Latest & greatest articles for hip fracture

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Top results for hip fracture

1. Perioperative care of patients with hip and major fragility fractures during the COVID-19 pandemic

Perioperative care of patients with hip and major fragility fractures during the COVID-19 pandemic Consensus statement on perioperative care of patients with hip and major fragility fractures — ICM Anaesthesia COVID-19 Open Menu Close Menu (accessed 8/5/20). The management of hip fracture in adults. National Institute for Health and Care Excellence Clinical Guideline Centre (CG124) 2011: Updated 2017. (accessed 8/5/20). Clinical guide for management of fragility fractures during the coronavirus

2020 ICM Anaesthesia COVID-19

2. Association of CHA2 DS2 -VASc Score with Stroke, Thromboembolism, and Death in Hip Fracture Patients

Association of CHA2 DS2 -VASc Score with Stroke, Thromboembolism, and Death in Hip Fracture Patients Association of CHA 2 DS 2 -VASc Score With Stroke, Thromboembolism, and Death in Hip Fracture Patients - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National Center (...) . 2020 Apr 15. doi: 10.1111/jgs.16452. Online ahead of print. Association of CHA 2 DS 2 -VASc Score With Stroke, Thromboembolism, and Death in Hip Fracture Patients , , , Affiliations Expand Affiliations 1 Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark. 2 Danish Center for Clinical Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark. 3 Department of Geriatrics, Aarhus University Hospital, Aarhus, Denmark. PMID: 32294240 DOI

2020 EvidenceUpdates

3. Immunosuppression and the risk of readmission and mortality in patients with rheumatoid arthritis undergoing hip fracture, abdominopelvic and cardiac surgery

Immunosuppression and the risk of readmission and mortality in patients with rheumatoid arthritis undergoing hip fracture, abdominopelvic and cardiac surgery Immunosuppression and the Risk of Readmission and Mortality in Patients With Rheumatoid Arthritis Undergoing Hip Fracture, Abdominopelvic and Cardiac Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced (...) citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation Ann Rheum Dis Actions . 2020 May;79(5):573-580. doi: 10.1136/annrheumdis-2019-216802. Epub 2020 Mar 24. Immunosuppression and the Risk of Readmission and Mortality in Patients With Rheumatoid Arthritis Undergoing Hip Fracture, Abdominopelvic and Cardiac Surgery , , , , , , , , Affiliations Expand Affiliations 1 Rheumatology and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA

2020 EvidenceUpdates

4. Elderly Adults with Isolated Hip Fractures - Orthogeriatric Care versus Standard Care

Elderly Adults with Isolated Hip Fractures - Orthogeriatric Care versus Standard Care Elderly adults with isolated hip fractures- orthogeriatric care versus standard care: Practice Management Guideline - Practice Management Guideline Search » Elderly Adults with Isolated Hip Fractures - Orthogeriatric Care versus Standard Care Published 2020 Citation: Authors Mukherjee, Kaushik MD, MSCI; Brooks, Steven E. MD; Barraco, Robert D. MD; Como, John J. MD, MPH; Hwang, Franchesca MD; Robinson, Bryce R (...) digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal’s Web site ( ). Address for reprints: Marie E. Crandall, MD, MPH, FACS, Department of Surgery, University of Florida College of Medicine Jacksonville, 655 W. 8 [th] Street, Jacksonville, FL 32209; email: . Online date: August 29, 2019 Abstract BACKGROUND : Elderly patients commonly suffer isolated hip fractures

2020 Eastern Association for the Surgery of Trauma

5. Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip: a randomized trial of 400 patients

Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip: a randomized trial of 400 patients Cemented or Uncemented Hemiarthroplasty for Displaced Intracapsular Fractures of the Hip: A Randomized Trial of 400 Patients - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced features (...) management software Create file Cancel Actions Cite Share Permalink Copy Page navigation Randomized Controlled Trial Bone Joint J Actions . 2020 Jan;102-B(1):11-16. doi: 10.1302/0301-620X.102B1.BJJ-2019-1041.R1. Cemented or Uncemented Hemiarthroplasty for Displaced Intracapsular Fractures of the Hip: A Randomized Trial of 400 Patients , Affiliations Expand Affiliations 1 Department of Orthopaedics, Peterborough City Hospital, Peterborough and Stamford Hospital NHS Foundation Trust, Peterborough, UK. 2

2020 EvidenceUpdates

6. Fascia Iliaca Block Decreases Hip Fracture Postoperative Opioid Consumption: A Prospective Randomized Controlled Trial (Abstract)

Fascia Iliaca Block Decreases Hip Fracture Postoperative Opioid Consumption: A Prospective Randomized Controlled Trial To determine the efficacy of a preoperative fascia iliaca compartment block in decreasing postoperative pain and improving functional recovery after hip fracture surgery.Randomized prospective Level 1 therapeutic.Academic Level 1 trauma center.Geriatric patients with fractures of the proximal femur (neck, intertrochanteric, or subtrochanteric regions) were prospectively (...) postoperative opioid consumption while improving patient satisfaction. We recommend the integration of this safe and efficacious modality into institutional geriatric hip fracture protocols as an adjunctive pain control strategy.Therapeutic Level II See Instructions for Authors for a complete description of levels of evidence.

