&lt;p&gt;In-Hospital Postoperative Pneumonia Following Geriatric Intertrochanteric Fracture Surgery: Incidence and Risk Factors&lt;/p&gt;

Zhao, Kuo; Zhang, Junzhe; Li, Junyong; Guo, Jialiang; Meng, Hongyu; Zhu, Yanbin; Zhang, Yingze

doi:10.2147/cia.s268118

Cited by 31 publications

(49 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The introduction of the original extramedullary sliding screw device in the 1950s revolutionized the treatment of intertrochanteric fractures, and it quickly became the standard for the acute treatment of intertrochanteric fractures (7). However, in the 1990s, the head bone marrow nail became popular despite a lack of solid evidence of its superior performance (8).…”

Section: Introductionmentioning

confidence: 99%

Clinical study on the effect of intramedullary fixation and extramedullary fixation on unstable intertrochanteric fractures

Zhang¹,

Zhang²,

Yang³

2021

Ann Palliat Med

View full text Add to dashboard Cite

Background: Intertrochanteric fracture of femur is a common fracture in the elderly, and the number of intramedullary nails used to manage intertrochanteric fractures has steadily increased, but the evidence for the clinical efficacy of this practice is lacking. The present study retrospectively compared the clinical outcomes and imaging features of patients with unstable intertrochanteric hip fractures treated with traditional extramedullary hip screws (AO/OTA 31-A2) and patients with the same injury treated with newer intramedullary screws.Methods: Lower limb measurement (LLM) for the main results of the hip-specific tools, functional independence measure (FIM), and "timed up and go" (TUG) to test the scale and timing of the 2-minute walk test were used as secondary tools for clinical outcomes. Other detailed radiological parameters to evaluate the fracture movement, such as heterotopic ossification, and implant failure, were also recorded.Results: There were no significant differences between the intramedullary and extramedullary treatment groups in terms of the measures acquired by the primary or secondary clinical outcome tools (P>0.05), but the radiographic parameters favored the intramedullary treatment group as it showed reduced femoral neck shortening.Conclusions: Although treatment with intramedullary nailing resulted in better radiographic assessment results, this did not translate into better functional recovery outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical study on the effect of intramedullary fixation and extramedullary fixation on unstable intertrochanteric fractures

Zhang¹,

Zhang²,

Yang³

2021

Ann Palliat Med

View full text Add to dashboard Cite

show abstract

“…Noordin et al 21 found that octogenarian patients who underwent dynamic hip screw fixation for intertrochanteric femur fractures had a higher rate of postoperative complications (25%) and 1-year mortality (22%) than those younger than 80 years (4% and 8%, respectively). Similarly, in a study by Zhao et al 22 age greater than 82 years was found to be an independent risk factor of in-hospital postoperative pneumonia after surgical management of intertrochanteric femur fractures. In addition, Matityahu et al 23 found that octogenarians who sustained operatively managed pelvic fractures had a higher risk of mortality and complications than the nonoctogenarian geriatric population.…”

Section: Discussionmentioning

confidence: 72%

Morbidity and Mortality After Surgical Management of Tibial Plateau Fractures in Octogenarians

Pollard¹,

Gupta²,

Quan³

et al. 2021

JAAOS Glob Res Rev

View full text Add to dashboard Cite

Background: Because the geriatric population continues to increase in number, the incidence of geriatric tibial plateau fractures in octogenarians is projected to increase. The functional and physiological status varies within this population. The purpose of this study was to compare the complications after surgical management of tibial plateau fractures in patients aged 65 to 79 years with those in patients aged 80 to 89 years. Methods: In this retrospective cohort study, data were collected from the National Surgical Quality Improvement Program database for the years 2006 to 2018. The Current Procedural Terminology codes and International Classification of Diseases codes were used to identify all tibial plateau fractures that were treated with open reduction and internal fixation. Patients were divided into two groups: 65- to 79-year-old group and 80- to 89-year-old group. Primary and secondary outcomes were studied and included the 30-day mortality. Univariate and multivariate analyses were done with a statistical significance set at P < 0.05. Results: In total, 718 patients with tibial plateau fractures who underwent open reduction and internal fixation were included in this study. Of these, 612 were aged 65 to 79 years, and 106 were aged 80 to 89 years. On multivariate analysis, patients aged 80 to 89 years were at increased risk of postoperative anemia requiring transfusion (odds ratio 2.83; 95% confidence interval 1.37 to 5.84; P = 0.005) and extended length of hospital stay (odds ratio 2.72; 95% confidence interval 1.64 to 4.51; P < 0.001) in comparison with patients aged 65 to 79 years. Conclusion: In appropriately selected octogenarian patients, surgical management of tibial plateau fractures was associated with greater risks of transfusion and longer hospital stay. However, comparisons of the rates of late complications and reoperations remain unknown.

show abstract

“…Although the age cutoff for high risk of POP following geriatric hip fracture surgery was variable, three studies reported that patients aged >80 years were at a particularly high risk for POP. 14 , 16 , 17 Furthermore, the risk for POP increases with age, and older patients who developed POP had longer hospital stays and higher mortality rates. 18 This suggests that the elderly, especially those over the age of 80 years, are more likely to develop POP after hip fracture surgery and thus require special attention.…”

Section: Discussionmentioning

confidence: 99%

“…This may be explained by the fact that males tend to have poorer health and more comorbidities compared to females. 17 …”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Postoperative Pneumonia in the Elderly Following Hip Fracture Surgery: A Systematic Review and Meta-Analysis

Lee

Kim

2022

Geriatr Orthop Surg Rehabil

View full text Add to dashboard Cite

Introduction: Pneumonia is a serious complication following hip fracture surgery in older people. However, the prevalence and risk factors of postoperative pneumonia (POP) are not well-established. This study identified pre- and peri-operative factors associated with the development of POP following hip fracture surgery. Methods: We searched the Cochrane library, PubMed, and Embase databases for relevant articles published up to June 2021. Studies involving older patients who underwent hip fracture surgery were considered if they detailed the demographic or surgical characteristics of the participants. For all analyses, the pooled odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated. Results: A total of 24 studies (288819 participants) were included. The overall prevalence of POP following hip fracture surgery was 5.0%. There were 36 risk factors for POP, and the meta-analysis included the five most common: delayed surgery (OR: 1.84, 95% CI: 1.29-2.63), low serum albumin (OR: 2.34, 95% CI: .82-6.73), chronic respiratory diseases (OR: 2.42, 95% CI: 1.82-3.24), increased age (OR: 1.25, 95% CI:1.11-1.40), and male sex (OR: 2.22, 95% CI: 2.00-2.47). Conclusions: The prevalence of POP was 5.0% following hip fracture surgery in the elderly. Older age, male sex, chronic respiratory diseases, delayed surgery, and low serum albumin were significant risk factors. Clinicians treating hip fracture patients must remain be aware of these risk factors.

show abstract

<p>In-Hospital Postoperative Pneumonia Following Geriatric Intertrochanteric Fracture Surgery: Incidence and Risk Factors</p>

Cited by 31 publications

References 30 publications

Clinical study on the effect of intramedullary fixation and extramedullary fixation on unstable intertrochanteric fractures

Clinical study on the effect of intramedullary fixation and extramedullary fixation on unstable intertrochanteric fractures

Morbidity and Mortality After Surgical Management of Tibial Plateau Fractures in Octogenarians

Risk Factors for Postoperative Pneumonia in the Elderly Following Hip Fracture Surgery: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About