Geriatric Orthopaedic Surgery & Rehabilitation最新文献

{"title":"Period-Specific Determinants of Mortality After Geriatric Hip Fracture: Insights into Inflammation, Comorbidity and Surgical Timing.","authors":"Mustafa Bulut, Muhammed Furkan Darilmaz, Çağlar Tuna Issi, Berat Can, Hakan Yolaçan, Serkan Güler","doi":"10.1177/21514593261456502","DOIUrl":"10.1177/21514593261456502","url":null,"abstract":"<p><strong>Background: </strong>Mortality remains high after geriatric hip fractures. Evaluating postoperative mortality across distinct time windows may allow a more accurate clinical interpretation of phase-specific risk determinants.</p><p><strong>Objective: </strong>To assess clinical and laboratory factors associated with mortality at 0-30 days, 30-90 days, and 90-365 days after hemiarthroplasty for geriatric hip fractures.</p><p><strong>Methods: </strong>In this single-center retrospective cohort study, 433 consecutive patients aged ≥65 years who underwent hemiarthroplasty between January 2019 and November 2024 were analyzed. Phase-specific determinants of mortality were evaluated using a three-interval landmark approach with multivariable logistic regression models (0-30, 30-90, and 90-365 days). Discrimination was assessed with ROC analysis; Kaplan-Meier analyses were reported as supportive findings.</p><p><strong>Results: </strong>Mortality was 17.1% at 0-30 days, 6.2% at 30-90 days, and 12.9% at 90-365 days. In multivariable analyses, 0-30-day mortality increased with age (OR 1.17) and Charlson Comorbidity Index (CCI) (OR 1.72), while female sex was protective (OR 0.28). Shorter time-to-surgery showed an inverse association with early mortality (OR 0.97 per hour). For 30-90 days, mortality was associated with log(CRP+1) (OR 1.62). For 90-365 days, mortality was associated with age (OR 1.06), higher ASA score (OR 2.60), and lower albumin (OR 0.92 per g/L). In ROC analyses, age yielded an AUC of approximately 0.70; CRP and CCI showed time-dependent AUC values ranging from 0.55 to 0.66, indicating limited discrimination for use as standalone clinical decision-support tools.</p><p><strong>Conclusion: </strong>Determinants of mortality after geriatric hip fracture vary across postoperative phases. Early mortality is more closely associated with comorbidity burden, intermediate mortality with inflammatory markers, and late mortality with indicators related to physiological reserve and nutritional status. Given the retrospective design, these findings should be interpreted as associations rather than causal effects, and triage-related bias/residual confounding cannot be excluded.</p>","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261456502"},"PeriodicalIF":1.8,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13219810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deltoid Tuberosity Index as a Predictor of Hip Fracture Risk in Older Adults.","authors":"Nuri Koray Ülgen, Ali Said Nazlıgül, Nihat Yiğit, Sadık Emre Erginoğlu, Nurettin Mantı, Ünal Demir, Arslan Kağan Arslan, Mehmet Orçun Akkurt","doi":"10.1177/21514593261456067","DOIUrl":"10.1177/21514593261456067","url":null,"abstract":"<p><strong>Background: </strong>Hip fractures are among the most common osteoporotic injuries in older adults, and early identification of high-risk individuals is essential for their prevention. Although dual-energy X-ray absorptiometry (DEXA) remains the standard method for measuring bone mineral density (BMD), access to this modality is limited in many regions. The deltoid tuberosity index (DTI), which is measured on proximal humeral images and visible on routine chest radiographs, may be a simple and accessible indicator of systemic osteoporosis.</p><p><strong>Methods: </strong>This retrospective study included 1,012 patients aged ≥60 years who underwent surgery for hip fractures and had preoperative chest radiographs suitable for DTI measurement. The normal DEXA group consisted of 75 individuals with normal BMD (DEXA T-score ≥ -1.0) who had chest or shoulder radiographs taken within 6 months of their DEXA scan. DTI measurements were independently performed by two observers. Interobserver and intraobserver reliabilities were analyzed using intraclass correlation coefficients (ICC). Group comparisons, age-related associations, and receiver operating characteristic (ROC) analyses were conducted to evaluate the predictive performance of DTI.