Clinical outcomes in patients admitted to hospital with cervical spine fractures or with hip fractures

Baxter, Joshua; Lisk, Radcliffe; Osmani, Ahmad; Yeong, Keefai; Robin, Jonathan; Fluck, David; Fry, Christopher; Han, Thang S.

doi:10.1007/s11739-020-02567-x

Cited by 4 publications

(2 citation statements)

References 27 publications

(39 reference statements)

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“…comorbidities), contributing factors and/or risk factors to PIs that the PLWD possessed. For example, Baxter et al (2021) examined PIs as one of the outcomes of being admitted to the hospital with either a hip fracture or cervical fracture and only the percentage of PIs among those with dementia could be extracted (no details were given about who with dementia was in the hip or cervical fracture group; rather demographics were given for the total sample).…”

Section: Resultsmentioning

confidence: 99%

Chronic wounds in persons living with dementia: An integrative review

Sefcik

McLaurin

Bass

et al. 2022

Int J Older People Nursing

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Background: Persons living with dementia (PLWD) are at risk for chronic wounds; however, they are rarely included in research.Objectives: To inform practice and research directions, the aim of this integrative review was to identify and synthesise previous knowledge about the characteristics of chronic wounds in PLWD, in terms of chronic wound types, prevalence, setting and interventions.Design: A literature search was conducted for publications in English using PubMed, Web of Science and CINAHL. The minimum information required for inclusion was how many PLWD enrolled in the study had wounds.Methods: This integrative review followed the Whittemore and Knafl methodology.Data extraction and synthesis were guided by a directed content analysis, with a coding structure based on an initial review of the literature.Results: Thirty-six articles met the inclusion criteria. The majority were missing characteristics of PLWD including severity of dementia and race/ethnicity/nationality, and none mentioned skin tone. Most focused on pressure injuries in the nursing home and acute care setting. Few included information on interventions. Only one discussed challenges of wound care for a PLWD exhibiting aggression. Conclusion:There is a gap in the literature regarding PLWD and chronic wounds other than pressure injuries that are common in older adults (e.g. diabetic foot ulcers, venous leg ulcers). Research is warranted among those PLWD who live alone and those who receive wound care from family caregivers to understand experiences. Knowledge can inform the development of future novel interventions for wound healing. Future research is needed regarding chronic wounds in those who exhibit behavioural and psychological symptoms of dementia.Relevance to Clinical Practice: Nurses that care for chronic wounds in PLWD can contribute their knowledge to include information in guidelines on best care practices and contribute their perspective to research teams for future research.

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Section: Resultsmentioning

confidence: 99%

Chronic wounds in persons living with dementia: An integrative review

Sefcik

McLaurin

Bass

et al. 2022

Int J Older People Nursing

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“…Symptoms resulting from cervical spine fractures vary in severity and in their impact on quality of life. A meaningful and relevant measure of outcomes from cervical fractures is important to understand the personal, population, healthcare and economic impact of these injuries [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

A systematic review identifying outcome measures used in evaluating adults sustaining cervical spine fractures

et al. 2022

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Objective To assess the outcome measures used in studies investigating cervical spine fractures in adults, with or without associated spinal cord injury, to inform development of a core outcome set. Methods Medline, Embase and Scopus were searched for relevant studies until May 28, 2022, without a historic limit on study date. Study characteristics, population characteristics and outcomes reported were extracted and analyzed. Results Our literature search identified 536 studies that met criteria for inclusion, involving 393,266 patients. Most studies were single center (87.3%), retrospective studies (88.9%) and involved a median of 40 patients (range 6–167,278). Treatments assessed included: surgery (55.2%), conservative (6.2%), halo immobilization (4.9%), or a mixture (33.2%). Median study duration was 84 months (range 3–564 months); the timing of clinical and/or radiological follow-up assessment after injury was reported in 56.7%. There was significant heterogeneity in outcomes used, with 79 different reported outcomes measures. Differences in use were identified between smaller/larger, retro-/prospective and single/multicenter cohorts. Over time, the use of radiological outcomes has declined with greater emphasis on patient-reported outcome measures (PROMs). Studies of conservative management were more likely to detail PROMs and mortality, whereas surgical studies reported Frankel/ASIA grade, radiological fusion, complication rates, duration of hospital stay and re-operation rates more frequently. In studies assessing the elderly population (> 65 years), use of PROMs, mortality, hospital stay and discharge destination were more common, whereas fusion was reported less often. Response rates for outcome assessments were lower in studies assessing elderly patients, and studies using PROMs. Conclusions We have classified the various outcome measures used for patients with cervical spine fractures based on the COMET outcome taxonomy. We also described the contexts in which different outcomes are more commonly employed to help guide decision-making when designing future research endeavors.

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