martes, 12 de agosto de 2014

Seniors’ Hip Fracture Risks

Seniors’ Hip Fracture Risks

A service of the U.S. National Library of Medicine
From the National Institutes of HealthNational Institutes of Health


Picture of Dr. Lindberg



NLM Director’s Comments Transcript
Seniors’ Hip Fracture Risks: 08/04/2014



Illustration of three seniors riding bicycles
Photo: Courtesy of the National Library of Medicine.



Greetings from the National Library of Medicine and MedlinePlus.gov
Regards to all our listeners!
I'm Rob Logan, Ph.D. senior staff U.S. National Library of Medicine for Donald Lindberg, M.D, the Director of the U.S. National Library of Medicine.
Here is what's new this week in MedlinePlus.listen
Two recent studies published inthe Journal of the American Medical Association and JAMA Internal Medicine provide insights into the types of anesthesia given to hip fracture patients as well as the survival rates of nursing home residents who unfortunately break their hip.
The first study found half of nursing home residents who experienced a hip fracture either died or lost the ability to walk on their own during the six months following hip surgery.
The study’s six authors found the nursing home residents, who were most likely to die or become completely disabled, were seniors older than 90 and persons who did not have surgery after a fracture.
While most nursing home residents were able to walk or get around solo before their injury, the researchers found six months after hospitalization for a hip fracture, one in three persons died, including almost half of male patients.
The lead author of the study, a professor at the University of Pennsylvania Perelman School of Medicine, told Reuters Health (and we quote): ‘Patients who had hip fractures had pretty big increases in disabilities across the spectrum’ (end of quote).
The study was based on national information from U.S. Medicare claims and more than 60,000 nursing home residents, who were hospitalized for hip fractures from 2005-2009.
The study’s lead author told Reuters Health the overall findings suggest surgery for many seniors in nursing homes with hip fractures provides better health outcomes than non-surgery.  He added (and we quote): ‘A pretty high fraction of people who didn’t have surgery had much worse outcomes’ (end of quote.).
The second study, which shares several authors with the first, suggested patients after age 50 - who were given a local or regional anesthesia - experienced a slightly lower risk of death and a slightly shorter hospital stay compared to patients who received general anesthesia.
A local or regional anesthesia is given directly to the affected part of the body compared to a broader or general anesthesia.
More specifically, the second study’s five authors found the death rate for hip fracture surgery was 5.3 percent for patients who received a local anesthesia compared to 5.4 percent for patients who received a general anesthesia after 30 days. The study also found hospital stays after hip fracture surgery averaged six days for patients who received a local anesthesia compared to 6.3 days for patients who received a general anesthesia. The authors explain both of these differences are not statistically significant.
The findings in the second study are based on 57,000 patients after age 50 who had hip fracture surgery in the state of New York between 2004-2011.
The authors of the second study imply the differences are sufficient to warrant future monitoring as more data about the outcomes of hip fracture patients who receive anesthesia are available from other states.
About 300,000 hip fractures occur annually in the U.S. Hip fractures are twice as likely to occur for seniors who live in nursing homes compared to peers who live elsewhere.
Meanwhile, a helpful overview of hip fractures is provided by the American Academy of Physicians in the ‘start here’ section of MedlinePlus.gov’s hip injuries and disorders health topic page. The American Academy of Physicians also provides a website about the diagnosis/symptoms of hip problems in the ‘diagnosis/symptoms’ section of MedlinePlus.gov’s hip injuries and disorders health topic page.
MedlinePlus.gov’s hip injuries and disorders health topic page additionally provides links to the latest pertinent journal research articles, which are available in the ‘journal articles’ section. Links to clinical trials that may be occurring in your area are available in the ‘clinical trials’ section. You can sign up to receive updates about hip injuries and disorders as they become available on MedlinePlus.gov.
To find MedlinePlus.gov’s hip injuries and disorders health topic page type ‘hip injuries’ in the search box on MedlinePlus.gov’s home page, then, click on ‘hip injuries and disorders (National Library of Medicine).’ MedlinePlus.gov also has a comprehensive health topic page on hip replacement.
Before I go, this reminder… MedlinePlus.gov is authoritative. It's free. We do not accept advertising …and is written to help you.
To find MedlinePlus.gov, just type in 'MedlinePlus.gov' in any web browser, such as Firefox, Safari, Netscape, Chrome or Explorer. To find Mobile MedlinePlus.gov, just type 'Mobile MedlinePlus' in the same web browsers.
We encourage you to use MedlinePlus and please recommend it to your friends. MedlinePlus is available in English and Spanish. Some medical information is available in 43 other languages.
Your comments about this or any of our podcasts are always welcome. We welcome suggestions about future topics too!
Please email Dr. Lindberg anytime at: NLMDirector@nlm.nih.gov
That's NLMDirector (one word) @nlm.nih.gov
A written transcript of recent podcasts is available by typing 'Director's comments' in the search box on MedlinePlus.gov's home page.
The National Library of Medicine is one of 27 institutes and centers within the National Institutes of Health. The National Institutes of Health is part of the U.S. Department of Health and Human Services.
A disclaimer — the information presented in this program should not replace the medical advice of your physician. You should not use this information to diagnose or treat any disease without first consulting with your physician or other health care provider.
It was nice to be with you. I look forward to meeting you here next week.

No hay comentarios:

Publicar un comentario