The approach to patients with cognitive impairment and hip fracture: the role of orthogeriatric care

被引:2
作者
Tarazona-Santabalbina, Francisco J. [1 ]
Domenech-Pascual, Juan R. [1 ]
Angel Belenguer-Varea, A. [1 ]
Rovira Daudi, Eduardo [2 ]
机构
[1] Hosp Univ Ribera, Dept Geriatr, Valencia, Spain
[2] Hosp Univ Ribera, Dept Internal Med, Valencia, Spain
关键词
hip fracture; dementia; geriatric assessment; functional recovery; mortality;
D O I
10.1017/S0959259814000100
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Hip fracture is very common among older patients, who are characterized by increased co-morbidities, including cognitive impairment. These patients have an increased risk of falls and fractures, poorer functional recovery and lower survival both in hospital and 12 months after discharge. We review the survival and functional outcomes of older patients with cognitive impairment and hip fracture managed in orthogeriatric units, and highlight the gaps in our knowledge of the efficacy and efficiency of specific orthogeriatric programmes for such patients and the future research perspectives in this field.
引用
收藏
页码:219 / 227
页数:9
相关论文
共 68 条
[21]  
Gonzalez Montalvo Juan Ignacio, 2008, Rev Esp Geriatr Gerontol, V43, P239
[22]   ACUTE CONFUSIONAL STATES IN ELDERLY PATIENTS TREATED FOR FEMORAL-NECK FRACTURE [J].
GUSTAFSON, Y ;
BERGGREN, D ;
BRANNSTROM, B ;
BUCHT, G ;
NORBERG, A ;
HANSSON, LI ;
WINBLAD, B .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1988, 36 (06) :525-530
[23]   Impact of hip fracture, heart failure and weight loss on the risk of institutionalization of community-dwelling patients with dementia [J].
Harboun, Marc ;
Dorenlot, Pascale ;
Cohen, Nadia ;
Steinhagen-Thiessen, Elisabeth ;
Ankri, Joel .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2008, 23 (12) :1245-1252
[24]   Bias towards dementia: Are hip fracture trials excluding too many patients? A systematic review [J].
Hebert-Davies, Jonah ;
Laflamme, G-Yves ;
Rouleau, Dominique .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2012, 43 (12) :1978-1984
[25]   Clock drawing and rehabilitation outcome in hip fracture patients [J].
Hershkovitz, A. ;
Jacubovski, O. S. ;
Bot, M. Alima ;
Oshry, V. ;
Brill, S. .
DISABILITY AND REHABILITATION, 2010, 32 (25) :2113-2117
[26]   Factors affecting short-term rehabilitation outcomes of disabled elderly patients with proximal hip fracture [J].
Hershkovitz, Avital ;
Kalandariov, Zulicha ;
Hermush, Vered ;
Weiss, Roni ;
Brill, Shai .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2007, 88 (07) :916-921
[27]   Factors affecting mortality of frail hip-fractured elderly patients [J].
Hershkovitz, Avital ;
Polatov, Irena ;
Beloosesky, Yechayaou ;
Brill, Shai .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2010, 51 (02) :113-116
[28]   Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia [J].
Huusko, TM ;
Karppi, P ;
Avikainen, V ;
Kautiainen, H ;
Sulkava, R .
BRITISH MEDICAL JOURNAL, 2000, 321 (7269) :1107-1111
[29]   Development and initial validation of a risk score for predicting in-hospital and 1-year mortality in patients with hip fractures [J].
Jiang, HX ;
Majumdar, SR ;
Dick, DA ;
Moreau, M ;
Raso, J ;
Otto, DD ;
Johnston, DWC .
JOURNAL OF BONE AND MINERAL RESEARCH, 2005, 20 (03) :494-500
[30]   An estimate of the worldwide prevalence and disability associated with osteoporotic fractures [J].
Johnell, O. ;
Kanis, J. A. .
OSTEOPOROSIS INTERNATIONAL, 2006, 17 (12) :1726-1733