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Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures
BACKGROUND: Proximal femur fractures (PFFs) occur frequently among geriatric patients due to diverse risk factors, such as a lower bone mineral density and the increased risk of falls. METHODS: In this review, we focus on recent literature of patient-specific risk factors and their impact on common...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001566/ https://www.ncbi.nlm.nih.gov/pubmed/35325262 http://dx.doi.org/10.1007/s00068-022-01953-8 |
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author | Becker, Nils Hafner, Tobias Pishnamaz, Miguel Hildebrand, Frank Kobbe, Philipp |
author_facet | Becker, Nils Hafner, Tobias Pishnamaz, Miguel Hildebrand, Frank Kobbe, Philipp |
author_sort | Becker, Nils |
collection | PubMed |
description | BACKGROUND: Proximal femur fractures (PFFs) occur frequently among geriatric patients due to diverse risk factors, such as a lower bone mineral density and the increased risk of falls. METHODS: In this review, we focus on recent literature of patient-specific risk factors and their impact on common complications and outcome parameters in patients with PFF. RESULTS: Patient- and treatment related factors have a significant impact on outcome and are associated with an increased risk of mortality, impairments in functional rehabilitation and complicative courses. CONCLUSION: Geriatric patients at high risk for complications are nursing home inhabitants suffering from severe osteoporosis, dementia and sarcopenia. The early and ongoing assessment for these individual risk factors is crucial. Strategies including interdisciplinary approaches, addressing comorbidities and facilitating an optimal risk factor evaluation result in a beneficial outcome. The ongoing ambulant assessment and therapy of complicating factors (e.g., malnutrition, sarcopenia, frailty or osteoporosis) have to be improved. |
format | Online Article Text |
id | pubmed-9001566 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-90015662022-04-27 Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures Becker, Nils Hafner, Tobias Pishnamaz, Miguel Hildebrand, Frank Kobbe, Philipp Eur J Trauma Emerg Surg Review Article BACKGROUND: Proximal femur fractures (PFFs) occur frequently among geriatric patients due to diverse risk factors, such as a lower bone mineral density and the increased risk of falls. METHODS: In this review, we focus on recent literature of patient-specific risk factors and their impact on common complications and outcome parameters in patients with PFF. RESULTS: Patient- and treatment related factors have a significant impact on outcome and are associated with an increased risk of mortality, impairments in functional rehabilitation and complicative courses. CONCLUSION: Geriatric patients at high risk for complications are nursing home inhabitants suffering from severe osteoporosis, dementia and sarcopenia. The early and ongoing assessment for these individual risk factors is crucial. Strategies including interdisciplinary approaches, addressing comorbidities and facilitating an optimal risk factor evaluation result in a beneficial outcome. The ongoing ambulant assessment and therapy of complicating factors (e.g., malnutrition, sarcopenia, frailty or osteoporosis) have to be improved. Springer Berlin Heidelberg 2022-03-24 2022 /pmc/articles/PMC9001566/ /pubmed/35325262 http://dx.doi.org/10.1007/s00068-022-01953-8 Text en © The Author(s) 2022, corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Article Becker, Nils Hafner, Tobias Pishnamaz, Miguel Hildebrand, Frank Kobbe, Philipp Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures |
title | Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures |
title_full | Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures |
title_fullStr | Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures |
title_full_unstemmed | Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures |
title_short | Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures |
title_sort | patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001566/ https://www.ncbi.nlm.nih.gov/pubmed/35325262 http://dx.doi.org/10.1007/s00068-022-01953-8 |
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