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Length of hospital stay following hip fracture and risk of 30 and 90 day mortality in a United Kingdom cohort / Hassaan Q. Sheikh in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Length of hospital stay following hip fracture and risk of 30 and 90 day mortality in a United Kingdom cohort Type de document : texte imprimé Auteurs : Hassaan Q. Sheikh ; Amro Alnahhal ; Adeel Aquil Année de publication : 2021 Article en page(s) : p. 607-617 Note générale : https://doi.org/10.52628/87.4.05 Langues : Anglais (eng) Mots-clés : length of stay hip fracture proximal femur fracture epidemiology mortality Résumé : A recent study identified a length of stay (LOS) of 10 days or less following hip fracture is associated with increased risk of 30-day mortality. This effect has not been previously studied for 90-day mortality or in the United Kingdom (UK). Our aim was to investigate the effect of LOS on 30-day and 90-day mortality following hip fracture in a UK population. In this single-centre study, we retrospectively identified consecutive patients with a hip fracture from the National Hip Fracture Database over 3 years. We excluded patients who died as inpatient during their index admission. The main end-points were 30-day and 90-day mortalities and risk factors for these were examined using stepwise univariate and multivariate Cox regression analyses. Of 1228 patients, mortality at 30-days was 1.2% (15 patients) and 7.8% (96 patients) at 90-days. Mean LOS was 24 days and a total of 206 patients had a LOS of 10 days or less. Following cariate analysis, the highest risk factor for 30-day mortality was a LOS of 10 days or less with a hazard ratio of 7.26 (95% confidence interval 2.56-20.51). Other risk factors for 30-day mortality included increasing age, male gender and chest infection. A LOS of 10 days or less was not associated with increased mortality at 90-days. A short LOS was associated with higher risk of early mortality. We recommend that hip fracture patients be fully rehabilitated prior to discharge to reduce the risk of early mortality. Permalink : ./index.php?lvl=notice_display&id=102010
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 607-617[article] Length of hospital stay following hip fracture and risk of 30 and 90 day mortality in a United Kingdom cohort [texte imprimé] / Hassaan Q. Sheikh ; Amro Alnahhal ; Adeel Aquil . - 2021 . - p. 607-617.
https://doi.org/10.52628/87.4.05
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 607-617
Mots-clés : length of stay hip fracture proximal femur fracture epidemiology mortality Résumé : A recent study identified a length of stay (LOS) of 10 days or less following hip fracture is associated with increased risk of 30-day mortality. This effect has not been previously studied for 90-day mortality or in the United Kingdom (UK). Our aim was to investigate the effect of LOS on 30-day and 90-day mortality following hip fracture in a UK population. In this single-centre study, we retrospectively identified consecutive patients with a hip fracture from the National Hip Fracture Database over 3 years. We excluded patients who died as inpatient during their index admission. The main end-points were 30-day and 90-day mortalities and risk factors for these were examined using stepwise univariate and multivariate Cox regression analyses. Of 1228 patients, mortality at 30-days was 1.2% (15 patients) and 7.8% (96 patients) at 90-days. Mean LOS was 24 days and a total of 206 patients had a LOS of 10 days or less. Following cariate analysis, the highest risk factor for 30-day mortality was a LOS of 10 days or less with a hazard ratio of 7.26 (95% confidence interval 2.56-20.51). Other risk factors for 30-day mortality included increasing age, male gender and chest infection. A LOS of 10 days or less was not associated with increased mortality at 90-days. A short LOS was associated with higher risk of early mortality. We recommend that hip fracture patients be fully rehabilitated prior to discharge to reduce the risk of early mortality. Permalink : ./index.php?lvl=notice_display&id=102010 Réservation
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DisponibleReasons for readmission to hospital after hip fracture: Implications for occupational therapy / Kylee J. Lockwood in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)
[article]
Titre : Reasons for readmission to hospital after hip fracture: Implications for occupational therapy Type de document : texte imprimé Auteurs : Kylee J. Lockwood ; Katherine E. Harding ; Jude N. Boyd ; Nicholas F. Taylor Année de publication : 2018 Article en page(s) : p. 247-254 Langues : Anglais (eng) Mots-clés : Occupational therapy readmission hip fracture home visit falls discharge planning Résumé : Introduction
The aim of this study was to determine the rate of readmission to hospital after hip fracture. The relationship between readmission to hospital and a range of social and functional variables, including receiving a home visit by an occupational therapist prior to discharge from hospital, was explored.
Method
A retrospective cohort study was conducted of 154 patients returning to community living following hip fracture. Multivariate logistic regression identified variables associated with risk of readmission to hospital.
Results
One in three patients was readmitted to hospital within 12 months after discharge, with 7% readmitted within 30 days. The most common reason for readmission was another fall. A low level of mobility prior to hip fracture was the strongest independent predictor of risk of readmission to hospital. There was no association between receiving a pre-discharge home visit by an occupational therapist and risk of readmission to hospital.
