Abstract:
Objective:to describe differences in care and 30-day mortality of patients admitted with hip fracture on weekends (Saturday-Sunday) compared to weekdays (Monday-Friday), and their relationship to the organisation of care. Methods:data came from the National Hip Fracture Database (NHFD) linked to ONS mortality data on 52,599 patients presenting to 162 units in England between 1 January and 31 December 2014. This was combined with information on geriatrician staffing and major trauma centre (MTC) status. 30-day mortality and care were compared for patients admitted at weekends and weekdays; separately for patients treated in units grouped by the mean level of input by geriatricians, weekend geriatrician clinical cover and MTC status. Differences were adjusted for variation in patients' characteristics. Results:there was no evidence of differences in 30-day mortality between patients admitted at weekends compared to weekdays (7.2 vs 7.5%, P = 0.3) before or after adjusting for patient characteristics in either MTCs or general hospitals. The proportion receiving a preoperative geriatrician assessment was lower at weekends (42.8 vs 60.7%, P < 0.001). 30-day mortality was lower in units with higher levels of geriatrician input, but there was no weekend mortality effect associated with lower levels of input or absence of weekend cover. Conclusion:there was no evidence of a weekend mortality effect among patients treated for hip fracture in the English NHS. It appears that clinical teams provide comparably safe and effective care throughout the week. However, greater geriatrician involvement in teams was associated with overall lower mortality.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Neuburger J,Currie C,Wakeman R,Georghiou T,Boulton C,Johansen A,Tsang C,Wilson H,Cromwell DA,van der Meulen Jdoi
10.1093/ageing/afy074subject
Has Abstractpub_date
2018-09-01 00:00:00pages
741-745issue
5eissn
0002-0729issn
1468-2834pii
5001505journal_volume
47pub_type
杂志文章相关文献
AGE AND AGEING文献大全abstract::Plasma Human Growth Hormone (HGH) was raised in a patient with bronchial carcinoma and hypertrophic pulmonary osteoarthropathy before radiotherapy to the tumour. Though the soft-tissue swelling and pain of hypertrophic osteoarthropathy disappeared two to three weeks after radiotherapy to the carcinoma the HGH plasma l...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/4.2.95
更新日期:1975-05-01 00:00:00
abstract::We evaluated the effect of impaired hearing and vision on balance in a sample of 977 elderly people residing in the community. Of the sample, 21% reported balance problems, 27% vision problems, and 30% hearing problems. The increased relative risk for balance problems was 1.7 for each 10-year age increment. Women were...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/18.1.31
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:antipsychotics are widely used in assisted living (AL facilities). Even more, the prescription of these drugs is gradually increasing since the availability of second-generation atypical antipsychotics. More knowledge is needed on prescription reasons to understand this increasing prevalence. METHODS:cross-...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afr032
更新日期:2011-05-01 00:00:00
abstract::The cardiovascular responses to tilting and breathing were studied in 24 patients with late-onset Alzheimer's disease (AD) and 54 healthy control women aged between 75 and 96 years in order to study the parasympathetic and sympathetic heart-rate control. The cardiovascular response to tilting and breathing showed no a...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.4.301
更新日期:1992-07-01 00:00:00
abstract:Background:a trend towards decline in disability has been reported in older adults, but less is known about corresponding temporal trends in measured physical functions. Objective:to verify these trends during 2001-16 in an older Swedish population. Methods:functional status was assessed at three occasions: 2001-04 (...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afy085
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:the study of factors associated with age-related gait decline may assist in developing methods to preserve mobility in older people. OBJECTIVE:to examine the associations between sensorimotor factors relevant to ageing and gait in the general older population. DESIGN:cross-sectional population-based study....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afp017
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:To examine whether in older people perceived age is associated with risk of total mortality independent of chronological age. DESIGN:Prospective population-based study (Evergreen project) with mortality surveillance for 13 years after the baseline. SETTING:Face-to-face interview among community-dwelling re...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi091
更新日期:2005-07-01 00:00:00
