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 guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on hip fracture or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on hip fracture and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for hip fracture

1. Management of Hip Fractures in the Elderly

Management of Hip Fractures in the Elderly MANAGEMENT OF HIP FRACTURES IN THE ELDERLY EVIDENCE- BASED CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors September 5, 2014 This Guideline has been endorsed by the following organizations: 2 Disclaimer This Clinical Practice Guideline was developed by an AAOS physician volunteer Work Group based on a systematic review of the current scientific and clinical information and accepted approaches (...) the intervention. Consensus No Evidence There is no supporting evidence. In the absence of reliable evidence, the work group is making a recommendation based on their clinical opinion. Consensus recommendations can only be created when not establishing a recommendation could have catastrophic consequences. 4 ADVANCED IMAGING Moderate evidence supports MRI as the advanced imaging of choice for diagnosis of presumed hip fracture not apparent on initial radiographs. Strength of Recommendation: Moderate

2014 American Academy of Orthopaedic Surgeons

2. Evidence-based guidelines for the management of hip fractures in older persons: an update

Evidence-based guidelines for the management of hip fractures in older persons: an update Evidence-based guidelines for the management of hip fractures in older persons: an update | The Medical Journal of Australia mja-search search Use the for more specific terms. Title contains Body contains Date range from Date range to Article type Author's surname Volume First page doi: 10.5694/mja__.______ Search Reset  close Individual Login Purchase options Connect person_outline Login (...) keyboard_arrow_down Individual Login Purchase options menu search Advertisement close Evidence-based guidelines for the management of hip fractures in older persons: an update Jenson C S Mak, Ian D Cameron and Lyn M March Med J Aust 2010; 192 (1): 37-41. || doi: 10.5694/j.1326-5377.2010.tb03400.x Published online: 4 January 2010 Topics Abstract Objective: To update evidence-based guidelines for the treatment of proximal femoral fractures published in the Journal in 2003. Data sources: Systematic search of MEDLINE

2010 MJA Clinical Guidelines

3. Developing a multidisciplinary rehabilitation package following hip fracture and testing in a randomised feasibility study: Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR)

Developing a multidisciplinary rehabilitation package following hip fracture and testing in a randomised feasibility study: Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR) Developing a multidisciplinary rehabilitation package following hip fracture and testing in a randomised feasibility study: Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR) Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page (...) not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} A multidisciplinary rehabilitation package was developed for use following hip fracture and a feasibility RCT identified methods for definitive evaluation. {{author}} {{($index , , , , , , , , , , , , , , , , , & . Nefyn H Williams 1

2017 NIHR HTA programme

4. Hip fracture: management

Hip fracture: management Hip fr Hip fracture: management acture: management Clinical guideline Published: 22 June 2011 nice.org.uk/guidance/cg124 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals (...) and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Hip fracture: management (CG124) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 19Contents Contents Overview 4 Who is it for? 4 Recommendations 5 1.1 Imaging options in occult hip fracture 5 1.2 Timing

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

5. Australian and New Zealand Guideline for Hip Fracture Care - Improving Outcomes in Hip Fracture Management of Adults

Australian and New Zealand Guideline for Hip Fracture Care - Improving Outcomes in Hip Fracture Management of Adults Australian and New Zealand Guideline for Hip Fracture Care Improving Outcomes in Hip Fracture Management of Adults September 2014© Australian and New Zealand Hip Fracture Registry (ANZHFR) Steering Group 2014 ISBN Print: 978-0-7334-3450-1 ISBN Online: 978-0-7334-3451-8 Published: September 2014 Suggested citation: Australian and New Zealand Hip Fracture Registry (ANZHFR) Steering (...) Group. Australian and New Zealand Guideline for Hip Fracture Care: Improving Outcomes in Hip Fracture Management of Adults. Sydney: Australian and New Zealand Hip Fracture Registry Steering Group; 2014. Copies of this Guideline and supporting documentation (Administrative Report, Technical Report, Dissemination Plan and Public Consultation Submissions Summary) can be downloaded from www.anzhfr.org/guidelines. Disclaimer: This document is a general guide to appropriate practice, to be followed

2014 Clinical Practice Guidelines Portal

6. After hip fracture: how best to help people get back on their feet

After hip fracture: how best to help people get back on their feet After hip fracture: how best to help people get back on their feet - Evidently Cochrane Search and hit Go By January 6, 2017 // Mum putting her best foot forward Hip fracture is a really common injury in later life, but do we have reliable evidence to guide care and rehabilitation? Sarah Chapman takes a look. “Mum’s fallen and broken her hip”. Heartsink words I didn’t want to hear, not just for the sorrow that my parent (...) was in for a painful, difficult time in the short-term, but knowing too that this can be an injury with serious, long-term consequences. Thankfully, as a very fit 73 year old, Mum made a good recovery, though left with a rolling gait and a permanent dent in her confidence when moving outside. A decade on, I dread it happening again, as for those who are frailer, older, the consequences can be catastrophic. There is an increased risk of death following hip fracture; for survivors, poorer physical function can lead

2017 Evidently Cochrane

7. 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

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

8. Anticoagulants (extended duration) for prevention of venous thromboembolism following total hip or knee replacement or hip fracture repair. (PubMed)

Anticoagulants (extended duration) for prevention of venous thromboembolism following total hip or knee replacement or hip fracture repair. The optimal duration of thromboprophylaxis after total hip or knee replacement, or hip fracture repair remains controversial. It is common practice to administer prophylaxis using low-molecular-weight heparin (LMWH) or unfractionated heparin (UFH) until discharge from hospital, usually seven to 14 days after surgery. International guidelines recommend (...) undergoing elective hip or knee replacement surgery, or hip fracture repair.The Cochrane Vascular Information Specialist searched the Specialised Register (last searched May 2015) and CENTRAL (2015, Issue 4). Clinical trials databases were searched for ongoing or unpublished studies.Randomised controlled trials assessing extended-duration thromboprophylaxis (five to seven weeks) using accepted prophylactic doses of LMWH, UFH, vitamin K antagonists (VKA) or direct oral anticoagulants (DOAC) compared

