Key result
Surgery appeared to be associated with a lower mortality rate compared to functional treatment in patients with concurrent hip fractures and dementia.
Why the study?
The study was conducted to assess pain, locomotion capacity, quality of life, and life expectancy in patients with dementia and hip fractures treated surgically or functionally, as well as prognosis after specific types of osteosynthesis and hip arthroplasty.
Does surgery reduce mortality compared to functional treatment in patients with hip fractures and dementia?
Observational (n=66)
Does surgery reduce mortality compared to functional treatment in patients with hip fractures and dementia?
Surgery may be associated with lower mortality than functional treatment in elderly patients with hip fractures and dementia, though individualized multidisciplinary decisions are required.
May be associated with lower mortality in observational data; hypothesis-generating and should not yet change practice for hip fracture patients with dementia.
Background: Due to the aging process and the associated psychiatric pathology, the decrease in visual acuity, anemia, muscle atrophy and the decrease in bone resistance, the most common mechanism of hip fracture production is represented by falling from the same level. Early diagnosis and treatment of psychiatric diseases can reduce the occurrence of hip fractures through proper care of patients in different centers under the strict supervision of qualified personnel. Objectives: Assessment of pain, measurement of locomotion capacity after surgery, quality of life and life expectancy in patients with dementia and hip fractures surgically or functionally treated. Evaluation of the patient's well-being and prognosis after specific types of osteosynthesis and hip arthroplasty. Results: During one year, 520 patients with hip fractures presented themselves at the EU, of which 66 presented both pathologies. The mortality rate seemed to be lower in patients that underwent surgery, compared to those who chose functional treatment. However, treatment decisions require a multidisciplinary team and individualized recommendations for each patient, due to high surgical risk in the elderly.
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Brădeanu et al. (2023) conducted an observational in Hip fractures and dementia (n=66). Surgery (osteosynthesis and hip arthroplasty) vs. Functional treatment was evaluated on Mortality rate. Surgery appeared to be associated with a lower mortality rate compared to functional treatment in patients with concurrent hip fractures and dementia.
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