Conclusion
Rates of readmission to hospital are high after hip fracture, and falls are the single most common reason for readmission. Interventions provided by occupational therapists, including home visits, should emphasise and incorporate evidence-based falls prevention strategies.Permalink : ./index.php?lvl=notice_display&id=80078
in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 247-254[article] Reasons for readmission to hospital after hip fracture: Implications for occupational therapy [texte imprimé] / Kylee J. Lockwood ; Katherine E. Harding ; Jude N. Boyd ; Nicholas F. Taylor . - 2018 . - p. 247-254.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 247-254
Mots-clés : Occupational therapy readmission hip fracture home visit falls discharge planning Résumé : Introduction
The aim of this study was to determine the rate of readmission to hospital after hip fracture. The relationship between readmission to hospital and a range of social and functional variables, including receiving a home visit by an occupational therapist prior to discharge from hospital, was explored.
Method
A retrospective cohort study was conducted of 154 patients returning to community living following hip fracture. Multivariate logistic regression identified variables associated with risk of readmission to hospital.
Results
One in three patients was readmitted to hospital within 12 months after discharge, with 7% readmitted within 30 days. The most common reason for readmission was another fall. A low level of mobility prior to hip fracture was the strongest independent predictor of risk of readmission to hospital. There was no association between receiving a pre-discharge home visit by an occupational therapist and risk of readmission to hospital.
Conclusion
Rates of readmission to hospital are high after hip fracture, and falls are the single most common reason for readmission. Interventions provided by occupational therapists, including home visits, should emphasise and incorporate evidence-based falls prevention strategies.Permalink : ./index.php?lvl=notice_display&id=80078 Exemplaires (1)
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Exclu du prêtUse of Calscan for improving osteoporosis care in the older patient admitted with hip fracture / Gijs De Klerk in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Use of Calscan for improving osteoporosis care in the older patient admitted with hip fracture Type de document : texte imprimé Auteurs : Gijs De Klerk, Auteur ; J. Han Hegeman, Auteur ; Detlef Van Der Velde, Auteur Année de publication : 2015 Article en page(s) : p. 23-29 Langues : Français (fre) Mots-clés : Calscan Dual x-ray absorptiometry Osteoporosis Hip fracture Résumé : To determine whether bone mineral density measurement using the Calscan successfully predicts the Actual bone mineral density, as measured by dualenergy X-ray absorptiometry. We included all patients = 65 years with a hip fracture screened on osteoporosis by both dual-energy X-ray absorptiometry and the Calscan during the period April 2008 to April 2011. The bone mineral density was expressed as a T-score. For the Calscan T-score, thresholds were defined such that patients with and without osteoporosis could be identified with 90% certainty. Patients with a Calscan T-score above the upper threshold were considered to be non-osteoporotic and those with a Calscan T-score below the lower threshold considered osteoporotic. Patients whose Calscan T-score lay between the two thresholds could only be classified by means of DXA. The correlation between dual-energy X-ray absorptiometry and the Calscan was 0.61. The Calscan identified approximately 25% of patients as osteoporotic and 25% as non-osteoporotic. The upper threshold was found to be -1.8SD and the lower threshold -3.5SD. Osteoporosis screening by dual-energy X-ray absorptiometry had been carried out in 44% of patients. This percentage could theoretically rise to > 70% if the Calscan is implemented in osteoporosis screening, while costs of such screening appear to be lower, as long as a sufficient number of patients are screened. Permalink : ./index.php?lvl=notice_display&id=35993
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 23-29[article] Use of Calscan for improving osteoporosis care in the older patient admitted with hip fracture [texte imprimé] / Gijs De Klerk, Auteur ; J. Han Hegeman, Auteur ; Detlef Van Der Velde, Auteur . - 2015 . - p. 23-29.
