Latest & greatest articles for hip fracture

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Top results for hip fracture

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

Specialist hip fracture services linked to fewer deaths in South Central region Signal - Specialist hip fracture services linked to fewer deaths in South Central region Dissemination Centre Discover Portal NIHR DC Discover Specialist hip fracture services linked to fewer deaths in South Central region Published on 31 January 2017 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

NIHR Dissemination Centre2019

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

Comprehensive assessment may reduce risk of delirium after hip fracture Signal - Comprehensive assessment may reduce risk of delirium after hip fracture Dissemination Centre Discover Portal NIHR DC Discover Comprehensive assessment may reduce risk of delirium after hip fracture Published on 29 August 2017 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

NIHR Dissemination Centre2019

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

Local nerve blocks can improve outcomes for people with hip fracture Signal - Local nerve blocks can improve outcomes for people with hip fracture Dissemination Centre Discover Portal NIHR DC Discover Local nerve blocks can improve outcomes for people with hip fracture Published on 26 September 2017 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

NIHR Dissemination Centre2019

4. 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? Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Copyright © 2018 Inc. All rights reserved. | | | | | | The content on this site is intended for health professionals. We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the . Advertisements on this site do not constitute a guarantee

Annals of Emergency Medicine Systematic Review Snapshots2018

5. 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 30306541 2018 10 11 1532-5415 2018 Oct 11 Journal of the American Geriatrics Society J Am Geriatr Soc Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents. 10.1111/jgs.15603 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 in the year before a CLC admission between July 1, 2005, and June 30, 2009. Each case (n = 316) was matched to four controls (n = 1264) on age, sex, and length of stay. Outcomes were serious falls identified using International Classification

EvidenceUpdates2018

6. Moving Beyond Hip Fracture Risk Assessment for Patients on Dialysis

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

Kidney international reports2018 Full Text: Link to full Text with Trip Pro

7. Mortality effects of timing alternatives for hip fracture surgery

Mortality effects of timing alternatives for hip fracture surgery 30087128 2018 08 14 1488-2329 190 31 2018 Aug 07 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Mortality effects of timing alternatives for hip fracture surgery. E923-E932 10.1503/cmaj.171512 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

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

8. 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 30090923 2018 08 09 2168-6262 2018 Aug 08 JAMA surgery JAMA Surg Effect of Depth of Sedation in Older Patients Undergoing Hip Fracture Repair on Postoperative Delirium: The STRIDE Randomized Clinical Trial. 10.1001/jamasurg.2018.2602 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

EvidenceUpdates2018

9. 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 30064264 2018 08 01 1477-0873 2018 Aug 01 Clinical rehabilitation Clin Rehabil Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial. 269215518791003 10.1177/0269215518791003 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

EvidenceUpdates2018

10. Hip fracture

Hip fracture Top results for hip fracture - Trip Database or use your Google+ account Turning Research Into Practice My query is: English Français Deutsch Čeština Español Magyar Svenska ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box (...) and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for hip fracture The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical

Trip Latest and Greatest2018

11. Death and Postoperative Complications After Hip Fracture Repair: Dialysis Effect

Death and Postoperative Complications After Hip Fracture Repair: Dialysis Effect 30450456 2018 12 07 2468-0249 3 6 2018 Nov Kidney international reports Kidney Int Rep Death and Postoperative Complications After Hip Fracture Repair: Dialysis Effect. 1294-1303 10.1016/j.ekir.2018.07.001 It is unknown whether patients receiving dialysis have a higher morbidity and mortality risk after hip fracture repair conferred by their kidney failure or by the high comorbidity burden often present. We (...) examined associations of dialysis dependency with postoperative complications, death, and readmission in a matched cohort study of U.S. patients undergoing hip fracture repair, from January 2010 to December 2013, in the American College of Surgeons National Surgical Quality Improvement Program. Matching included sex, age, race, diabetes mellitus, operation year, primary surgery type, and anesthesia technique. Among 22,621 patients, 377 dialysis-dependent patients were matched to 1508 nondialysis

Kidney international reports2018 Full Text: Link to full Text with Trip Pro

12. Safe working in a 7-day service. Experience of hip fracture care as documented by the UK National Hip Fracture Database

Safe working in a 7-day service. Experience of hip fracture care as documented by the UK National Hip Fracture Database 29796590 2018 05 25 1468-2834 2018 May 22 Age and ageing Age Ageing Safe working in a 7-day service. Experience of hip fracture care as documented by the UK National Hip Fracture Database. 10.1093/ageing/afy074 to describe differences in care and 30-day mortality of patients admitted with hip fracture on weekends (Saturday-Sunday) compared to weekdays (Monday-Friday (...) ), and their relationship to the organisation of care. data came from the National Hip Fracture Database (NHFD) linked to ONS mortality data on 52,599 patients presenting to 162 units in England between 1 January and 31 December 2014. This was combined with information on geriatrician staffing and major trauma centre (MTC) status. 30-day mortality and care were compared for patients admitted at weekends and weekdays; separately for patients treated in units grouped by the mean level of input by geriatricians, weekend

