Latest & greatest articles for hip fracture

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Top results for hip fracture

41. Risk of hip, subtrochanteric, and femoral shaft fractures among mid and long term users of alendronate: nationwide cohort and nested case-control study.

Risk of hip, subtrochanteric, and femoral shaft fractures among mid and long term users of alendronate: nationwide cohort and nested case-control study. OBJECTIVES: To determine the skeletal safety and efficacy of long term (≥10 years) alendronate use in patients with osteoporosis. DESIGN: Open register based cohort study containing two nested case control studies. SETTING: Nationwide study of population of Denmark. PARTICIPANTS: 61 990 men and women aged 50-94 at the start of treatment, who (...) had not previously taken alendronate, 1996-2007. INTERVENTIONS: Treatment with alendronate. MAIN OUTCOME MEASURES: Incident fracture of the subtrochanteric femur or femoral shaft (ST/FS) or the hip. Non-fracture controls from the cohort were matched to fracture cases by sex, year of birth, and year of initiation of alendronate treatment. Conditional logistic regression models were fitted to calculate odds ratios with and without adjustment for comorbidity and comedications. Sensitivity analyses

BMJ2016 Full Text: Link to full Text with Trip Pro

42. Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study

Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study 27189725 2016 09 20 2016 09 20 1468-2834 45 5 2016 Sep Age and ageing Age Ageing Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study. 713-7 10.1093/ageing/afw084 although the importance of identifying hip fracture patients with high risk for delirium has been well established, considerable controversy exists over the choice of the screening tool. The most (...) commonly used cognitive screeners take an excessive amount of time and include drawing tasks that can be troublesome for individuals with hip fracture who are invariably lying in bed. to evaluate the properties of the 10-point Cognitive Screener (10-CS), a 2-min bedside tool, for predicting delirium in older adults with hip fracture. prospective cohort study. a tertiary referral hospital in São Paulo, Brazil. non-delirious older adults with hip fracture (n = 147). the 10-CS was administered

EvidenceUpdates2016 Full Text: Link to full Text with Trip Pro

43. Inequalities in use of total hip arthroplasty for hip fracture: population based study.

Inequalities in use of total hip arthroplasty for hip fracture: population based study. OBJECTIVES: To determine whether the use of total hip arthroplasty (THA) among individuals with a displaced intracapsular fracture of the femoral neck is based on national guidelines or if there are systematic inequalities. DESIGN: Observational cohort study using the National Hip Fracture Database (NHFD). SETTING: All hospitals that treat adults with hip fractures in England, Wales, and Northern Ireland (...) . PARTICIPANTS: Patients within the national database (all aged ≥60) who received operative treatment for a non-pathological displaced intracapsular hip fracture from 1 July 2011 to 31 April 2015. MAIN OUTCOME MEASURES: Provision of THA to patients considered eligible under criteria published by the National Institute for Health and Care Excellence (NICE). RESULTS: 114 119 patients with hip fracture were included, 11 683 (10.2%) of whom underwent THA. Of those who satisfied the NICE criteria, 32% (6780

BMJ2016 Full Text: Link to full Text with Trip Pro

44. Predicting the 10-year risk of hip and major osteoporotic fracture in rheumatoid arthritis and in the general population: an independent validation and update of UK FRAX without bone mineral density

Predicting the 10-year risk of hip and major osteoporotic fracture in rheumatoid arthritis and in the general population: an independent validation and update of UK FRAX without bone mineral density 26984006 2016 03 17 2017 02 24 1468-2060 75 12 2016 Dec Annals of the rheumatic diseases Ann. Rheum. Dis. Predicting the 10-year risk of hip and major osteoporotic fracture in rheumatoid arthritis and in the general population: an independent validation and update of UK FRAX without (...) bone mineral density. 2095-2100 10.1136/annrheumdis-2015-208958 FRAX incorporates rheumatoid arthritis (RA) as a dichotomous predictor for predicting the 10-year risk of hip and major osteoporotic fracture (MOF). However, fracture risk may deviate with disease severity, duration or treatment. Aims were to validate, and if needed to update, UK FRAX for patients with RA and to compare predictive performance with the general population (GP). Cohort study within UK Clinical Practice Research Datalink (CPRD) (RA: n=11