</p><p><strong>Results: </strong>DTI was measurable in 74.7% of chest radiographs. The hip-fracture group showed significantly lower DTI values than the normal DEXA group (mean, 1.294; p<0.001). The measurement reproducibility was excellent, with inter- and intraobserver ICC values of 0.95. ROC analysis demonstrated strong discrimination for predicting hip fracture (AUC=0.903). The optimal cutoff value was 1.377, corresponding to 84.6% sensitivity and 86.7% specificity.</p><p><strong>Conclusions: </strong>DTI is a simple, reliable, and easily obtainable measurement from routine chest radiographs and is strongly associated with hip fractures and systemic osteoporosis. Its high reproducibility and diagnostic performance highlight its potential as an opportunistic screening tool, particularly in settings with limited access to DEXA.</p>","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261456067"},"PeriodicalIF":1.8,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13219816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Distal Radius Fractures in Frail Elderly Patients With High Anesthetic Risk: Cast Immobilization Versus Volar Locking Plate Fixation.","authors":"Nihat Yiğit, Ali Said Nazlıgül, Nuri Koray Ülgen, Sadık Emre Erginoğlu, Murat Bozbek, Mehmet Orçun Akkurt","doi":"10.1177/21514593261455274","DOIUrl":"10.1177/21514593261455274","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Distal radius fractures are common among elderly patients and frequently pose management challenges due to advanced age, multiple comorbidities, and increased anesthesia-related risks. In high-risk individuals with limited physiological reserve, the choice between surgical and nonoperative treatment remains controversial. This study aimed to compare the functional, radiological, and complication outcomes of volar locking plate fixation and cast immobilization in elderly patients with distal radius fractures and high anesthetic risk.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This retrospective, single-center comparative study included patients aged ≥65 years with acute distal radius fractures and an American Society of Anesthesiologists (ASA) class ≥III, treated either with cast immobilization or volar locking plate fixation between January 2022 and December 2023. Functional outcomes were assessed using the Patient-Rated Wrist Evaluation (PRWE), Visual Analog Scale (VAS), grip strength, and Activities of Daily Living (ADL) at 6 and 12 months. Radiological parameters, including radial height, radial inclination, volar tilt, and ulnar variance, were evaluated using standardized digital measurements. Treatment-related complications were recorded and analyzed. Statistical analyses included independent-samples t-tests, chi-square tests, and effect size calculations, with a p-value &lt;0.05 considered statistically significant.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 60 patients (30 treated with cast immobilization and 30 treated with volar locking plate fixation) met the inclusion criteria and were included in the final analysis. No statistically significant differences were observed between the two groups in terms of Patient-Rated Wrist Evaluation (PRWE) scores, Visual Analog Scale (VAS) scores, grip strength, or independence in activities of daily living at either 6 or 12 months of follow-up (all p &gt; 0.05). Radiological parameters were largely comparable between groups at final follow-up; however, volar tilt and ulnar variance demonstrated significantly more favorable values in the volar locking plate group. The overall complication rates were similar between treatment modalities. Malunion and complex regional pain syndrome were observed in both groups, with higher-but not statistically significant-rates in the cast immobilization group. No major complications, including deep infection, tendon rupture, neurovascular injury, implant failure, or reoperation, were encountered during follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In elderly high-risk patients with distal radius fractures, volar locking plate fixation provides functional and radiological outcomes comparable to those of cast immobilization. Despite the surgical nature of plate fixation, it did not demonstrate a clear functional advantage over conservative management in this frail population. Given its truly nonoperative character and low complication profile, cast