2020 EvidenceUpdates

7. Nerve Blocks for Management of Pain Following Hip Fracture

Nerve Blocks for Management of Pain Following Hip Fracture Nerve Blocks for Management of Pain Following Hip Fracture | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Our Team Sections Education Alumni Research ECRC Journal Club Events Jermyn Lectures Open Search Vignette You’re moonlighting in an austere emergency department, and the night has been relatively benign except for your poor 79-year-old severely demented patient who (...) a sign of relief. But what nerve block? And will it work? You nod smartly in agreement and excuse yourself to the bathroom to check out some online resources… PICO Question Population: Elderly patients with acute hip fracture in the emergency department Intervention: Regional nerve block with any local anesthetic for analgesia (femoral nerve block, 3-in-1 nerve block, or fascia iliaca block) Comparison: Standard pain management strategy without regional nerve block Outcome: Pain scores during ED

2020 Washington University Emergency Medicine Journal Club

8. Associations of 4AT with mobility, length of stay and mortality in hospital and discharge destination among patients admitted with hip fractures Full Text available with Trip Pro

Associations of 4AT with mobility, length of stay and mortality in hospital and discharge destination among patients admitted with hip fractures Associations of 4AT With Mobility, Length of Stay and Mortality in Hospital and Discharge Destination Among Patients Admitted With Hip Fractures - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History (...) be less than 100 characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Age Ageing Actions 2019 Dec 8 [Online ahead of print] Associations of 4AT With Mobility, Length of Stay and Mortality in Hospital and Discharge Destination Among Patients Admitted With Hip Fractures , , , , , , , , , , , Affiliations Expand Affiliations

2020 EvidenceUpdates

9. Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture. (Abstract)

Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture. Globally, hip fractures are among the top 10 causes of disability in adults. For displaced femoral neck fractures, there remains uncertainty regarding the effect of a total hip arthroplasty as compared with hemiarthroplasty.We randomly assigned 1495 patients who were 50 years of age or older and had a displaced femoral neck fracture to undergo either total hip arthroplasty or hemiarthroplasty. All enrolled patients had been able (...) to ambulate without the assistance of another person before the fracture occurred. The trial was conducted in 80 centers in 10 countries. The primary end point was a secondary hip procedure within 24 months of follow-up. Secondary end points included death, serious adverse events, hip-related complications, health-related quality of life, function, and overall health end points.The primary end point occurred in 57 of 718 patients (7.9%) who were randomly assigned to total hip arthroplasty and 60 of 723

2019 NEJM

10. Effect of a Multicomponent Home-Based Physical Therapy Intervention on Ambulation After Hip Fracture in Older Adults: The CAP Randomized Clinical Trial. Full Text available with Trip Pro

Effect of a Multicomponent Home-Based Physical Therapy Intervention on Ambulation After Hip Fracture in Older Adults: The CAP Randomized Clinical Trial. Disability persists after hip fracture in older persons. Current rehabilitation may not be sufficient to restore ability to walk in the community.To compare a multicomponent home-based physical therapy intervention (training) with an active control on ability to walk in the community.Parallel, 2-group randomized clinical trial conducted at 3 US (...) clinical centers (Arcadia University, University of Connecticut Health Center, and University of Maryland, Baltimore). Randomization began on September 16, 2013, and ended on June 20, 2017; follow-up ended on October 17, 2017. Patients aged 60 years and older were enrolled after nonpathologic, minimal trauma hip fracture, if they were living in the community and walking without human assistance before the fracture, were assessed within 26 weeks of hospitalization, and were not able to walk during daily

2019 JAMA

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

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

12. Should we provide outreach rehabilitation to very old people living in Nursing Care Facilities after a hip fracture? A randomised controlled trial Full Text available with Trip Pro

Should we provide outreach rehabilitation to very old people living in Nursing Care Facilities after a hip fracture? A randomised controlled trial to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care.parallel randomised controlled trial with integrated health economic study.NCFs, in Adelaide South Australia.people aged 70 years and older who were recovering (...) from hip fracture surgery and were walking prior to hip fracture.primary outcomes: mobility (Nursing Home Life-Space Diameter (NHLSD)) and quality of life (DEMQOL) at 4 weeks and 12 months.participants were randomised to treatment (n = 121) or control (n = 119) groups. At 4 weeks, the treatment group had better mobility (NHLSD mean difference -1.9; 95% CI: -3.3, -0.57; P = 0.0055) and were more likely to be alive (log rank test P = 0.048) but there were no differences in quality of life. At 12

2019 EvidenceUpdates

13. 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

14. 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

15. Predischarge home visits after hip fracture: a randomized controlled trial (Abstract)

Predischarge home visits after hip fracture: a randomized controlled trial The objective of this study is to investigate whether home assessment visits prior to hospital discharge for patients recovering from hip fracture reduce falls and prevent hospital readmissions, within the first 30 days and six months after discharge home.A randomized controlled trial was conducted.The study setting included hospital wards and the community.The study included adults 50 years and over recovering from hip (...) independence at six months (11.2 units, 95% CI 4.2 to 18.2). There were no other between-group differences.Home assessment visits by occupational therapists prior to hospital discharge for patients recovering from hip fracture reduced the number of readmissions to hospital, increased functional independence at six months and may have reduced the risk of falls in the first 30 days after discharge.

2019 EvidenceUpdates

16. Development and Validation of a Simple Hip Fracture Risk Prediction Tool for Type 2 Diabetes: The Fremantle Diabetes Study Phase I Full Text available with Trip Pro

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

17. Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents Full Text available with Trip Pro

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

18. 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

19. Moving Beyond Hip Fracture Risk Assessment for Patients on Dialysis Full Text available with Trip Pro

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

2018 Kidney international reports

20. Effect of Depth of Sedation in Older Patients Undergoing Hip Fracture Repair on Postoperative Delirium: The STRIDE Randomized Clinical Trial Full Text available with Trip Pro

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

2018 EvidenceUpdates