A survey of outcomes and management of patients post fragility fractures in China

Wang, O.; Hu, Ying; Gong, Shunguo; Xue, Qingyun; Deng, Zhong‐Liang; Wang, L.; Liu, H.; Tang, Hai; Guo, X. Edward; Chen, Jing; Jia, Xiaoyang; Xu, Yichun; Lan, Ling; Lei, Chun Liang; Dong, Honghong; Gao, Yuan; Fu, Qin; Wei, Yotam; Xia, Weibo; Xu, Li

doi:10.1007/s00198-015-3162-6

Cited by 53 publications

(43 citation statements)

References 36 publications

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“…Seven studies were retrospective in design [12, 23–28], identifying hip fracture patients from hospital, health care or medical claims databases; the remainder were prospective (i.e. participants were identified on admission or discharge from hospital).…”

Section: Resultsmentioning

confidence: 99%

“…One study was a cohort of patients with trochanteric fractures treated by Ender nailing; this study was included as it reported on change in self-care outcomes, for which few studies were identified [29]. The majority of studies included patients aged 60 or 65 years and over, although nine studies included patients aged 50 years or over [12, 18, 24, 25, 30–36]. Eight studies specifically enrolled patients with hip fracture as a result of low-impact trauma or falls [12, 23, 27, 33, 36–39]; one included patients with fractures obtained from low to moderate energy trauma [30].…”

Section: Resultsmentioning

confidence: 99%

“…In most studies, three quarters or more of the participants were women. Three studies only enrolled women [12, 18, 40]. No studies reporting longer-term functional outcomes from hip fracture conducted in an African country were identified.…”

Section: Resultsmentioning

confidence: 99%

“…A large, retrospective cohort study of data from 18 hospitals in China reported that approximately 60 % of women experiencing a fracture from low impact trauma were independent in self-care a median of 2.6 years after the fracture (Additional file 1: Table S5). Data on the level of independence before the fracture were not available [12]. …”

Section: Resultsmentioning

confidence: 99%

“…Risk of bias was assessed according to four items adapted from the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement [10, 11] and Altman [12]; the items were rated as yes, no or unclear. The four items considered were (a) “Is it a representative sample?” this item was rated ‘yes’ if recruitment was consecutive or random; (b) “Were patients followed from inception?” This item was rated ‘yes’ if baseline time was same for all patients and close to fracture time, ratings considered whether or not patients were followed from inception rather than enrolled at inception– thus studies also scored ‘yes’ if data was recorded from time of admission; (c) “Is it a clearly defined sample?” This item was rated ‘yes’ if enrolment was for hip fracture according to hospital diagnosis with an age limit.…”

Section: Methodsmentioning

confidence: 99%

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A critical review of the long-term disability outcomes following hip fracture

et al. 2016

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Background: Hip fractures are an increasingly common consequence of falls in older people that are associated with a high risk of death and reduced function. This review aims to quantify the impact of hip fracture on older people's abilities and quality of life over the long term. Methods: Studies were identified through PubMed and Scopus searches and contact with experts. Cohort studies of hip fracture patients reporting outcomes 3 months post-fracture or longer were included for review. Outcomes of mobility, participation in domestic and community activities, health, accommodation or quality of life were categorised according to the World Health Organization's International Classification of Functioning and synthesised narratively. Risk of bias was assessed according to four items from the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement. Results: Thirty-eight studies from 42 publications were included for review. Most followed a clearly defined sample from the time of fracture. Hip fracture survivors experienced significantly worse mobility, independence in function, health, quality of life and higher rates of institutionalisation than age matched controls. The bulk of recovery of walking ability and activities for daily living occurred within 6 months after fracture. Between 40 and 60 % of study participants recovered their pre-fracture level of mobility and ability to perform instrumental activities of daily living, while 40-70 % regained their level of independence for basic activities of daily living. For people independent in self-care pre-fracture, 20-60 % required assistance for various tasks 1 and 2 years after fracture. Fewer people living in residential care recovered their level of function than those living in the community. In Western nations, 10-20 % of hip fracture patients are institutionalised following fracture. Few studies reported impact on participation in domestic, community, social and civic life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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A critical review of the long-term disability outcomes following hip fracture

et al. 2016

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Biomechanical Analysis of Different Foot Morphology During Standing on a Dynamic Support Surface

Shu

Awrejcewicz

Zagrodny

2021

Springer Proceedings in Mathematics &Amp; Statistics

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Foot is a significant element during the balance as the main organ that connects with surface. From the research of habitually barefoot people and habitually shod people, there were significant differences in distance between the hallux and the interphalangeal joint of the second toe. Habitually shod males had a high risk of injury because of the lack of toes function. Based on these differences in foot morphology and importance of hallux during activities, expanding the distance between the hallux and other toes could increase the ability of hallux, especially the balance. In order to analyse the influence of hallux during balance tests, three conditions were set with light silica instruments: (1) normal toes, (2) expanding toes, (3) binding toes. During the experiments, the 6-DOF transportation vibration platform had continuous sinusoidal translation in the anterior-posterior and mediallateral directions with a sine wave. From the results, binding toes showed larger movement of centre of pressure than normal toes and expending toes. In addition, people with normal toes also indicated larger sway than expending toes. It could conclude that control the toes function causes instability during static balance but improve the hallux function can increase the balance ability.

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Management of Older People with Hip Fractures in China and India: A Systems Approach to Bridge Evidence-Practice Gaps

Rath

2016

Practical Issues in Geriatrics

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A survey of outcomes and management of patients post fragility fractures in China

Abstract: The osteoporotic hip and vertebral fractures caused excess mortality rates in this population of Mainland China. The current diagnosis and medical treatment following the fragility fractures is still insufficient in Mainland China.

Cited by 53 publications

References 36 publications

A critical review of the long-term disability outcomes following hip fracture

A critical review of the long-term disability outcomes following hip fracture

Biomechanical Analysis of Different Foot Morphology During Standing on a Dynamic Support Surface

Management of Older People with Hip Fractures in China and India: A Systems Approach to Bridge Evidence-Practice Gaps

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