Publications by authors named "Francesco De Filippi"

Article Synopsis
  • * They recruited 3,017 mostly older female patients (median age 86), with significant variability in practices such as surgery timing, cognitive assessments, and rehabilitation discharge.
  • * Results highlighted a need for a national discussion in Italy to standardize and improve orthogeriatric care, as the approaches differed significantly from international standards.
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Aim: Literature investigating rehabilitation outcomes after hip surgery among individuals aged ≥85 years is sparse. We compared the characteristics and outcomes of patients aged under and over 85 years, and assessed factors potentially associated with rehabilitation success as described by the Barthel Index (BI).

Methods: From 2011 to 2014, we prospectively enrolled 328 patients (n = 152 aged <85 years, n = 176 aged ≥85 years) admitted to an orthogeriatric unit (Sondrio, Italy) with a diagnosis of hip fracture requiring surgical treatment.

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Article Synopsis
  • - Delirium is a serious condition marked by confusion and cognitive issues, often triggered by medical problems or substance use, especially in older adults or those with dementia.
  • - Key factors that can lead to delirium include pain, dehydration, infections, and recent surgeries, yet it is frequently overlooked in various healthcare environments.
  • - To address this issue, a group of Italian scientific societies is working together to create better awareness, prevention, and treatment strategies for delirium in elderly patients, aiming to educate healthcare providers and policymakers.
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Hip fracture is a common occurrence in the elderly. Due to the growing demand for the specific care of these patients, we established the Orthogeriatric Unit (OGU) at San Gerardo University Hospital (Italy) in 2007. However, simultaneous bilateral femoral neck fractures among the geriatric population (those aged ≥65 years) are rarely reported in the literature.

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Background: Age is one of the most robust risk factors for hip fracture. Recent projections indicate that almost half of hip fractures are occurring with an increasing trend among the "oldest old" (i.e.

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Background And Aims: Hip fracture in older people is an event associated with a high incidence of morbidity and mortality. In this study we compared the clinical outcomes of two groups of orthogeriatric patients in an orthogeriatric care (OC) programme. The OC course, developed into the GeriatricWard, starts from the Emergency Department (OC-1, n=174) or from the Orthopaedic Department after surgery (OC-2, n=87).

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Objective: To identify the real number of hyperhomocysteinemic Alzheimer's patients who may benefit from homocysteine-lowering therapy.

Methods: Basal and post-methionine load homocysteine levels were assessed by rp-HPLC system.

Results: PML test revealed twice as many hyperhomocysteinemic AD subjects with respect to the fasting analysis.

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From a sample of 265 elderly subjects (age 80.2 +/- 6.8 years) admitted to a geriatric care unit, free from cardiac and respiratory diseases, with normal chest X-ray and gas analysis, 53 subjects were selected and their respiratory functions (assessed by spirometric parameters and airway resistance 'Raw') were studied to correlate them with nutritional status, cognitive impairment, independence in everyday life activities and mood disorders, assessed, respectively, by the Mini Nutritional Assessment, rapid Mini Mental State test (MMSr), activities of daily living (ADL), instrumental activities of daily living (IADL) evaluation, Barthel Index and Cornell Depression Scale.

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