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. Effectiveness of rehabilitation interventions in reducing depressive symptoms after hip fracture

Effectiveness of rehabilitation interventions in reducing depressive symptoms after hip fracture 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 or external

2019 PROSPERO

16. Patient, system and environmental factors of depression after hip-fracture: a systematic review

Patient, system and environmental factors of depression after hip-fracture: 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 no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

17. Preoperative skin traction for hip fractures: a systematic review and meta-analysis

Preoperative skin traction for 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 files or external websites. Email

2019 PROSPERO

18. Preoperative interventions for the prevention of delirium in hip fracture patients: a systematic review

Preoperative interventions for the prevention of delirium in hip fracture patients: 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 no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

19. 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

20. 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