2016 Cochrane

9. 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

10. Hip fracture

Hip fracture Top results for hip fracture - Trip Database or use your Google+ account Liberating the literature 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 guidelines, regulatory guidance, clinical trials and many other forms

2018 Trip Latest and Greatest

11. Comparative effectiveness of pain management interventions for hip fracture: a systematic review (Full text)

Comparative effectiveness of pain management interventions for hip fracture: a systematic review Comparative effectiveness of pain management interventions for hip fracture: a systematic review Comparative effectiveness of pain management interventions for hip fracture: a systematic review Abou-Setta AM, Beaupre LA, Rashiq S, Dryden DM, Hamm MP, Sadowski CA, Menon MR, Majumdar SR, Wilson DM, Karkhaneh M, Mousavi SS, Wong K, Tjosvold L, Jones CA CRD summary The review concluded that nerve (...) blockade seemed to be effective in reducing acute pain after hip fracture. Lack of evidence made it difficult to draw firm conclusions about the benefits or harms of many other pain management interventions. These conclusions reflected the evidence presented and are likely to be reliable. Authors' objectives To review the benefits and harms of pharmacological and non-pharmacological interventions for managing pain after hip fracture. Searching The authors listed 14 bibliographic databases

2011 DARE.

12. 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

14. 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: February 2019 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

2018 BMJ Best Practice

15. 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

2018 NIHR Dissemination Centre

16. Internal fixation versus conservative treatment for elderly patients with a trochanteric hip fracture in conjunction with post-stroke hemiplegia. (PubMed)

Internal fixation versus conservative treatment for elderly patients with a trochanteric hip fracture in conjunction with post-stroke hemiplegia. To retrospectively evaluated Gamma nail internal fixation in the treatment of elderly patients with post-stroke hemiplegia experiencing trochanteric hip fracture.The patients were obtained consecutively from January 2005 to December 2010 with inclusion criteria. The total number was 138 and allocated to two groups: treated with the Gamma nail (n=72 (...) ,group A) and continuous skin traction (n=66,group B). Preoperative variables including patient age, gender, duration of cerebrovascular accident, duration of hypertension, ASA risk score, Harris hip score and fracture type were recorded and compared. After treatment, time of patients activity on the bed, ambulation time, Harris hip score, mortality, complications were recorded and used to compare the outcomes.(1) Follow-up was undertaken from 3 to 10 years, with an average of 5.8 years. (2

2016 Injury

17. Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery. (PubMed)

Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery. Hip fracture is a major fall-related injury which causes significant problems for individuals, their family and carers. Over 40% of people with hip fracture have dementia or cognitive impairment, and their outcomes after surgery are poorer than those without dementia. It is not clear which care and rehabilitation interventions achieve the best outcomes for these people.(a) To assess (...) the effectiveness of models of care including enhanced rehabilitation strategies designed specifically for people with dementia following hip fracture surgery compared to usual care.(b) To assess the effectiveness for people with dementia of models of care including enhanced rehabilitation strategies which are designed for all older people, regardless of cognitive status, following hip fracture surgery compared to usual care.We searched ALOIS (www.medicine.ox.ac.uk/alois), the Cochrane Dementia and Cognitive

2015 Cochrane

18. Fall Risk Assessment Predicts Fall-Related Injury, Hip Fracture, and Head Injury in Older Adults

Fall Risk Assessment Predicts Fall-Related Injury, Hip Fracture, and Head Injury in Older Adults To investigate the role of a fall risk assessment, using the Downton Fall Risk Index (DFRI), in predicting fall-related injury, fall-related head injury and hip fracture, and death, in a large cohort of older women and men residing in Sweden.Cross sectional observational study.Sweden.Older adults (mean age 82.4 ± 7.8) who had a fall risk assessment using the DFRI at baseline (N = 128,596 (...) ).Information on all fall-related injuries, all fall-related head injuries and hip fractures, and all-cause mortality was collected from the Swedish Patient Register and Cause of Death Register. The predictive role of DFRI was calculated using Poisson regression models with age, sex, height, weight, and comorbidities as covariates, taking time to outcome or end of study into account.During a median follow-up of 253 days (interquartile range 90-402 days) (>80,000 patient-years), 15,299 participants had

2016 EvidenceUpdates

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. Frequent manual repositioning and incidence of pressure ulcers among bed-bound elderly hip fracture patients. (Full text)

Frequent manual repositioning and incidence of pressure ulcers among bed-bound elderly hip fracture patients. Frequent manual repositioning is an established part of pressure ulcer prevention, but there is little evidence for its effectiveness. This study examined the association between repositioning and pressure ulcer incidence among bed-bound elderly hip fracture patients, using data from a 2004-2007 cohort study in nine Maryland and Pennsylvania hospitals. Eligible patients (n=269) were age (...) ≥ 65 years, underwent hip fracture surgery, and were bed-bound at index study visits (during the first 5 days of hospitalization). Information about repositioning on the days of index visits was collected from patient charts; study nurses assessed presence of stage 2+ pressure ulcers 2 days later. The association between frequent manual repositioning and pressure ulcer incidence was estimated, adjusting for pressure ulcer risk factors using generalized estimating equations and weighted estimating

2010 Wound Repair and Regeneration