EvidenceUpdates2016 Full Text: Link to full Text with Trip Pro

45. General versus Spinal Anesthetic for Hip Fracture Patients: Comparative Clinical Effectiveness and Guidelines

General versus Spinal Anesthetic for Hip Fracture Patients: Comparative Clinical Effectiveness and Guidelines General versus Spinal Anesthetic for Hip Fracture Patients: Comparative Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need General versus Spinal Anesthetic for Hip Fracture Patients: Comparative Clinical Effectiveness and Guidelines General versus Spinal Anesthetic for Hip Fracture Patients: Comparative Clinical Effectiveness and Guidelines Published (...) on: January 15, 2016 Project Number: RA0824-000 Product Line: Research Type: Drug Report Type: Reference List Result type: Report Question What is the comparative clinical effectiveness of spinal versus general anesthetic for patients with hip fractures? What are the evidence-based guidelines regarding the choice of spinal or general anesthetic for patients with hip fractures? Key Message One randomized controlled trial, 13 non-randomized studies, and three evidence-based guidelines were identified

Canadian Agency for Drugs and Technologies in Health - Rapid Review2016

46. Length of hospital stay after hip fracture and risk of early mortality after discharge in New York state: retrospective cohort study.

Length of hospital stay after hip fracture and risk of early mortality after discharge in New York state: retrospective cohort study. STUDY QUESTION: Can the length of hospital stay for hip fracture affect a patient's risk of death 30 days after discharge? METHODS: In a retrospective cohort study, population based registry data from the New York Statewide Planning and Research Cooperative System (SPARCS) were used to investigate 188,208 patients admitted to hospital for hip fracture in New York (...) state from 2000 to 2011. Patients were aged 50 years and older, and received surgical or non-surgical treatment. The main outcome measure was the mortality rate at 30 days after hospital discharge. STUDY ANSWER AND LIMITATIONS: Hospital stays of 11-14 days for hip fracture were associated with a 32% increased odds of death 30 days after discharge, compared with stays lasting one to five days (odds ratio 1.32 (95% confidence interval 1.19 to 1.47)). These odds increased to 103% for stays longer than

BMJ2015 Full Text: Link to full Text with Trip Pro

47. Outcomes After Hip Fracture Surgery Compared With Elective Total Hip Replacement.

Outcomes After Hip Fracture Surgery Compared With Elective Total Hip Replacement. IMPORTANCE: Patients undergoing surgery for a hip fracture have a higher risk of mortality and major complications compared with patients undergoing an elective total hip replacement (THR) operation. The effect of older age and comorbidities associated with hip fracture on this increased perioperative risk is unknown. OBJECTIVE: To determine if there was a difference in hospital mortality among patients who (...) underwent hip fracture surgery relative to an elective THR, after adjustment for age, sex, and preoperative comorbidities. DESIGN, SETTING, AND PARTICIPANTS: Using the French National Hospital Discharge Database from January 2010 to December 2013, patients older than 45 years undergoing hip surgery at French hospitals were included. The International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10), codes were used to determine patients' comorbidities

JAMA2015 Full Text: Link to full Text with Trip Pro

48. Does self-efficacy mediate functional change in older adults participating in an exercise program after hip fracture? A randomized controlled trial

Does self-efficacy mediate functional change in older adults participating in an exercise program after hip fracture? A randomized controlled trial 25701101 2015 06 05 2015 08 10 2017 02 20 1532-821X 96 6 2015 Jun Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Does self-efficacy mediate functional change in older adults participating in an exercise program after hip fracture? A randomized controlled trial. 1014-1020.e1 10.1016/j.apmr.2015.02.009 S0003-9993(15)00142-2 (...) To examine whether self-efficacy mediated the effect of the Home-based Post-Hip Fracture Rehabilitation program on activity limitations in older adults after hip fracture and whether the mediating effect was different between sex and age groups. Randomized controlled trial. Community. Participants with hip fracture (N=232; mean age ± SD, 79±9.4y) were randomly assigned to intervention (n=120, 51.7%) and attention control (n=112, 48.3%) groups. The 6-month intervention, the Home-based Post-Hip Fracture

EvidenceUpdates2015 Full Text: Link to full Text with Trip Pro

49. Timing of Hip Fracture Surgery for Non-Elderly Adults

Timing of Hip Fracture Surgery for Non-Elderly Adults Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along (...) . It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Timing of Hip Fracture Surgery for Non-Elderly Adults: Clinical

Canadian Agency for Drugs and Technologies in Health - Rapid Review2015

50. Post-Operative Follow-Up for Elderly Hip Fracture Surgery Patients

Post-Operative Follow-Up for Elderly Hip Fracture Surgery Patients Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered (...) study only. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Post-Operative Follow-Up for Elderly Hip Fracture

