Functional and clinical outcomes of patients aged younger and older than 85 years after rehabilitation post‐hip fracture surgery in a co‐managed <scp>o</scp>rthogeriatric <scp>u</scp>nit

Mazzola, Paolo; Floris, Patrizia; Picone, Domenico; Anzuini, Alessandra; Tsiantouli, Eleni; Haas, Justin; Bellelli, Giuseppe; Filippi, Francesco De; Annoni, Giorgio

doi:10.1111/ggi.13440

Cited by 9 publications

(3 citation statements)

References 16 publications

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“…The main finding of this work was to report that TKA could offer comparable results in terms of knee function and mobility improvement in younger septuagenarian and the oldest octogenarian patients, with a novel insight regarding patient readmission and emergency room visits. The possible relationship of age with the results of TKA has been the subject of several studies that showed that no age limit could be placed on the performance of this surgical procedure [2,4,19,20]. Our results agree with previous works by other authors [2,21], which report comparable results among patients of different age groups, showing that advanced age is not a limitation per se for the performance of TKA.…”

Section: Discussionsupporting

confidence: 91%

Total Knee Arthroplasty for the Oldest Old

et al. 2021

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The present study describes and compares the early functional results after total knee arthroplasty (TKA) of the oldest-old population (aged over 84 years) and a randomly matched younger septuagenarian cohort so treated. We aimed to evaluate the early functional outcomes after patients’ rehabilitation and the yearly requirements for hospital readmission and emergency room visits after TKA. We noted a similar length of hospital stay for octogenarian and septuagenarian patients, and we determined that both groups of patients were improving ROM (both flexion and extension) after the rehabilitation program (p < 0.05, in all cases), but there were no significant differences between octogenarian and septuagenarian improvement of the knee function (p > 0.05, in all cases). Patients from both age groups behaved similarly in terms of mobility before starting rehabilitation and after completion of the rehabilitation program. We noted that older octogenarian patients showed a higher one-year hospital readmission rate than younger septuagenarian patients, but similar early emergency room visits for both age groups. The findings of this study allow us to conclude that advanced age in itself should not be a contraindication for TKA.

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Section: Discussionsupporting

confidence: 91%

Total Knee Arthroplasty for the Oldest Old

et al. 2021

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“…The presence of dysphagia and especially the acute dysphagia related for instance to the presence of delirium can lead to malnutrition with adverse outcomes on the rehabilitation process. In our investigation we found a 19% prevalence of malnutrition, which is likely underestimated compared to previous reports which indicate a prevalence ranging from 19 to to 46% assessing the nutritional status with the Mini Nutritional Assessment [28][29][30]. In our study protein supplements were prescribed only in 22.7% of the patients.…”

Section: Discussioncontrasting

confidence: 75%

A two-year multicenter point prevalence study of older patients with hip fractures admitted to rehabilitation units in Italy

Guerzoni¹,

Lanzoni²,

Pozzi

et al. 2020

Eur Geriatr Med

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Aim To study the characteristics of older patients with hip fracture admitted to rehabilitation units in Italy with a specific focus on geriatric syndromes and the rehabilitation process. Findings Of 615 patients included almost half of the patients lived alone before the hip fracture. Most of the falls happened at home. Clinicians identified geriatric syndromes including delirium, dementia, and depression in a significant number of patients. We found a relatively low involvement of the multiprofessional team in the rehabilitation process. Message This two-year multicenter point prevalence study allowed the collection of data on a relatively large sample of older patients with hip fracture showing the possible current limitations in the management of geriatric syndromes in this frail population

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“…11 These situations are even more common among very elderly patients, and more and more studies focused on these patients using 85 as a threshold age. [12][13][14][15] Given all this, it is difficult for very elderly patients with such a less life-threatening PTC to choose whether to undergo surgery or not. To the best of our knowledge, there are no universally accepted surgery recommendations for the very elderly patients (age 85 y) with PTC, and the prognosis of these patients has not been specifically analyzed yet.…”

Section: Introductionmentioning

confidence: 99%

Management of Very Elderly Patients With Papillary Thyroid Cancer: Analysis of Outcomes for Surgery Versus Nonsurgery

Zhou

Tan

Ming

et al. 2020

Journal of Surgical Research

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Background: The prognosis of patients with papillary thyroid cancer (PTC) who have undergone surgery is usually good. But surgery is risky for elderly patients. The outcomes of surgery or nonsurgery for the very elderly PTC patients have not been reported. Here, we investigated the effect of surgery or not on prognosis in very elderly PTC patients (aged 85 y).Methods: A retrospective study was performed based on data from the Surveillance, Epidemiology, and End Results program. The outcomes of surgery and nonsurgery in very elderly PTC patients were compared using different statistical methods, including propensity score matching.Results: A total of 1196 very elderly patients with PTC were enrolled in the study. Patients who underwent surgery (n ¼ 871) had a much better prognosis than those who did not (n ¼ 325) in both overall survival and cancer-specific survival (P < 0.001). In the multivariate analysis, nonsurgery was an independent predictor for both overall survival (hazard ratio ¼ 2.066; P < 0.001) and cancer-specific survival (hazard ratio ¼ 2.768; P < 0.001).Conclusions: Surgery is positively associated with an improved prognosis of PTC patients aged 85 y and is still suggested for these patients after appropriate risk assessment.

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Functional and clinical outcomes of patients aged younger and older than 85 years after rehabilitation post‐hip fracture surgery in a co‐managed orthogeriatric unit

Cited by 9 publications

References 16 publications

Total Knee Arthroplasty for the Oldest Old

Total Knee Arthroplasty for the Oldest Old

A two-year multicenter point prevalence study of older patients with hip fractures admitted to rehabilitation units in Italy

Management of Very Elderly Patients With Papillary Thyroid Cancer: Analysis of Outcomes for Surgery Versus Nonsurgery

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