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Geriatrics
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Hip Fracture in the Elderly: An Evolving Process of Care...
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Hip Fracture in the Elderly: An Evolving Process of Care for an Increasingly Frail Population

A special issue of Geriatrics (ISSN 2308-3417).

Deadline for manuscript submissions: closed (29 February 2020) | Viewed by 9862

Special Issue Editor

Dr. Paolo Mazzola

E-Mail Website
Guest Editor
1. Acute Geriatrics Unit, School of Medicine and Surgery, University of Milano–Bicocca, 20900 Monza, Italy
2. NeuroMI—Milan Center for Neuroscience, Clinical Neurosciences Research Area, 20126 Milano, Italy
Interests: frailty and hip fracture; orthogeriatric co-management; orthogeriatric models of care; preoperative assessment; hip fracture surgery; hip fracture clinical and functional outcomes; hip fracture complications in the elderly; quality of life in hip-fracture elderly patients; orthogeriatric research

Special Issue Information

Dear Colleagues,

Despite variations in the trends of hip fracture incidence and prevalence worldwide during the last decade, this event still represents a major issue for elderly subjects’ health. Hip fracture occurrence increases significantly older adults’ risk of death in the following years, with several risk factors that are still being investigated. On the other hand, potentially protective factors are emerging in regard to primary and secondary prevention. However, hip fracture is often a “crossroads” for survival and quality of life in the geriatric population, especially for those affected by multiple comorbid conditions, frailty, and other geriatric syndromes.

The scope of this Special Issue is to gather quality research about hip fracture care, treatment, perioperative assessment, and outcomes, with a focus on elderly patients, especially those affected by comorbidities, frailty, and geriatric syndromes. Particular interest will be devoted to interdisciplinary research, aimed at improving the care process with a rational allocation of local resources, in the context of progressive aging that the world is facing. Case reports or case series of particular interest will also be considered for publication.

Dr. Paolo Mazzola
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Geriatrics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hip fracture in frail elderly
  • epidemiology
  • hip fracture in the world
  • risk factors
  • orthogeriatric co-management
  • orthogeriatric models of care
  • asessment of geriatric patients experiencing hip fracture
  • surgical treatment of hip fracture
  • complications in the elderly with hip fracture
  • perioperative care
  • treatment outcomes
  • quality of life after hip fracture
  • orthogeriatric research
  • innovation in hip fracture care

Published Papers (3 papers)