Canadian Agency for Drugs and Technologies in Health - Rapid Review2015

51. Graduated Compression Stockings in Adult Patients Recovering from Hip Fracture Surgery

Graduated Compression Stockings in Adult Patients Recovering from Hip Fracture Surgery Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses (...) in Adult Patients Recovering from Hip Fracture Surgery: Clinical Effectiveness and Guidelines DATE: 13 April 2015 RESEARCH QUESTIONS 1. What is the clinical effectiveness of graduated compression stockings in adult patients recovering from hip fracture surgery? 2. What are the evidence-based guidelines regarding the use of graduated compression stockings in adult patients recovering from hip fracture surgery? KEY FINDINGS Two systematic reviews were identified regarding the clinical effectiveness

Canadian Agency for Drugs and Technologies in Health - Rapid Review2015

52. Oral Laxative Use Pre- and Post-Hip Fracture or Other Emergency Orthopedic Surgery

Oral Laxative Use Pre- and Post-Hip Fracture or Other Emergency Orthopedic Surgery Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should (...) study only. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Oral Laxative Use Pre- and Post-Hip Fracture

Canadian Agency for Drugs and Technologies in Health - Rapid Review2015

53. Independent validation of the Nottingham Hip Fracture Score and identification of regional variation in patient risk within England

Independent validation of the Nottingham Hip Fracture Score and identification of regional variation in patient risk within England 25568421 2015 01 08 2015 03 02 2016 11 25 2049-4408 97-B 1 2015 Jan The bone & joint journal Bone Joint J Independent validation of the Nottingham Hip Fracture Score and identification of regional variation in patient risk within England. 100-3 10.1302/0301-620X.97B1.34670 The Nottingham Hip Fracture Score (NHFS) was developed to assess the risk of death following (...) a fracture of the hip, based on pre-operative patient characteristics. We performed an independent validation of the NHFS, assessed the degree of geographical variation that exists between different units within the United Kingdom and attempted to define a NHFS level that is associated with high risk of mortality. The NHFS was calculated retrospectively for consecutive patients presenting with a fracture of the hip to two hospitals in England. The observed 30-day mortality for each NHFS cohort

EvidenceUpdates2015

54. Length of hospital stay after hip fracture and short term risk of death after discharge: a total cohort study in Sweden.

Length of hospital stay after hip fracture and short term risk of death after discharge: a total cohort study in Sweden. OBJECTIVE: To investigate relation between inpatient length of stay after hip fracture and risk of death after hospital discharge. SETTING: Population ≥50 years old living in Sweden as of 31 December 2005 with a first hip fracture the years 2006-12. PARTICIPANTS: 116,111 patients with an incident hip fracture from a closed nationwide cohort. MAIN OUTCOME MEASURE: Death within (...) 30 days of hospital discharge in relation to hospital length of stay after adjustment for multiple covariates. RESULTS: Mean inpatient length of stay after a hip fracture decreased from 14.2 days in 2006 to 11.6 days in 2012 (P<0.001). The association between length of stay and risk of death after discharge was non-linear (P<0.001), with a threshold for this non-linear effect of about 10 days. Thus, for patients with length of stay of ≤10 days (n=59,154), each 1-day reduction

BMJ2015 Full Text: Link to full Text with Trip Pro

55. Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial.

Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. BACKGROUND: Most patients with hip fractures are characterised by older age (>70 years), frailty, and functional deterioration, and their long-term outcomes are poor with increased costs. We compared the effectiveness and cost-effectiveness of giving these patients comprehensive geriatric care in a dedicated geriatric ward versus the usual orthopaedic care. METHODS: We did a prospective (...) , single-centre, randomised, parallel-group, controlled trial. Between April 18, 2008, and Dec 30, 2010, we randomly assigned home-dwelling patients with hip-fractures aged 70 years or older who were able to walk 10 m before their fracture, to either comprehensive geriatric care or orthopaedic care in the emergency department, to achieve the required sample of 400 patients. Randomisation was achieved via a web-based, computer-generated, block method with unknown block sizes. The primary outcome

Lancet2015 Full Text: Link to full Text with Trip Pro

56. Periprosthetic Femoral Fracture within Two Years After Total Hip Replacement: Analysis of 437,629 Operations in the Nordic Arthroplasty Register Association Database

Periprosthetic Femoral Fracture within Two Years After Total Hip Replacement: Analysis of 437,629 Operations in the Nordic Arthroplasty Register Association Database 25274795 2014 10 02 2014 12 03 2016 12 28 1535-1386 96 19 2014 Oct 01 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Periprosthetic femoral fracture within two years after total hip replacement: analysis of 437,629 operations in the nordic arthroplasty register association database. e167 10.2106/JBJS.M (...) .00643 We used the Nordic Arthroplasty Register Association database to evaluate whether age, sex, preoperative diagnosis, fixation, and implant design influence the risk of revision arthroplasty due to periprosthetic fracture within two years from operation of a primary total hip replacement. Included in the study were 325,730 cemented femoral stems and 111,899 uncemented femoral stems inserted from 1995 to 2009. Seven frequently used stems (two cemented stems [Exeter and Lubinus SP II] and five

