Caídas y fractura de cadera

  1. Iglesias, A. López
  2. Sánchez, L.A. Hernández
  3. Mateos-Nozal, J.
  4. Nebreda, M.L. Álvarez
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2022

Título del ejemplar: Enfermedades geriátricas

Serie: 13

Número: 62

Páginas: 3659-3670

Tipo: Artículo

DOI: 10.1016/J.MED.2022.08.018 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Falls are one of the main geriatric syndromes. Due to population aging and their high incidence, they represent a public health problem that can have devastating consequences. They are a cause of functional dependence, institutionalization, and loss of quality of life. They require an in-depth assessment that includes screening for the risk factors for having a fall and a multidimensional evaluation that allows for designing specific interventions. One of the most severe consequences is hip fracture. Older adults who have them benefit from a multidisciplinary medical-surgical assessment to ensure specific, comprehensive treatment that allows for the early detection and treatment of complications and the promotion of functional recovery. With this aim, orthogeriatrics has emerged. Orthogeriatrics is a multidisciplinary care model that includes various medical and surgical specialties as well as other disciplines (nursing, physical therapy, social work, etc.) with the fundamental objective of restoring these patients’ previous functional capacity.

Referencias bibliográficas

  • Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009;20(10):1633-50.
  • Allan LM, Ballard CG, Rowan EN, Kenny RA. Incidence and prediction of falls in dementia: a prospective study in older people. PloS One. 2009;4(5):e5521.
  • Álvarez-Nebreda ML, Bartolomé-Martín I, Brañas Baztán F, Caballero Mora MA, Casas Herrero A. Manual de manejo de las personas mayores que sufren caídas. De la evidencia cientifica a la práctica clínica. 2019.
  • Álvarez-Nebreda ML, Jiménez AB, Rodríguez P, Serra JA. Epidemiology of hip fracture in the elderly in Spain. Bone. 2008;42(2):278-85.
  • Appeadu M, Bordoni B. Falls and fall prevention in the elderly. En: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. http://www.ncbi.nlm.nih.gov/books/NBK560761/
  • Castillón P, Nuñez JH, Mori-Gamarra F, Ojeda-Thies C, Sáez-López P, Salvador J. Hip fractures in Spain: are we on the right track? Statistically significant differences in hip fracture management between Autonomous Communities in Spain. Arch Osteoporos. 2021;16(1):40.
  • Cooper C, Campion G, Melton LJ. Hip fractures in the elderly: a worldwide projection. Osteoporos Int. 1992;2(6):285-9.
  • El-Khoury F, Cassou B, Charles M-A, Dargent-Molina P. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and metaanalysis of randomised controlled trials. BMJ. 2013;347:f6234.
  • Falaschi P, Marsh D. Orthogeriatrics: The management of older patients with fragility fractures. Cham: Springer International Publishing; 2021.
  • Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg Br. 1961;43:647-63.
  • Giusti A, Barone A, Razzano M, Pizzonia M, Pioli G. Optimal setting and care organization in the management of older adults with hip fracture. Eur J Phys Rehabil Med. 2011;47(2):281-96.
  • Gleason CE, Gangnon RE, Fischer BL, Mahoney JE. Increased risk for falling associated with subtle cognitive impairment: secondary analysis of a randomized clinical trial. Dement Geriatr Cogn Disord. 2009;27(6): 557-63.
  • González Montalvo JI, Alarcón Alarcón T, Pallardo Rodil B, Gotor Pérez P, Mauleón Álvarez de Linera JL, Gil Garay E. Ortogeriatría en pacientes Agudos (I). Aspectos Asistenciales. Rev Espanola Geriatr Gerontol. 2008;43(4):239-51.
  • Grigoryan KV, Javedan H, Rudolph JL. Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis. J Orthop Trauma. 2014;28(3):e49-55.
  • Kammerlander C, Roth T, Friedman SM, Suhm N, Luger TJ, Kammerlander-Knauer U. Ortho-geriatric service--a literature review comparing different models. Osteoporos Int J. 2010; 21Suppl4:S637-46.
  • Kenny RA, Richardson DA, Steen N, Bexton RS, Shaw FE, Bond J. Carotid sinus syndrome: a modifiable risk factor for nonaccidental falls in older adults (SAFE PACE). J Am Coll Cardiol. 2001;38(5):1491-6.
  • Moyet J, Deschasse G, Marquant B, Mertl P, Bloch F. Which is the optimal orthogeriatric care model to prevent mortality of elderly subjects post hip fractures? A systematic review and meta-analysis based on current clinical practice. Int Orthop. 2019;43(6):1449-54.
  • Mukherjee K, Brooks SE, Barraco RD, Como JJ, Hwang F, Robinson BRH. Elderly adults with isolated hip fractures orthogeriatric care versus standard care: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2020; 88(2):266-78.
  • Pareja Sierra T, Rodríguez Solis J. Tratamiento médico perioperatorio del anciano ingresado por fractura de cadera. Med Clínica. 2014;143(10):455-60.
  • Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: A prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int. 1999;65(3):183-7.
  • Peterson A, Mattek N, Clemons A, Bowman GL, Buracchio T, Kaye J. Serum vitamin D concentrations are associated with falling and cognitive function in older adults. J Nutr Health Aging. 2012;16(10):898-901.
  • Pioli G, Giusti A, Barone A. Orthogeriatric care for the elderly with hip fractures: where are we? Aging Clin Exp Res. 2008;20(2):113-22.
  • Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35Suppl2:37-41.
  • Sherrington C, Menz HB. An evaluation of footwear worn at the time of fall-related hip fracture. Age Ageing. 2003;32(3):310-4.
  • Van Heghe A, Mordant G, Dupont J, Dejaeger M, Laurent MR, Gielen E. Effects of orthogeriatric care models on outcomes of hip fracture patients: A systematic review and meta-analysis. Calcif Tissue Int. 2022;110(2):162-84.
  • Walters S, Khan T, Ong T, Sahota O. Fracture liaison services: improving outcomes for patients with osteoporosis. Clin Interv Aging. 2017;12: 117-27.