immo","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261455274"},"PeriodicalIF":1.8,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conservative Management of Odontoid Fractures in Octogenarians: Beyond Radiological Union.","authors":"Mariam Babunashvili, Benjamin H L Harris, Michael B Fertleman, Louis J Koizia","doi":"10.1177/21514593261456493","DOIUrl":"10.1177/21514593261456493","url":null,"abstract":"","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261456493"},"PeriodicalIF":1.8,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Acute Kidney Injury in Older Adults With Extracapsular Hip Fractures.","authors":"Elizabeth Nocera, Dilan Prasad, Monica DiFiori, Saqib Rehman","doi":"10.1177/21514593261441096","DOIUrl":"10.1177/21514593261441096","url":null,"abstract":"<p><strong>Objective: </strong>Postoperative acute kidney injury (AKI) is a common and serious complication following hip fracture surgery in older adults. This study aimed to identify predictors of postoperative AKI and evaluate its association with short-term complications after extracapsular hip fracture surgery.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using TriNetX Analytics, a federated electronic health record network of 109 United States healthcare organizations (2015-2025). Adults aged ≥ 65 years undergoing extracapsular hip fracture surgery (CPT 27244/27245) were included; those with prior AKI (ICD-10-CM N17) were excluded. Propensity score matching was performed 1:1. Predictors were assessed using Cox proportional hazards modeling and postoperative complications were compared using risk ratios, odds ratios, and Kaplan-Meier survival analysis.</p><p><strong>Results: </strong>Among 46,287 eligible patients, 1,413 matched pairs (n=2,826) were analyzed. Predictors of postoperative AKI included Black race (HR=1.64), White race (HR=1.21), elevated preoperative serum chloride (HR=1.04), bicarbonate (HR=1.03), creatinine (HR=1.18), and decreased serum protein (HR=1.11). Protective factors included Hispanic/Latino ethnicity (HR=0.70), preoperative opioid use (HR=0.58), elevated serum sodium (HR=0.97), and Tdap vaccination (HR=0.82). Postoperative AKI was associated with increased 30-day risk of myocardial infarction (RR=8.01), sepsis (RR=5.99), respiratory failure (RR=5.30), arrhythmia (RR=2.22), deep vein thrombosis (RR=1.98), transfusion (RR=1.92), and mortality (RR=2.22).</p><p><strong>Conclusions: </strong>Postoperative AKI was independently associated with increased short-term morbidity and mortality following extracapsular hip fracture surgery in older adults. Recognition of perioperative risk factors may support earlier identification and targeted strategies to reduce AKI incidence and improve postoperative outcomes.</p>","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261441096"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Multimorbidity and Walking Independence After Total Knee Arthroplasty in Adults Aged ≥80 Years: A Retrospective Cohort Study.","authors":"Makoto Asaeda, Yukio Mikami, Atsuo Nakamae, Tomoyuki Nakasa, Akinori Nekomoto, Noriaki Maeda, Kiyo Ueda, Takeya Araki, Nobuo Adachi","doi":"10.1177/21514593261446118","DOIUrl":"10.1177/21514593261446118","url":null,"abstract":"<p><strong>Background: </strong>The demand for total knee arthroplasty, an established treatment for advanced knee osteoarthritis, is anticipated to increase among individuals aged ≥80 years. Given the high prevalence of multimorbidity among older adults in Japan, in this study, we aimed to elucidate the relationship between multimorbidity and post-operative walking independence in this demographic.</p><p><strong>Methods: </strong>This retrospective cohort study included patients who underwent total knee arthroplasty for knee osteoarthritis between October 2023 and September 2024; those who underwent other surgeries or had significant mobility limitations were excluded. Patients aged ≥80 years with a Charlson Comorbidity Index of ≥2 were categorized into the \"older patients with multimorbidity\" group. The primary outcome was walking independence, which was assessed using the Functional Ambulation Category. Demographic and clinical variables were evaluated as potential confounders. Statistical tests included Student's <i>t</i>-test, Mann-Whitney <i>U</i> test, chi-square test, and hierarchical multiple regression analysis; a <i>p</i>-value of <0.05 was considered significant.