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Latest & greatest articles for hip fracture
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on hip fracture or other clinical topics then use Trip today.
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Perioperative care of patients with hip and major fragility fractures during the COVID-19 pandemic Consensus statement on perioperative care of patients with hip and major fragility fractures — ICM Anaesthesia COVID-19 Open Menu Close Menu (accessed 8/5/20). The management of hipfracture in adults. National Institute for Health and Care Excellence Clinical Guideline Centre (CG124) 2011: Updated 2017. (accessed 8/5/20). Clinical guide for management of fragility fractures during the coronavirus
Elderly Adults with Isolated HipFractures - Orthogeriatric Care versus Standard Care Elderly adults with isolated hipfractures- orthogeriatric care versus standard care: Practice Management Guideline - Practice Management Guideline Search » Elderly Adults with Isolated HipFractures - Orthogeriatric Care versus Standard Care Published 2020 Citation: Authors Mukherjee, Kaushik MD, MSCI; Brooks, Steven E. MD; Barraco, Robert D. MD; Como, John J. MD, MPH; Hwang, Franchesca MD; Robinson, Bryce R (...) digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal’s Web site ( ). Address for reprints: Marie E. Crandall, MD, MPH, FACS, Department of Surgery, University of Florida College of Medicine Jacksonville, 655 W. 8 [th] Street, Jacksonville, FL 32209; email: . Online date: August 29, 2019 Abstract BACKGROUND : Elderly patients commonly suffer isolated hipfractures
Association Between Uncemented vs Cemented Hemiarthroplasty and Revision Surgery Among Patients With HipFracture. Consensus guidelines and systematic reviews have suggested that cemented fixation is more effective than uncemented fixation in hemiarthroplasty for displaced femoral neck fractures. Given that these recommendations are based on research performed outside the United States, it is uncertain whether these findings also reflect the US experience.To compare the outcomes associated (...) with cemented vs uncemented hemiarthroplasty in a large US integrated health care system.Retrospective cohort study of 12 491 patients aged 60 years and older who underwent hemiarthroplasty treatment of a hipfracture between 2009 and 2017 at 1 of the 36 hospitals owned by Kaiser Permanente, a large US health maintenance organization. Patients were followed up until membership termination, death, or the study end date of December 31, 2017.Hemiarthroplasty (prosthetic replacement of the femoral head
Fascia Iliaca Block Decreases HipFracture Postoperative Opioid Consumption: A Prospective Randomized Controlled Trial To determine the efficacy of a preoperative fascia iliaca compartment block in decreasing postoperative pain and improving functional recovery after hipfracture surgery.Randomized prospective Level 1 therapeutic.Academic Level 1 trauma center.Geriatric patients with fractures of the proximal femur (neck, intertrochanteric, or subtrochanteric regions) were prospectively (...) postoperative opioid consumption while improving patient satisfaction. We recommend the integration of this safe and efficacious modality into institutional geriatric hipfracture protocols as an adjunctive pain control strategy.Therapeutic Level II See Instructions for Authors for a complete description of levels of evidence.
Accelerated surgery versus standard care in hipfracture (HIP ATTACK): an international, randomised, controlled trial. Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hipfracture. The HIP ATTACK trial assessed whether accelerated surgery could reduce mortality and major complications.HIP ATTACK was an international, randomised, controlled trial done at 69 hospitals in 17 countries. Patients with a hipfracture that required (...) =1487) or standard care (n=1483). The median time from hipfracture diagnosis to surgery was 6 h (IQR 4-9) in the accelerated-surgery group and 24 h (10-42) in the standard-care group (p<0·0001). 140 (9%) patients assigned to accelerated surgery and 154 (10%) assigned to standard care died, with a hazard ratio (HR) of 0·91 (95% CI 0·72 to 1·14) and absolute risk reduction (ARR) of 1% (-1 to 3; p=0·40). Major complications occurred in 321 (22%) patients assigned to accelerated surgery and 331 (22
Nerve Blocks for Management of Pain Following HipFracture Nerve Blocks for Management of Pain Following HipFracture | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Our Team Sections Education Alumni Research ECRC Journal Club Events Jermyn Lectures Open Search Vignette You’re moonlighting in an austere emergency department, and the night has been relatively benign except for your poor 79-year-old severely demented patient who (...) a sign of relief. But what nerve block? And will it work? You nod smartly in agreement and excuse yourself to the bathroom to check out some online resources… PICO Question Population: Elderly patients with acute hipfracture in the emergency department Intervention: Regional nerve block with any local anesthetic for analgesia (femoral nerve block, 3-in-1 nerve block, or fascia iliaca block) Comparison: Standard pain management strategy without regional nerve block Outcome: Pain scores during ED
The effect of remote ischaemic preconditioning on myocardial injury in emergency hipfracture surgery (PIXIE trial): phase II randomised clinical trial. To investigate whether remote ischaemic preconditioning (RIPC) prevents myocardial injury in patients undergoing hipfracture surgery.Phase II, multicentre, randomised, observer blinded, clinical trial.Three Danish university hospitals, 2015-17.648 patients with cardiovascular risk factors undergoing hipfracture surgery. 286 patients were (...) in the intensive care unit).RIPC reduced the risk of myocardial injury and infarction after emergency hipfracture surgery. It cannot be concluded that RIPC overall prevents major adverse cardiovascular events after surgery. The findings support larger scale clinical trials to assess longer term clinical outcomes and mortality.ClinicalTrials.gov NCT02344797.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group
