Osteoporosis Assessment and Treatment in Older Patients who Have Sustained a Hip Fracture

2006 ◽  
Vol 51 (2) ◽  
pp. 32-35 ◽  
Author(s):  
Douglas W Lowdon ◽  
Catherine Quinn ◽  
Pat Mole ◽  
Graham P Leese
2014 ◽  
Vol 24 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Francisco J Tarazona-Santabalbina ◽  
Juan R Doménech-Pascual ◽  
Ángel Belenguer-Varea A ◽  
Eduardo Rovira Daudi

SummaryHip fracture is very common among older patients, who are characterized by increased co-morbidities, including cognitive impairment. These patients have an increased risk of falls and fractures, poorer functional recovery and lower survival both in hospital and 12 months after discharge. We review the survival and functional outcomes of older patients with cognitive impairment and hip fracture managed in orthogeriatric units, and highlight the gaps in our knowledge of the efficacy and efficiency of specific orthogeriatric programmes for such patients and the future research perspectives in this field.


2017 ◽  
Vol 28 (5) ◽  
pp. 1569-1576 ◽  
Author(s):  
F. Landi ◽  
R. Calvani ◽  
E. Ortolani ◽  
S. Salini ◽  
A. M. Martone ◽  
...  

Author(s):  
Signe Hulsbæk ◽  
Carsten Juhl ◽  
Alice Røpke ◽  
Thomas Bandholm ◽  
Morten Tange Kristensen

Abstract Background A systematic review and meta-analysis was performed to evaluate the short- and long-term effect of exercise therapy on physical function, independence and wellbeing in older patients following hip fracture, and secondly, whether the effect was modified by trial level characteristics such as intervention modality, duration and initiation timepoint. Methods Medline, CENTRAL, Embase, CINAHL and PEDro was searched up-to November 2020. Eligibility criteria was randomized controlled trials investigating the effect of exercise therapy on physical function, independence and wellbeing in older patients following hip fracture, initiated from time of surgery up-to 1-year. Results Forty-nine studies involving 3905 participants showed a small to moderate effect of exercise therapy at short term (end of intervention) on mobility (Standardized mean difference, SMD 0.49, 95%CI 0.22-0.76); Activities of Daily Living (ADL) (SMD 0.31, 95%CI 0.16-0.46); lower limb muscle strength (SMD 0.36, 95%CI 0.13-0.60); balance (SMD 0.34, 95%CI 0.14-0.54). At long term (closest to 1-year), small to moderate effects were found for mobility (SMD 0.74, 95%CI 0.15-1.34); ADL (SMD 0.42, 95%CI 0.23-0.61); balance (SMD 0.50, 95%CI 0.07-0.94) and Health related Quality of Life (HRQoL) (SMD 0.31, 95%CI 0.03-0.59). Certainty of evidence was evaluated using GRADE ranging from moderate to very low, due to study limitation and inconsistency. Conclusion We found low certainty of evidence for a moderate effect of exercise therapy on mobility in older patients following hip fracture at end-of-treatment and follow-up. Further, low evidence was found for small to moderate short-term effect on ADL, lower limb muscle strength and balance.


1996 ◽  
Vol 44 (6) ◽  
pp. 740-741 ◽  
Author(s):  
Giuseppe Lombardi ◽  
Emanuela Rizzi ◽  
Nadir Zocca ◽  
M.R. Inzoli
Keyword(s):  

2017 ◽  
Vol 21 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Sun Jin Lee ◽  
Jae Shim Jeong ◽  
Kyung-Choon Lim ◽  
Eun Young Park ◽  
Hye Youn Kim

2018 ◽  
Vol 18 (7) ◽  
pp. 1003-1008 ◽  
Author(s):  
Akira Sawaguchi ◽  
Ryo Momosaki ◽  
Kiyotaka Hasebe ◽  
Masayuki Chono ◽  
Seiji Kasuga ◽  
...  

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