</p><p><strong>Results: </strong>Thirteen and 42 patients were classified as \"older patients with multimorbidity\" and controls, respectively. Significant intergroup differences were observed in age, height, weight, and hemoglobin levels but not in the length of hospital stay and overall outcomes. Functional Ambulation Category scores declined postoperatively in both groups, with no significant intergroup difference in independent walking ability. Hierarchical multiple regression analysis of pooled data revealed no significant association between age or multimorbidity and walking independence at discharge.</p><p><strong>Conclusion: </strong>The findings indicate that age and multimorbidity are not primary determinants of post-operative walking independence. Individualized rehabilitation may improve recovery outcomes, underscoring the potential benefits of standardizing postoperative care for older patients with multimorbidity who have undergone total knee arthroplasty.</p>","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261446118"},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13158508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Fixation Method and Surgical Approach on Outcomes Following Hip Hemiarthroplasty for Femoral Neck Fracture.","authors":"Brian D Rust, Mitchel R Obey, Jenna-Leigh Wilson, Christopher M McAndrew, Marschall B Berkes","doi":"10.1177/21514593261446117","DOIUrl":"10.1177/21514593261446117","url":null,"abstract":"<p><strong>Introduction: </strong>Hip hemiarthroplasty is commonly performed for displaced femoral neck fractures in older adults, with implants placed either cemented or uncemented. While cemented fixation offers immediate stability, uncemented fixation reduces operative time and pulmonary complications. Large single-center analyses comparing these techniques remain limited, and this study aims to assess this.</p><p><strong>Methods: </strong>We conducted a retrospective case-control study of 634 adult patients undergoing hip hemiarthroplasty at a single Level 1 trauma center from 2019 to 2025. Patients were classified by cemented (n=403) or uncemented (n=231) fixation and further stratified by surgical approach (anterolateral vs posterior). Outcomes included length of stay, postoperative complications, return to baseline mobility (Koval score), discharge destination, and postoperative mortality within 1 year. Statistical analyses were conducted to evaluate predictive factors with independent-samples t-tests, Mann-Whitney U tests, Chi-square tests, and logistic regression utilized where appropriate.</p><p><strong>Results: </strong>Baseline demographics and preoperative mobility were similar between cohorts. Cemented hips with anterolateral approaches had the lowest rates of dislocation (1.3%, p=0.036) and revision surgery (1.7%, p=0.024), but this did not remain significant after statistical correction (p=0.228, p=156). Functional recovery was comparable across groups. Cemented fixation independently predicted discharge home (OR 2.17, p=0.002). There were no significant differences in length of stay, postoperative pain, periprosthetic fracture, infection, readmission, or mortality within 1 year.</p><p><strong>Conclusions: </strong>In this large single-center cohort, cemented hip hemiarthroplasty, particularly with an anterolateral approach, was associated with reduced dislocation and revision rates and increased likelihood of discharge home. These findings support consideration of cemented fixation with an anterolateral approach in appropriately selected patients to optimize postoperative outcomes and quality of life. Further multicenter prospective studies are warranted to confirm these results and refine surgical decision-making for femoral neck fractures.</p>","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261446117"},"PeriodicalIF":1.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: \"The Critical Role of Follow-Up in Fracture Liaison Services for Geriatric Hip Fracture Patients: A Retrospective Cohort Study\" - Israeli Eilon et al (2026).","authors":"Cátia Ganito","doi":"10.1177/21514593261441090","DOIUrl":"10.1177/21514593261441090","url":null,"abstract":"","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261441090"},"PeriodicalIF":1.