Total Hip Arthroplasty or Hemiarthroplasty for HipFracture. Globally, hipfractures are among the top 10 causes of disability in adults. For displaced femoral neck fractures, there remains uncertainty regarding the effect of a total hip arthroplasty as compared with hemiarthroplasty.We randomly assigned 1495 patients who were 50 years of age or older and had a displaced femoral neck fracture to undergo either total hip arthroplasty or hemiarthroplasty. All enrolled patients had been able (...) to ambulate without the assistance of another person before the fracture occurred. The trial was conducted in 80 centers in 10 countries. The primary end point was a secondary hip procedure within 24 months of follow-up. Secondary end points included death, serious adverse events, hip-related complications, health-related quality of life, function, and overall health end points.The primary end point occurred in 57 of 718 patients (7.9%) who were randomly assigned to total hip arthroplasty and 60 of 723
Effect of a Multicomponent Home-Based Physical Therapy Intervention on Ambulation After HipFracture in Older Adults: The CAP Randomized Clinical Trial. Disability persists after hipfracture in older persons. Current rehabilitation may not be sufficient to restore ability to walk in the community.To compare a multicomponent home-based physical therapy intervention (training) with an active control on ability to walk in the community.Parallel, 2-group randomized clinical trial conducted at 3 US (...) clinical centers (Arcadia University, University of Connecticut Health Center, and University of Maryland, Baltimore). Randomization began on September 16, 2013, and ended on June 20, 2017; follow-up ended on October 17, 2017. Patients aged 60 years and older were enrolled after nonpathologic, minimal trauma hipfracture, if they were living in the community and walking without human assistance before the fracture, were assessed within 26 weeks of hospitalization, and were not able to walk during daily
Should we provide outreach rehabilitation to very old people living in Nursing Care Facilities after a hipfracture? A randomised controlled trial to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care.parallel randomised controlled trial with integrated health economic study.NCFs, in Adelaide South Australia.people aged 70 years and older who were recovering (...) from hipfracture surgery and were walking prior to hip fracture.primary outcomes: mobility (Nursing Home Life-Space Diameter (NHLSD)) and quality of life (DEMQOL) at 4 weeks and 12 months.participants were randomised to treatment (n = 121) or control (n = 119) groups. At 4 weeks, the treatment group had better mobility (NHLSD mean difference -1.9; 95% CI: -3.3, -0.57; P = 0.0055) and were more likely to be alive (log rank test P = 0.048) but there were no differences in quality of life. At 12
Pre-operative administration of tranexamic acid in hipfracture surgery Rapid Literature Review 1 Pre-operative administration of tranexamic acid in hipfracture surgery Citation Yap G. & Melder A. 2018. Pre-operative administration of tranexamic acid in hipfracture surgery: Rapid Literature Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Email: CCE@monashhealth.org Background The use of Tranexamic acid (TXA) as an antifibrinolytic agent is established (...) in reducing peri- and postoperative blood loss in surgery  . As the fibrinolytic system is activated after the injury and continues to increase during surgery, blood loss in interchochanteric fractures is substantially greater than that in elective total hip arthroplasties. Therefore, it is important to evaluate the safety and effectiveness of TXA in hipfractures  . The CCE was requested to undertake a review of the evidence around the safety and efficacy of pre-operative administration
Chemical thromboprophylaxis after hipfracture surgery Rapid Review 1 Chemical thromboprophylaxis after hipfracture surgery Citation Yap G., Joseph C. & Melder A. 2018. Chemical thromboprophylaxis after hipfracture surgery: Rapid Literature Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Contact email@example.com Background Few studies are available in the literature reporting on the prevention of venous thromboembolism in patients with a hipfracture (...) compared to those with hip arthroplasty  . The Director of Orthopaedic Surgery requested a review of the evidence around the most suitable chemical thromboprophylaxis for patients who have undergone hip surgery. Objectives To determine the recommended chemical thromboprophylaxis (choice, dose and duration) for patients after hipfracture surgery in the prevention of venous thromboembolism (VTE); and improvement outcomes related to deep vein thrombosis (DVT), pulmonary embolism (PE), bleeding
Predischarge home visits after hipfracture: a randomized controlled trial The objective of this study is to investigate whether home assessment visits prior to hospital discharge for patients recovering from hipfracture reduce falls and prevent hospital readmissions, within the first 30 days and six months after discharge home.A randomized controlled trial was conducted.The study setting included hospital wards and the community.The study included adults 50 years and over recovering from hip (...) independence at six months (11.2 units, 95% CI 4.2 to 18.2). There were no other between-group differences.Home assessment visits by occupational therapists prior to hospital discharge for patients recovering from hipfracture reduced the number of readmissions to hospital, increased functional independence at six months and may have reduced the risk of falls in the first 30 days after discharge.