EvidenceUpdates2014

57. The Targon femoral neck hip screw versus cannulated screws for internal fixation of intracapsular fractures of the hip: a randomised controlled trial

The Targon femoral neck hip screw versus cannulated screws for internal fixation of intracapsular fractures of the hip: a randomised controlled trial 24788501 2014 05 05 2014 06 17 2016 05 25 2049-4408 96-B 5 2014 May The bone & joint journal Bone Joint J the Targon femoral neck hip screw versus cannulated screws for internal fixation of intracapsular fractures of the hip: a randomised controlled trial. 652-7 10.1302/0301-620X.96B5.33391 We compared a new fixation system, the Targon Femoral (...) Neck (TFN) hip screw, with the current standard treatment of cannulated screw fixation. This was a single-centre, participant-blinded, randomised controlled trial. Patients aged 65 years and over with either a displaced or undisplaced intracapsular fracture of the hip were eligible. The primary outcome was the risk of revision surgery within one year of fixation. A total of 174 participants were included in the trial. The absolute reduction in risk of revision was of 4.7% (95% CI 14.2 to 22.5

EvidenceUpdates2014

58. Comparative safety of anesthetic type for hip fracture surgery in adults: retrospective cohort study.

Comparative safety of anesthetic type for hip fracture surgery in adults: retrospective cohort study. OBJECTIVE: To evaluate the effect of anesthesia type on the risk of in-hospital mortality among adults undergoing hip fracture surgery in the United States. DESIGN: Retrospective cohort study. SETTING: Premier research database, United States. PARTICIPANTS: 73,284 adults undergoing hip fracture surgery on hospital day 2 or greater between 2007 and 2011. Of those, 61,554 (84.0%) received general (...) by anesthesia type among patients undergoing hip fracture surgery. Our results suggest that if the previously posited beneficial effect of regional anesthesia on short term mortality exists, it is likely to be more modest than previously reported. © Patorno et al 2014.

BMJ2014 Full Text: Link to full Text with Trip Pro

59. Anesthesia technique, mortality, and length of stay after hip fracture surgery.

Anesthesia technique, mortality, and length of stay after hip fracture surgery. IMPORTANCE: More than 300,000 hip fractures occur each year in the United States. Recent practice guidelines have advocated greater use of regional anesthesia for hip fracture surgery. OBJECTIVE: To test the association of regional (ie, spinal or epidural) anesthesia vs general anesthesia with 30-day mortality and hospital length of stay after hip fracture. DESIGN, SETTING, AND PATIENTS: We conducted a matched (...) retrospective cohort study involving patients 50 years or older who were undergoing surgery for hip fracture at general acute care hospitals in New York State between July 1, 2004, and December 31, 2011. Our main analysis was a near-far instrumental variable match that paired patients who lived at different distances from hospitals that specialized in regional or general anesthesia. Supplementary analyses included a within-hospital match that paired patients within the same hospital and an across-hospital

JAMA2014 Full Text: Link to full Text with Trip Pro

60. Home-Based Exercise and Hip Fracture Rehabilitation – reply

Home-Based Exercise and Hip Fracture Rehabilitation – reply 24938572 2014 06 18 2014 06 23 2016 10 25 1538-3598 311 23 2014 Jun 18 JAMA JAMA Home-based exercise and hip fracture rehabilitation--reply. 2440-1 10.1001/jama.2014.5173 Latham Nancy K NK Health and Disability Research Institute, Boston University School of Public Health, Boston, Massachusetts. Bean Jonathan F JF Spaulding Rehabilitation Hospital Network, Boston, Massachusetts. Jette Alan M AM Health and Disability Research (...) Institute, Boston University School of Public Health, Boston, Massachusetts. eng R01 NR010815 NR NINR NIH HHS United States Comment Letter United States JAMA 7501160 0098-7484 AIM IM J Clin Epidemiol. 2011 May;64(5):537-42 20800445 J Am Geriatr Soc. 2011 Oct;59(10):1793-801 22091492 JAMA. 2014 Feb 19;311(7):700-8 24549550 JAMA. 2014 Jun 18;311(23):2440 24938571 Exercise Therapy methods Female Hip Fractures rehabilitation Home Care Services Humans Male NIHMS686699 PMC4444433 2014 6 19 6 0 2014 6 19 6 0

JAMA2014 Full Text: Link to full Text with Trip Pro