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced Clinical Outcomes in Frail Patients Who Underwent Short Lumbar Fusion Surgery With the Implementation of the Enhanced Recovery After Surgery (ERAS) Protocol.","authors":"Tinh Laoharojanaphand, Panlop Tirawanish, Monchai Ruangchainikom, Werasak Sutipornpalangkul, Ekkapoj Korwutthikulrangsri","doi":"10.1177/21514593261442735","DOIUrl":"10.1177/21514593261442735","url":null,"abstract":"<p><strong>Background: </strong>Frailty among surgical patients correlates with the risks of adverse outcomes, including postoperative complications, extended recovery, and elevated mortality rates. The ERAS protocol is a comprehensive, team-based care pathway that focuses on refining perioperative management, lowering the risk of complications, and promoting faster recovery. This study investigates the effects of implementing ERAS on hospitalization duration, clinical outcomes, and perioperative complications in frail individuals undergoing short-segment lumbar fusion.</p><p><strong>Methods: </strong>We included frail patients ≥65 years who underwent one- or two-level posterior lumbar fusion for degenerative spinal disease from January 2018 to October 2020 (non-ERAS cohort) and from October 2020 to June 2023 (ERAS cohort). Demographic information, comorbidities, and surgical details were collected. The primary outcome was to compare the hospitalization duration. Additionally, other clinical outcomes, such as postoperative recovery parameters, pain scores, complications, and the Oswestry Disability Index (ODI), were recorded.</p><p><strong>Results: </strong>The study enrolled 114 frail patients, equally distributed into ERAS and non-ERAS cohorts. ERAS intervention significantly reduced the length of hospital stay (6.95 ± 2.74 days vs. 8.72 ± 4.54 days, p = 0.024) and blood transfusion rates (19.3% vs. 49.1%, p = 0.001). Time to remove the drain and indwelling catheter showed no statistically significant difference. Postoperative VAS scores and Oswestry Disability Index (ODI) scores at 6-week, 6-month, and 12-month follow-up intervals were comparable between groups. There was no significant difference in the incidence of major or minor complications between the two groups.</p><p><strong>Conclusions: </strong>Our study suggests that applying an ERAS pathway to frail individuals undergoing short-segment lumbar fusion can shorten hospital stay and lower transfusion rates, while not increasing complications, reoperations, or readmissions.</p>","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261442735"},"PeriodicalIF":1.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Sleep Quality and Geriatric Hip Fracture: A Prospective Comparative Study.","authors":"Erkan Akgun, Kemal Sibar, Huseyin Emre Tepedelenlioglu, Yavuz Emre Aktasoglu, Halil Gok, Aytek Huseyin Celiksoz, Abdulsamet Emet","doi":"10.1177/21514593261441091","DOIUrl":"10.1177/21514593261441091","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate the association between sleep disturbance and geriatric hip fracture.</p><p><strong>Methods: </strong>Between January 2023 and August 2024, 90 patients admitted to the Adult Emergency Clinic with the diagnosis of hip fracture were included in the study. In addition, a control group consisted of 90 patients, aged ≥65 years, and undergoing elective orthopedic surgery without prior hip fracture. The Pittsburg Sleep Quality Index (PSQI) test, Bone Mineral Densitometry and Vitamin D and Calcium levels were examined and noted in the inpatient service for both groups of patients two days after surgery.</p><p><strong>Results: </strong>A total of 180 patients were included. The fracture group demonstrated higher PSQI scores compared with the control group (6.74 ± 4.02 vs 5.23 ± 3.06, p=0.005). Poor sleep quality (PSQI >5) was more frequent in the fracture group (73.3% vs 33.3%, p<0.001). Serum calcium levels were lower in the fracture group (p<0.001), while vitamin D and DEXA scores were not significantly different (p=0.796 and p=0.119, respectively). Within the fracture cohort, poorer sleep quality was associated with older age and female sex.</p><p><strong>Conclusion: </strong>Geriatric hip fracture patients demonstrated poorer sleep quality compared with elective surgical control patients. Screening for sleep problems could help identify high-risk geriatric individuals who may benefit from comprehensive fall-prevention strategies.</p>","PeriodicalId":48568,"journal":{"name":"Geriatric Orthopaedic Surgery & Rehabilitation","volume":"17 ","pages":"21514593261441091"},"PeriodicalIF":1.8,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}