EvidenceUpdates2018

13. Peripheral Nerve Blocks for Hip Fractures: A Cochrane Review

Peripheral Nerve Blocks for Hip Fractures: A Cochrane Review 28991122 2018 04 19 1526-7598 126 5 2018 May Anesthesia and analgesia Anesth. Analg. Peripheral Nerve Blocks for Hip Fractures: A Cochrane Review. 1695-1704 10.1213/ANE.0000000000002489 This review focuses on the use of peripheral nerve blocks as preoperative analgesia, as postoperative analgesia, or as a supplement to general anesthesia for hip fracture surgery and tries to determine if they offer any benefit in terms of pain (...) , and reference lists of relevant articles. Randomized controlled trials involving the use of nerve blocks as part of the care for hip fractures in adults aged 16 years and older were included. The quality of the studies was rated according to the Cochrane tool. Two authors independently extracted the data. The quality of evidence was judged according to the Grading of Recommendations, Assessment, Development, and Evaluations Working Group scale. Based on 8 trials with 373 participants, peripheral nerve

EvidenceUpdates2018

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

Comprehensive assessment may reduce risk of delirium after hip fracture NIHR DC | Signal - Comprehensive assessment may reduce risk of delirium after hip fracture Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal Comprehensive assessment may reduce risk of delirium after hip fracture Published on 29 August 2017 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

NIHR Dissemination Centre2018

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

Specialist hip fracture services linked to fewer deaths in South Central region NIHR DC | Signal - Specialist hip fracture services linked to fewer deaths in South Central region Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal Specialist hip fracture services linked to fewer deaths in South Central region Published on 31 January 2017 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

NIHR Dissemination Centre2018

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

Local nerve blocks can improve outcomes for people with hip fracture NIHR DC | Signal - Local nerve blocks can improve outcomes for people with hip fracture Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal Local nerve blocks can improve outcomes for people with hip fracture Published on 26 September 2017 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

NIHR Dissemination Centre2018

17. An umbrella review of clinical practice guidelines for the management of patients with hip fractures and a synthesis of recommendations for the pre-operative period

An umbrella review of clinical practice guidelines for the management of patients with hip fractures and a synthesis of recommendations for the pre-operative period 29473189 2018 03 24 1365-2648 2018 Feb 23 Journal of advanced nursing J Adv Nurs An umbrella review of clinical practice guidelines for the management of patients with hip fractures and a synthesis of recommendations for the pre-operative period. 10.1111/jan.13550 The aim of this review was to locate, retrieve and critically (...) appraise practice guidelines for the management of hip fractures. Given increasing evidence that the early recognition and management of these fractures is integral to achieving optimal outcomes, recommendations for the pre-operative period were synthesized and compared. Hip fractures are associated with high rates of adverse outcomes and high healthcare costs which has resulted in the development of multiple practice guidelines to inform clinical decision-making. An umbrella review of practice

EvidenceUpdates2018

18. Hip fractures

Hip fractures Hip fractures - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Hip fractures Last reviewed: August 2018 Last updated: March 2018 Summary Occurs predominantly in the elderly. The risk increases significantly with age. Associated most commonly with low-energy injury (e.g., fall from standing height) and osteoporosis or osteopenia. Treatment is most commonly surgical. The choice of implant depends (...) on the fracture pattern and the surgeon's preference. Definition A hip fracture is generally considered to be any fracture of the femur distal to the femoral head and proximal to a level a few centimetres below the lesser trochanter. History and exam presence of risk factors inability to bear weight pain in affected leg/hip pain with hip movement shortened and externally rotated leg osteoporosis/osteopenia age over 65 years falls low BMI female sex high-energy trauma Diagnostic investigations plain x-rays MRI

BMJ Best Practice2018

19. Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery.

Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery. Importance: Although wait times for hip fracture surgery have been linked to mortality and are being used as quality-of-care indicators worldwide, controversy exists about the duration of the wait that leads to complications. Objective: To use population-based wait-time data to identify the optimal time window in which to conduct hip fracture surgery before the risk of complications increases. Design (...) , Setting, and Participants: Population-based, retrospective cohort study of adults undergoing hip fracture surgery between April 1, 2009, and March 31, 2014, at 72 hospitals in Ontario, Canada. Risk-adjusted restricted cubic splines modeled the probability of each complication according to wait time. The inflection point (in hours) when complications began to increase was used to define early and delayed surgery. To evaluate the robustness of this definition, outcomes among propensity-score matched

JAMA2017 Full Text: Link to full Text with Trip Pro

20. How balance task-specific training contributes to improving physical function in older subjects undergoing rehabilitation following hip fracture: a randomized controlled trial

How balance task-specific training contributes to improving physical function in older subjects undergoing rehabilitation following hip fracture: a randomized controlled trial 28805094 2017 08 14 2017 08 14 1477-0873 2017 Aug 01 Clinical rehabilitation Clin Rehabil How balance task-specific training contributes to improving physical function in older subjects undergoing rehabilitation following hip fracture: a randomized controlled trial. 269215517724851 10.1177/0269215517724851 To evaluate (...) the efficacy of a rehabilitation programme including balance task-specific training in improving physical function, pain, activities of daily living (ADL), balance and quality of life in subjects after a hip fracture. Randomized controlled trial. A total of 52 older subjects selected for internal fixation due to extra-capsular hip fracture were randomized to be included in an experimental ( n = 26) and control group ( n = 26). The experimental group underwent a rehabilitation programme based on balance

EvidenceUpdates2017