Impact of Parkinson’s disease on the acute care treatment and medium-term functional outcome in geriatric hip fracture patients

Bliemel, Christopher; Oberkircher, Ludwig; Eschbach, Daphne-Asimenia; Lechler, Philipp; Balzer‐Geldsetzer, Monika; Ruchholtz, Steffen; Buecking, Benjamin

doi:10.1007/s00402-015-2298-3

Cited by 25 publications

(18 citation statements)

References 28 publications

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“…To prevent these patients from acquiring secondary damages, such as pressure sores or pulmonary infection, immediate full weight‐bearing mobilization is targeted. Nevertheless, mobilization often remains difficult, because of these patients’ pre‐existing comorbidities and unsteadiness of gait . The perioperative use of indwelling urinary catheters has become routine practice in orthopedic and trauma surgery wards to enable improved care of these immobile patients .…”

Section: Introductionmentioning

confidence: 99%

Urinary tract infection in patients with hip fracture: An underestimated event?

Bliemel

Buecking

Hack

et al. 2017

Geriatrics Gerontology Int

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Section: Introductionmentioning

confidence: 99%

Urinary tract infection in patients with hip fracture: An underestimated event?

Bliemel

Buecking

Hack

et al. 2017

Geriatrics Gerontology Int

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“…This is a novel finding. It has been found that patients with PD recover more slowly from a hip fracture, but in previous studies heightened risk for surgical complications has not been noted [33][34][35][36]. However, these single-center studies included relatively low numbers of PD patients.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for early readmission due to surgical complications after treatment of proximal femoral fractures – A Finnish National Database study of 68,800 patients

Yli-Kyyny

Sund

Heinänen

et al. 2019

Injury

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Introduction: Hip fracture surgery is associated with a considerable amount medical and surgical complications, which adversely impacts the patient's outcome and/or increases costs. We evaluated what risk factors were associated with the occurrence of early readmission due to surgical complications after hip fracture surgery. Material and methods: A nationwide database with 68,800 hip fracture patients treated between 1999 and 2011 was studied to uncover the association of readmissions with co-morbidities, fracture types, different hospital types and treatment methods using the Cox proportional hazards model. Results: Early readmission within three months due to hip fracture surgery complications occurred at a rate of 4.6%. Increased occurrence of readmission was found among patients with: heavy alcoholism (HR 1.38; 95% CI: 1.23-1.53); Parkinson's disease (PD; HR 1.22; 95% CI: 1.05-1.42); pre-existing osteoarthritis (HR 2.02; 95% CI: 1.83-2.23); rheumatic disease (HR 1.44; 95% CI: 1.27-1.65); as well as those with a fracture of the femur neck, depression, presence of a psychotic disorder, an operative delay of at least three days, or previous treatment with total hip arthroplasty. Conclusion: Our results indicate that there are several factors associated with an increased risk of early readmission. We suggest that in the presence of these factors, the surgical treatment method and postoperative protocol should be carefully planned and performed.

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“…Patients with Parkinson's have at least twice the mortality after hip fracture (7,8) with more complications and longer hospital stays. (9) Stroke There are 750,000 cases of stroke per year in the US and 110,000 in England. (10) In a meta-analysis of 11 studies, the risk of hip fracture was increased after a stroke (relative risk [RR] ¼ 2.06, 95% CI 1.68 to 2.52).…”

Section: Parkinson's Diseasementioning

confidence: 99%

“…Patients with Parkinson's have at least twice the mortality after hip fracture (7,8) with more complications and longer hospital stays. (9)…”

Section: Medical Conditionsmentioning

confidence: 99%

Risk and Prevention of Fracture in Patients With Major Medical Illnesses: A Mini-Review

Cummings

Eastell

2016

Journal of Bone and Mineral Research

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Patients with several medical conditions, including Parkinson's disease, recent stroke, HIV, and heart failure, have a high risk of hip fracture. These patients will also have more severe consequences of a hip fracture, including a greater chance of dying and more prolonged disability. Together, there are nearly as many patients with medical conditions that substantially increase the risk of hip fracture as there are people with osteoporosis by femoral neck bone mineral density (BMD). The contributions of falling and decreased bone mass to the increased risks with these conditions are not certain. Although there are few data about whether and what type of treatments these patients receive to prevent fracture, it is likely that few receive pharmacologic treatments that have been shown to reduce the risk of hip fracture. There is a need to show that drug treatments that strengthen bone also reduce fracture risk in patients whose risk may be owing in greater part to traumatic falls than osteoporosis. Assuming that treatments are efficacious in these patients, there is a major opportunity to substantially reduce the incidence and consequences of hip fracture by reaching more of them with drug treatments to reduce the risk of hip fracture. This will require engagement of specialists who have little expertise and perhaps limited interest in preventing fractures, or new approaches to delivering drug treatments to prevent fracture directly to the patients at risk.

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Impact of Parkinson’s disease on the acute care treatment and medium-term functional outcome in geriatric hip fracture patients

Cited by 25 publications

References 28 publications

Urinary tract infection in patients with hip fracture: An underestimated event?

Urinary tract infection in patients with hip fracture: An underestimated event?

Risk factors for early readmission due to surgical complications after treatment of proximal femoral fractures – A Finnish National Database study of 68,800 patients

Risk and Prevention of Fracture in Patients With Major Medical Illnesses: A Mini-Review

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