Development of the Barthel Index 5 years after hip fracture: Results of a prospective study

Knauf, Tom; Buecking, Benjamin; Hack, Juliana; Barthel, Juliane; Bliemel, Christopher; Aigner, René; Ruchholtz, Steffen; Eschbach, Daphne

doi:10.1111/ggi.13723

Cited by 19 publications

(16 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Functional capacity prior to hip fracture was determined using the Barthel index in activities of daily living [ 16 ]. The individuals were graded in 10 activities that are added to give a score from 0 (totally dependent) to 100 (totally independent), applying the cut-off point 60.…”

Section: Methodsmentioning

confidence: 99%

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

et al. 2021

View full text Add to dashboard Cite

Background: The aim of this work was to assess whether the muscle thickness and echogenicity were associated with dysphagia, malnutrition, sarcopenia, and functional capacity in acute hospital admission for a hip fracture. Methods: Observational study that assessed nutritional status by Global Leadership Initiative on Malnutrition, risk of dysphagia and sarcopenia by European Working Group on Sarcopenia in Older People and Barthel functional index. We measured muscle thickness and echogenicity of masseter, bicipital, and quadriceps rectus femoris (RF) and vastus intermedius (VI) by ultrasound. Results: One hundred and one patients were included in the study (29.7% sarcopenia and 43.8% malnutrition). Logistic regression models adjusted for age, sex, and body mass index showed an inverse association of the masseter thickness with both sarcopenia (OR: 0.56) and malnutrition (OR: 0.38) and quadriceps with sarcopenia (OR: 0.74). In addition, patients at high risk of dysphagia had lower masseter thickness (p: 0.0001) while patients able to self-feeding had thicker biceps (p: 0.002) and individuals with mobility on level surfaces higher thickness of biceps (p: 0.008) and quadriceps (p: 0.04). Conclusion: Thickness of the masseter was associated with risk of dysphagia, biceps with the ability to self-feed, and that of the quadriceps RF-VI with mobility.

show abstract

Section: Methodsmentioning

confidence: 99%

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Each patient or their legal guardians provided written informed consent for participation in the study. Mortality, clinical course, treatment costs, and short-term follow-up are already published in some publications of our study group [ 13 , 20 – 22 ].…”

Section: Methodsmentioning

confidence: 99%

Medical and economic consequences of perioperative complications in older hip fracture patients

et al. 2020

Self Cite

View full text Add to dashboard Cite

Summary Patients suffering from complications during inpatient treatment after hip fracture surgery are associated with a worse mid-term outcome. While surgically treatable complications only delay the healing process, internal complications seem to worsen the outcome in the long run. All complications come with significant increased costs during the hospital stay. Purpose Due to the demographic changes, the importance of hip fractures is still increasing nowadays. Not only surgical but also medical complications represent a major challenge in the treatment of those patients. Nevertheless, only few is known about the functional, medical, and economic consequences of complications. Methods A total of 402 hip fracture patients ≥ 60 years were observed prospectively at a German university hospital. Complications were assessed during the inpatient stay and classified by Clavien and Dindo. Afterwards their influence on acute care costs was examined as well as their influence on the mortality, health-related quality of life (HRQL) (EQ5D), functional capacities (Barthel index), and mobility (Tinetti score) in the follow-up periods of 6 and 12 months. Results Complications that required surgical revision/treatment (type III) were associated with an increased 6 months’ mortality, while type II and IV complications did not influence mortality after 6 and 12 months. Six months after surgery, HRQL, Barthel score, and Tinetti score were reduced in patients suffering from all different types of complications. After 12 months however, HRQL, Barthel score, and Tinetti score following type II and IV complications remained reduced, while the scores improved in patients suffering from type III complication. All types of complications led to significantly increased acute care costs. Conclusions The results of the present study emphasize the crucial role of perioperative complications in older patients with hip fractures. Therefore, special attention has to be given to the prevention of those complications, e.g., with orthogeriatric treatment models, which have been shown to be effective in the reduction of complications.

show abstract

“…de Barthel se detectó en el momento del alta hospitalaria (66 puntos, IC 95% 62-70) 9 . Edgren et al 5 Tabla 1.…”

Section: Figura 1 Diagrama De Flujo De Búsqueda Bibliográfica Y Seleunclassified

“…Fuente: Elaboración propia basada en las referencias 7,[9][10][11][12][13][15][16][17][18]20,[22][23][24][25][26]29,30 .…”

Section: Mayor Estancia Hospitalariaunclassified

Factores que afectan la recuperación funcional del adulto mayor independiente con fractura de cadera

Alvarez

Murillo

Roselló-Araya

et al. 2021

Rev Ter

View full text Add to dashboard Cite

Introducción: El incremento acelerado e inevitable de la población adulta mayor hace esperar un aumento en los casos de fracturas de cadera, lo cual supone un reto para el sistema de salud de Costa Rica. Objetivo: El objetivo de esta revisión fue establecer los factores que afectan la recuperación funcional de las personas adultas mayores independientes con fractura de cadera. Metodología: estudio de revisión bibliográfica de literatura de las siguientes bases de datos: Pubmed, Tripdatabase y EBSCO. Se eligieron 28 artículos científicos en texto completo publicados entre el año 2011 y 2019, en idioma español o inglés. Según la clasificación de Sackett el 3,5% con nivel de evidencia 1, 35,7% nivel 2, 10,7% nivel 3, 46,4% nivel 4 y 3,5% nivel 5. Resultados: la independencia funcional previa en adultos mayores con fractura de cadera es un factor de buen pronóstico funcional. La afectación de las actividades de vida diaria se da tanto en las actividades básicas como instrumentales, con mayor afectación de las actividades que requieren mayor descarga de peso y fuerza de la extremidad afectada, requiriendo así mismo mayor tiempo para su recuperación. Además, la afectación de la calidad de vida relacionada con la salud se da en todas las dimensiones, con una mayor afectación de la movilidad y las actividades de vida diaria. Conclusión: La recuperación de la capacidad funcional previa y la calidad de vida en adultos mayores independientes con fractura de cadera están influenciadas por múltiples factores, de ahí la importancia de un abordaje interdisciplinario y temprano que permita planificar las mejores estrategias de atención.

show abstract

Development of the Barthel Index 5 years after hip fracture: Results of a prospective study

Cited by 19 publications

References 24 publications

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

Medical and economic consequences of perioperative complications in older hip fracture patients

Factores que afectan la recuperación funcional del adulto mayor independiente con fractura de cadera

Contact Info

Product

Resources

About