Postoperative mental impairment in hip fracture patients: A randomized study of reorientation measures in 223 patients

Strömberg, Lars; Öhlén, Gunnar; Nordin, Conny; Lindgren, Urban; Svensson, Olle

doi:10.3109/17453679908997801

Cited by 18 publications

(12 citation statements)

References 20 publications

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“…Although there has been an increased emphasis on older adults with CI following a hip fracture in rehabilitation interventions, previous studies have primary focused on inpatient settings [11,20]. The three studies that met our inclusion criteria were not designed to meet the specific needs of older adults with CI, which is a similar finding to other literature reviews [21].…”

Section: Discussionmentioning

confidence: 63%

Community-Based Hip Fracture Rehabilitation Interventions for Older Adults With Cognitive Impairment: A Systematic Review

Chu¹,

Paquin²,

Puts³

et al. 2016

JMIR Rehabil Assist Technol

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BackgroundA hip fracture in older adulthood can result in function and mobility decline. The consequences are debilitating and place a great burden on patients, caregivers, and the health care system. Although inpatient rehabilitation programs have proven effective, the best practices for community-based rehabilitation required to maintain the gains in function and mobility post hospital discharge are currently unknown.ObjectiveThe aim of this systematic review is to identify and evaluate the evidence on the effectiveness of community-based rehabilitation post hospital discharge interventions for older adults with cognitive impairment (CI) following a hip fracture, and to identify the physical recovery outcomes and measures used in previous studies.MethodsThe methods outlined in the Cochrane Handbook for Systematic Reviews of Intervention were followed and findings were reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search strategy included a combination of text words and subject headings relating to the concepts of CI, dementia, delirium, cognitive reserve, and hip fractures. For a study to be included in the review, it had to involve participants with CI who underwent hip fracture surgery, and consisted of an outpatient intervention that occurred in the participant’s home or community. Peer-reviewed journal articles were identified by searching various databases. Two independent reviewers screened the titles and abstracts to determine which articles comprising of a rehabilitation intervention within a community setting prior to being included for a full article review. A data extraction form and an evidence and quality checklist were used during the full article data analysis and synthesis. A meta-analysis was not conducted due to heterogeneity of measures and outcomes.ResultsThe original search resulted in over 3000 articles. Of those, three studies satisfied the necessary criteria to be included in the systematic review. All studies included inpatient and outpatient physiotherapy, with some including a cognitive component, family education, and a discharge assessment.ConclusionsThe findings from this review suggest that community-based rehabilitation post hospital discharge interventions show promising results towards improving various physical function outcomes, mobility, and activities of daily living for older adults with CI following a hip fracture. This review also demonstrates and discusses the current lack of outpatient rehabilitation interventions targeted towards older adults with CI post-hip fracture. Additionally, several substantive gaps that require attention to move this field forward are highlighted.

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Section: Discussionmentioning

confidence: 63%

Community-Based Hip Fracture Rehabilitation Interventions for Older Adults With Cognitive Impairment: A Systematic Review

Chu¹,

Paquin²,

Puts³

et al. 2016

JMIR Rehabil Assist Technol

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“…SPMSQ scores that declined more than two points in 1991 met criteria for cognitive decline. Several community‐based cohort studies supported this cutpoint 19–23 …”

Section: Methodsmentioning

confidence: 88%

“…The SPMSQ has been used in several epidemiological studies to differentiate cognitive function 19–23 . In one community‐based study of elderly persons, it identified dementia with a positive predictive value of 87% 30 .…”

Section: Discussionmentioning

confidence: 99%

Cognitive Decline in High‐Functioning Older Persons Is Associated with an Increased Risk of Hospitalization

Chodosh

Seeman

Keeler

et al. 2004

J American Geriatrics Society

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“…Strömberg et al [39] demonstrated that there is no significant difference in the mortality for patients that underwent surgery after 72 h. Moran et al [3] demonstrated that a delay in surgery of up to 96 h in patients without an acute medical comorbidity does not increase the postoperative morbidity, mortality, or duration of rehabilitation, but a delay of more than 4 days in patients who are fit for surgery (i.e., patients whose operation is delayed for reasons not related to their health status) significantly increases mortality [27]. On the other hand, one has to consider that the surgical delay is often related to the need for stabilization of the patient's general conditions (patients affected by comorbidities and complications), so the timing cannot be reduced [37,40,41].…”

Section: Discussionmentioning

confidence: 99%

Influence of timing and oral anticoagulant/antiplatelet therapy on outcomes of patients affected by hip fractures

Dettoni¹,

Castoldi

Via³

et al. 2011

Eur J Trauma Emerg Surg

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Postoperative mental impairment in hip fracture patients: A randomized study of reorientation measures in 223 patients

Cited by 18 publications

References 20 publications

Community-Based Hip Fracture Rehabilitation Interventions for Older Adults With Cognitive Impairment: A Systematic Review

Community-Based Hip Fracture Rehabilitation Interventions for Older Adults With Cognitive Impairment: A Systematic Review

Cognitive Decline in High‐Functioning Older Persons Is Associated with an Increased Risk of Hospitalization

Influence of timing and oral anticoagulant/antiplatelet therapy on outcomes of patients affected by hip fractures

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