sedation levels during spinal anesthesia reduces incident delirium overall.This double-blind randomized clinical trial (A Strategy (...) to Reduce the Incidence of Postoperative Delirum in Elderly Patients [STRIDE]) was conducted from November 18, 2011, to May 19, 2016, at a single academic medical center and included a consecutive sample of older patients (≥65 years) who were undergoing nonelective hip fracture repair with spinal anesthesia and propofol sedation. Patients were excluded for preoperative delirium or severe dementia. Of 538 hip fractures screened, 225 patients (41.8%) were eligible, 10 (1.9%) declined participation, 15

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2018 EvidenceUpdates

20. Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial

Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial This pre-planned secondary analysis of geriatric interdisciplinary home rehabilitation, which was initially found to shorten the postoperative length of stay in hospital for older individuals following hip fracture, investigated whether such rehabilitation reduced the numbers of complications, readmissions, and total days spent in hospital after (...) discharge during a 12-month follow-up period compared with conventional geriatric care and rehabilitation.Randomized controlled trial.Geriatric department, participants' residential care facilities, and ordinary housing.Individuals aged ⩾70 years with acute hip fracture ( n = 205) were included.Geriatric interdisciplinary home rehabilitation was individually designed and aimed at early discharge with the intention to prevent, detect, and treat complications after discharge.Complications, readmissions

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2018 EvidenceUpdates