Appropriate recognition of the physiologic, psychological, and clinical differences among geriatric patients, with respect to orthopedic injury and disease, is paramount for all emergency medicine providers to ensure they are providing high-value care for this vulnerable population.
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http://dx.doi.org/10.1016/j.emc.2019.09.002 | DOI Listing |
Chirurgie (Heidelb)
December 2024
Klinik für Orthopädie und Unfallchirurgie, Marienhospital Stuttgart, Böheimstr. 27, 70199, Stuttgart, Deutschland.
The number of patients with fragility fractures will continue to increase in the future. The multimorbidity of these patients places high demands on the treatment. The treatment of this complex group of patients in specialized centers is therefore recommended.
View Article and Find Full Text PDFJ Clin Med
November 2024
Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU), 51109 Cologne, Germany.
: The number of seriously injured elderly patients is continuously rising. Several studies have underlined the benefit of orthogeriatric co-management in treating older patients with a proximal femur fracture. The basis of this orthogeriatric co-management is a certification as a Centre for Geriatric Trauma (ATZ).
View Article and Find Full Text PDFJ Clin Med
November 2024
Orthopedics and Trauma Surgery, University Hospital Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, Germany.
Postoperative delirium is a prevalent and serious complication among elderly patients following surgical procedures. Prior research indicates that reduced competence in daily living, as evidenced by limitations in performing Activities of Daily Living (ADL), is directly associated with reduced patient mobility. This study aimed to investigate the potential role of preoperative mobility as a risk factor for the development of postoperative delirium.
View Article and Find Full Text PDFJ Clin Med
October 2024
Department for Orthopaedics and Trauma Surgery, Marienhospital Stuttgart, Böheimstrasse 37, 70199 Stuttgart, Germany.
Outcomes for hip fracture patients have improved over the years, yet the population of older patients (≥80 years) continues to grow. By 2100, the global centenarian population is projected to exceed 25 million, but data on hip fracture outcomes in this group are rare and often derived from small samples. This study aimed to analyze outcomes for centenarian hip fracture patients in specialized geriatric trauma centers and compare them with those of patients under 80.
View Article and Find Full Text PDFJ Clin Med
October 2024
Department of Orthopedic and Emergency Surgery, Alfred Krupp Hospital, Hellweg 100, 45276 Essen, Germany.
Orthogeriatric treatment, which involves a collaborative approach between orthopedic surgeons and geriatricians, is generally considered to be superior to standard care following hip fractures. The aim of this study was to investigate additional effects of a geriatrician-led multidisciplinary rehabilitation program. In this matched paired observational cohort study, patients aged 70 years and older with a proximal femur fracture requiring surgery were included.
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