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Research

9 pages, 226 KiB  
Article
Instrumental Activities of Daily Living—A Good Tool to Prospectively Assess Disability after a Second Contralateral Hip Fracture?
by Emilija Dubljanin Raspopovic, Ljiljana Marković Denić, Sanja Tomanović Vujadinović, Marko Kadija, Una Nedeljković, Nela Ilić and Darko Milovanović
Geriatrics 2020, 5(4), 67; https://doi.org/10.3390/geriatrics5040067 - 29 Sep 2020
Cited by 1 | Viewed by 1718
Abstract
The aim of this study was to determine the outcome for patients who sustain a second hip fracture compared with those who sustain a first fracture, and to define the optimal measure to evaluate functional outcome after second hip fracture. Methods: 343 patients [...] Read more.
The aim of this study was to determine the outcome for patients who sustain a second hip fracture compared with those who sustain a first fracture, and to define the optimal measure to evaluate functional outcome after second hip fracture. Methods: 343 patients with acute hip fractures who presented during a 12 month period were included in the study. Patients with a first (318 patients, 78.10 +/− 7.53 years) and second (25 patients, 78.96 +/− 6.02) hip fracture were compared regarding all baseline variables. Regression analysis was also performed to assess the independent relationship between the presence of a second hip fracture and observed outcome variables at discharge (physical disability, complications, length of stay, and mortality) and one-year after surgery (physical disability and mortality). Results: Disability when performing instrumentalized activities of daily living (IADL) at one-year follow-up is independently related to the presence of a second hip fracture. There were no other statistically significant relationships between the presence of a second hip fracture and other observed outcome variables. Conclusions: Patients with a second hip fracture showed worse functional outcome at one-year follow-up when measured with the IADL scale. No increased short-nor long-term mortality rates were found in patients with a secondary hip fracture. IADL is a good tool to assess disability after a second hip fracture and could be thus a more reliable outcome measure when investigating differences in functional recovery in patients with a second hip fracture compared to conventionally used ADL scales. Full article
(This article belongs to the Special Issue Hip Fracture in the Elderly: An Evolving Process of Care for an Increasingly Frail Population)
12 pages, 234 KiB  
Article
Cognitive Status and Outcomes of Older People in Orthopedic Rehabilitation? A Retrospective-Cohort Study
by Carissa Bernal Carrillo, Christopher Barr and Stacey George
Geriatrics 2020, 5(1), 14; https://doi.org/10.3390/geriatrics5010014 - 02 Mar 2020
Cited by 7 | Viewed by 3779
Abstract
Background: Cognitive function of older people is not routinely assessed in orthopedic rehabilitation, after elective and non-elective surgery. The aim of this study was to assess cognitive impairment and its impact on both length of stay and functional outcomes, of older people admitted [...] Read more.
Background: Cognitive function of older people is not routinely assessed in orthopedic rehabilitation, after elective and non-elective surgery. The aim of this study was to assess cognitive impairment and its impact on both length of stay and functional outcomes, of older people admitted to orthopedic rehabilitation. Methods: Retrospective audit, inclusion criteria: aged >65 years, orthopedic diagnosis, discharged from hospital. Results: 116 files were audited, mean age of 82.3 (SD = 7.5) years. Diagnostic groups: fractured neck of femur, (n = 44, 37.98%); elective surgery (n = 42, 36.21%); and other orthopedic conditions (n = 30, 25.86%). Overall 71.55% (n = 83) had cognitive impairment, with a median of mild cognitive impairment across all diagnoses. Both measures of cognition (MoCA/FIM Cognitive) were significantly associated with length of stay (p < 0.01), function (p < 0.05), and discharge destination (p = 0.01). Conclusions: A high percentage of older orthopedic patients in rehabilitation with both elective and non-elective diagnoses have cognitive impairment. Cognitive screening is recommended for all older orthopedic patients in rehabilitation, to inform an individualized rehabilitation plan to improve outcomes and length of stay. Further research is required to explore cognitive strategies to maximize rehabilitation outcomes in the geriatric orthopedic population. Full article
(This article belongs to the Special Issue Hip Fracture in the Elderly: An Evolving Process of Care for an Increasingly Frail Population)
7 pages, 199 KiB  
Article
Simultaneous Hip and Distal Radius Fractures—Does It Make a Difference with Respect to Rehabilitation?
by Emilija Dubljanin-Raspopović, Marković-Denić Lj, Marko Kadija, Sanja Tomanović Vujadinović, Goran Tulić, Ivan Selaković and Milica Aleksić
Geriatrics 2019, 4(4), 66; https://doi.org/10.3390/geriatrics4040066 - 28 Nov 2019
Cited by 3 | Viewed by 3907
Abstract
Introduction: A minority of patients with hip fractures sustain concomitant wrist fractures. Little is known about the rehabilitation outcome in this group of patients. Aim of study: Prospective investigation of functional outcome and survival in patients with combined hip and wrist fractures compared [...] Read more.
Introduction: A minority of patients with hip fractures sustain concomitant wrist fractures. Little is known about the rehabilitation outcome in this group of patients. Aim of study: Prospective investigation of functional outcome and survival in patients with combined hip and wrist fractures compared with patients who sustain an isolated hip fracture. Methods: 341 patients who presented with an acute hip fracture during a 12 month period were included in the study. Outcome at discharge and 4 months follow-up was compared between patients with isolated hip fractures and those patients who sustained simultaneous distal wrist fractures. Results: The actual incidence of concurrent hip and wrist fractures in our cohort was 4.7%. Patients who sustained a concurrent hip and wrist fracture showed no differences regarding short- and long-term functional outcome and survival. Conclusion: Our results imply that patients with simultaneous hip and wrist fractures have no difference in rehabilitative outcome. Future studies should further investigate the distinctive characteristics of this patient subgroup. Full article
(This article belongs to the Special Issue Hip Fracture in the Elderly: An Evolving Process of Care for an Increasingly Frail Population)
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