Dementia and Hip Fractures: A Comprehensive Review of Management Approaches.

IF 1.7 Q2 SURGERY

JBJS Reviews Pub Date : 2023-12-11 eCollection Date: 2023-12-01 DOI:10.2106/JBJS.RVW.23.00157

Luke Zabawa, Apurva S Choubey, Brett Drake, Joel Mayo, Alfonso Mejia

引用次数: 0

Abstract

» The elderly population is the fastest growing demographic, and the number of dementia cases in the United States is expected to double to 10 million by 2050.» Patients with dementia are at 3× higher risk of hip fractures and have higher morbidity and mortality after hip fractures.» Hip fracture patients with dementia benefit from early analgesia and timely surgical fixation of fracture.» Early and intensive inpatient rehabilitation is associated with improved postoperative outcomes in patients with dementia.» Coordination of care within a "orthogeriatric" team decreases mortality, and fracture liaison services show potential for improving long-term outcomes in hip fracture patients with dementia.

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痴呆症与髋部骨折：管理方法综合评述》。

"老年人口是增长最快的人口群体，预计到 2050 年，美国的痴呆症病例数量将翻一番，达到 1000 万例"。痴呆症患者发生髋部骨折的风险比正常人高 3 倍，髋部骨折后的发病率和死亡率也更高"。患有痴呆症的髋部骨折患者可从早期镇痛和及时的骨折手术固定中获益"。早期强化住院康复治疗与痴呆症患者术后预后的改善有关"。在 "骨科 "团队中协调护理可降低死亡率，骨折联络服务显示出改善髋部骨折痴呆症患者长期疗效的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS Reviews SURGERY-

CiteScore

4.40

自引率

4.30%

发文量

132

期刊介绍： JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.