Langues : Français (fre)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 23-29
Mots-clés : Calscan Dual x-ray absorptiometry Osteoporosis Hip fracture Résumé : To determine whether bone mineral density measurement using the Calscan successfully predicts the Actual bone mineral density, as measured by dualenergy X-ray absorptiometry. We included all patients = 65 years with a hip fracture screened on osteoporosis by both dual-energy X-ray absorptiometry and the Calscan during the period April 2008 to April 2011. The bone mineral density was expressed as a T-score. For the Calscan T-score, thresholds were defined such that patients with and without osteoporosis could be identified with 90% certainty. Patients with a Calscan T-score above the upper threshold were considered to be non-osteoporotic and those with a Calscan T-score below the lower threshold considered osteoporotic. Patients whose Calscan T-score lay between the two thresholds could only be classified by means of DXA. The correlation between dual-energy X-ray absorptiometry and the Calscan was 0.61. The Calscan identified approximately 25% of patients as osteoporotic and 25% as non-osteoporotic. The upper threshold was found to be -1.8SD and the lower threshold -3.5SD. Osteoporosis screening by dual-energy X-ray absorptiometry had been carried out in 44% of patients. This percentage could theoretically rise to > 70% if the Calscan is implemented in osteoporosis screening, while costs of such screening appear to be lower, as long as a sufficient number of patients are screened. Permalink : ./index.php?lvl=notice_display&id=35993 Exemplaires (1)
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Exclu du prêtDifferential diagnosis of acute traumatic hip pain in the elderly / Matthew Hampton in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Differential diagnosis of acute traumatic hip pain in the elderly Type de document : texte imprimé Auteurs : Matthew Hampton ; Richard Stevens ; Adrian Highland ; Richard Gibson ; Mark B. Davies Année de publication : 2021 Article en page(s) : p. 1-7 Note générale : https://doi.org/10.52628/87.1.01 Langues : Anglais (eng) Mots-clés : Hip pain hip fracture pelvic trauma MRI occult hip fracture Résumé : Elderly patients who present with an inability to weight bear following a fall, with normal radiographs, should be appropriately investigated to rule out an occult hip fracture (OHF). We aim to identify both the range and incidence of the differential diagnosis of acute traumatic hip pain in a large series of patients investigated for OHF.A retrospective analysis of consecutive patients investigated for an OHF with magnetic resonance imaging (MRI) was performed. Dedicated musculo-skeletal radiologists reported the MRI scans. All diagnoses including hip fractures, other fractures and soft tissue injuries were recorded. Case notes were reviewed for all patients to identify subsequent complications, management and outcomes. A total of 157 patients fulfilled the inclusion criteria. 52 (33%) patients had a fracture of the proximal femur. The majority of patients with proximal femoral fractures required surgical intervention. 9 patients who had fractures of the greater trochanter of the femur without fracture extension across the femoral neck were managed non-operatively.40 (25%) patients had fractures of the pelvis, with a combined pubic rami and sacral fracture occurring frequently. The most common diagnosis was a soft tissue injury alone that was seen in 60 (38%) patients imaged. Injuries to the gluteal muscle group, iliopsaos complex and trochanteric bursa were most prevalent. All patients with soft tissue injuries or fractures of the pelvis were successfully managed non-operatively. This study highlights a wide range of differential diagnoses in elderly patients presenting with acute traumatic hip pain. The proximal femur was frac-tured in 33% of patients imaged for OHFs in our series. The most common diagnosis was a soft tissue injury around the hip and pelvis ; these injuries can be successfully managed without surgery. Permalink : ./index.php?lvl=notice_display&id=96570
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 1-7[article] Differential diagnosis of acute traumatic hip pain in the elderly [texte imprimé] / Matthew Hampton ; Richard Stevens ; Adrian Highland ; Richard Gibson ; Mark B. Davies . - 2021 . - p. 1-7.
https://doi.org/10.52628/87.1.01
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 1-7
Mots-clés : Hip pain hip fracture pelvic trauma MRI occult hip fracture Résumé : Elderly patients who present with an inability to weight bear following a fall, with normal radiographs, should be appropriately investigated to rule out an occult hip fracture (OHF). We aim to identify both the range and incidence of the differential diagnosis of acute traumatic hip pain in a large series of patients investigated for OHF.A retrospective analysis of consecutive patients investigated for an OHF with magnetic resonance imaging (MRI) was performed. Dedicated musculo-skeletal radiologists reported the MRI scans. All diagnoses including hip fractures, other fractures and soft tissue injuries were recorded. Case notes were reviewed for all patients to identify subsequent complications, management and outcomes. A total of 157 patients fulfilled the inclusion criteria. 52 (33%) patients had a fracture of the proximal femur. The majority of patients with proximal femoral fractures required surgical intervention. 9 patients who had fractures of the greater trochanter of the femur without fracture extension across the femoral neck were managed non-operatively.40 (25%) patients had fractures of the pelvis, with a combined pubic rami and sacral fracture occurring frequently. The most common diagnosis was a soft tissue injury alone that was seen in 60 (38%) patients imaged. Injuries to the gluteal muscle group, iliopsaos complex and trochanteric bursa were most prevalent. All patients with soft tissue injuries or fractures of the pelvis were successfully managed non-operatively. This study highlights a wide range of differential diagnoses in elderly patients presenting with acute traumatic hip pain. The proximal femur was frac-tured in 33% of patients imaged for OHFs in our series. The most common diagnosis was a soft tissue injury around the hip and pelvis ; these injuries can be successfully managed without surgery. Permalink : ./index.php?lvl=notice_display&id=96570 Exemplaires (1)
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