Four-month outcome after proximal femur fractures and influence of early geriatric rehabilitation : data from the German Centres of Geriatric Trauma DGU
This study analyzed the outcome of orthogeriatric patients with hip fracture 4 months after surgery. The overall mortality rate was 12.2%. Sixty-five percent presented a degradation in walking ability, and 16% had to move to a nursing home. Early geriatric rehabilitation reduces the mortality rate and increases the rate of anti-osteoporotic treatment.
PURPOSE: Hip fractures are increasingly common with severe consequences. Therefore, the German Trauma Society (DGU) implemented an orthogeriatric co-management and developed the concept for certified Centre for Geriatric Trauma DGU. The patients' treatment data and the optional 120 days of follow-up were collected in the Registry for Geriatric Trauma DGU (ATR-DGU). This study analyzed these 4-month treatment results.
METHODS: A retrospective analysis of the ATR-DGU was conducted. Outcome parameters were the rate of readmission, rate of re-surgery, anti-osteoporotic therapy, housing, mortality, walking ability, and quality of life (QoL) 120 days post-surgery. The influence of the early geriatric rehabilitation (EGR) was evaluated using a regression analysis.
RESULTS: The follow-up data from 9780 patients were included. After 120 days, the mortality rate was 12.2%, the readmission rate 4%, and the re-surgery rate 3%. The anti-osteoporotic treatment increased from 20% at admission to 32%; 65% of the patients had a degradation in walking ability, and 16% of the patients who lived in their domestic environment pre-surgery had to move to a nursing home. QoL was distinctly reduced. The EGR showed a positive influence of anti-osteoporotic treatment (p<0.001) and mortality (p=0.011) but led to a slight reduction in QoL (p=0.026).
CONCLUSION: The 4-month treatment results of the ATR-DGU are comparable to international studies. The EGR led to a significant rise in anti-osteoporotic treatment and a reduction in mortality with a slight reduction in QoL.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:16 |
|---|---|
| Enthalten in: |
Archives of osteoporosis - 16(2021), 1 vom: 12. Apr., Seite 68 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Schoeneberg, Carsten [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Hip fracture |
|---|
| Anmerkungen: |
Date Completed 21.04.2021 Date Revised 13.01.2022 published: Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s11657-021-00930-9 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM324018711 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM324018711 | ||
| 003 | DE-627 | ||
| 005 | 20231225185426.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s11657-021-00930-9 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1080.xml |
| 035 | |a (DE-627)NLM324018711 | ||
| 035 | |a (NLM)33846869 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Schoeneberg, Carsten |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Four-month outcome after proximal femur fractures and influence of early geriatric rehabilitation |b data from the German Centres of Geriatric Trauma DGU |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 21.04.2021 | ||
| 500 | |a Date Revised 13.01.2022 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a This study analyzed the outcome of orthogeriatric patients with hip fracture 4 months after surgery. The overall mortality rate was 12.2%. Sixty-five percent presented a degradation in walking ability, and 16% had to move to a nursing home. Early geriatric rehabilitation reduces the mortality rate and increases the rate of anti-osteoporotic treatment | ||
| 520 | |a PURPOSE: Hip fractures are increasingly common with severe consequences. Therefore, the German Trauma Society (DGU) implemented an orthogeriatric co-management and developed the concept for certified Centre for Geriatric Trauma DGU. The patients' treatment data and the optional 120 days of follow-up were collected in the Registry for Geriatric Trauma DGU (ATR-DGU). This study analyzed these 4-month treatment results | ||
| 520 | |a METHODS: A retrospective analysis of the ATR-DGU was conducted. Outcome parameters were the rate of readmission, rate of re-surgery, anti-osteoporotic therapy, housing, mortality, walking ability, and quality of life (QoL) 120 days post-surgery. The influence of the early geriatric rehabilitation (EGR) was evaluated using a regression analysis | ||
| 520 | |a RESULTS: The follow-up data from 9780 patients were included. After 120 days, the mortality rate was 12.2%, the readmission rate 4%, and the re-surgery rate 3%. The anti-osteoporotic treatment increased from 20% at admission to 32%; 65% of the patients had a degradation in walking ability, and 16% of the patients who lived in their domestic environment pre-surgery had to move to a nursing home. QoL was distinctly reduced. The EGR showed a positive influence of anti-osteoporotic treatment (p<0.001) and mortality (p=0.011) but led to a slight reduction in QoL (p=0.026) | ||
| 520 | |a CONCLUSION: The 4-month treatment results of the ATR-DGU are comparable to international studies. The EGR led to a significant rise in anti-osteoporotic treatment and a reduction in mortality with a slight reduction in QoL | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Hip fracture | |
| 650 | 4 | |a Mortality | |
| 650 | 4 | |a Orthogeriatric co-management | |
| 650 | 4 | |a Proximal femur fracture | |
| 650 | 4 | |a Quality of life | |
| 700 | 1 | |a Pass, Bastian |e verfasserin |4 aut | |
| 700 | 1 | |a Volland, Ruth |e verfasserin |4 aut | |
| 700 | 1 | |a Knobe, Matthias |e verfasserin |4 aut | |
| 700 | 1 | |a Eschbach, Daphne |e verfasserin |4 aut | |
| 700 | 1 | |a Ketter, Vanessa |e verfasserin |4 aut | |
| 700 | 1 | |a Lendemans, Sven |e verfasserin |4 aut | |
| 700 | 1 | |a Aigner, Rene |e verfasserin |4 aut | |
| 700 | 0 | |a Registry for Geriatric Trauma DGU |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Archives of osteoporosis |d 2009 |g 16(2021), 1 vom: 12. Apr., Seite 68 |w (DE-627)NLM195844912 |x 1862-3514 |7 nnns |
| 773 | 1 | 8 | |g volume:16 |g year:2021 |g number:1 |g day:12 |g month:04 |g pages:68 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s11657-021-00930-9 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 16 |j 2021 |e 1 |b 12 |c 04 |h 68 | ||