abstract::In one experiment, four groups of six-week-old-male PVG rats were, respectively, given tap water ('control group'), 0.00125M, 0.0025M, and 0.005M lathyrogen (aminoacetonitrile hydrochloride: AAN) solutions ad libitum for a period of 20 weeks. In a second experiment, 12-week-old male rats were similarly treated. It was...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/5.3.155
更新日期:1976-08-01 00:00:00
abstract:Background:fear of falling (FOF) is a major health concern among community-dwelling older adults that could restrict mobility. Objective:to examine the association of FOF with life-space mobility (i.e. the spatial area a person moves through in daily life) of community-dwelling older adults from five diverse sites. M...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究
doi:10.1093/ageing/afw239
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:to investigate the effects of oral intermittent cyclical etidronate therapy on bone mineral density (BMD) in men with idiopathic vertebral osteoporosis. DESIGN:consecutive case series. SETTING:regional specialist clinic for metabolic bone disease. SUBJECTS:42 men aged 35-81 (median 60.5) with established ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/26.5.359
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:to ascertain the value of employing a specialist clinician's contribution to the assessment of older people prior to care home entry. DESIGN:randomised controlled trial. METHOD:256 older people at risk of care home entry were randomly allocated to either a control group, who received the usual care manageme...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/afh007
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:The European Stroke Database (ESDB) Project aims to develop a 'common clinical language' for stroke care by agreeing on terminology, definitions and clinical assessments. Each area of stroke assessment has a 'minimum dataset', which can be collected routinely and more detailed information can be added for pa...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/27.2.115
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:To evaluate whether older patients with pyogenic liver abscess have distinctive presenting features or if their management differs from that of younger patients. DESIGN:Retrospective chart review of all cases occurring from 1982 to 1992. SETTING:A regional trauma centre and two large community hospitals. P...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/27.4.443
更新日期:1998-07-01 00:00:00
abstract::Deprescribing has gained interest recently, driven by an ageing population seeing an increasing number living with multiple long-term conditions. This, coupled with disease-specific guidelines derived from clinical trials in younger people, has led to an increase in exposure to polypharmacy and the associated therapeu...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afz109
更新日期:2019-11-01 00:00:00
abstract::We examined the characteristics of patients occupying elderly-mentally-ill acute and assessment beds in all mental health units within North and South Thames Regions; the proportion of patients defined as no longer requiring acute care (inappropriately located); and the unmet need for alternative service provision the...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.4.268
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:the oldest old (85+) pose complex medical challenges. Both underdiagnosis and overdiagnosis are claimed in this group. OBJECTIVE:to estimate diagnosis, prescribing and hospital admission prevalence from 2003/4 to 2011/12, to monitor trends in medicalisation. DESIGN AND SETTING:observational study of Clinic...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afu113
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:There is a paucity of information about the use of antipsychotic medication in long-term care, especially among the oldest-old residents. OBJECTIVE:To analyse the factors associated with the use of antipsychotic medication among nonagenarian residents in long-term institutional care. DESIGN:A retrospective...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afl065
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:thickened fluids are commonly advised to minimise the risk of aspiration in people with dysphagia, although many do not comply with this treatment. In health economics, utilities are values that reflect an individual's preferences for different health states. We examined the healthcare utilities, elicited us...
journal_title:Age and ageing
pub_type: 杂志文章,随机对照试验
doi:10.1093/ageing/afv194
更新日期:2016-03-01 00:00:00
abstract::Data on National Health Service (NHS) dental care utilization by the elderly are analysed to consider the distribution of dental care according to the charge status of the patient. Considerable and significant differences are observed in the type and amount of dental care provided to elderly patients exempt and not ex...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/18.2.136
更新日期:1989-03-01 00:00:00
abstract:INTRODUCTION:a professional man sustained a residual, persisting, isolated impairment of short-term memory secondary to severe carbon monoxide poisoning. Informal, open trial of the cholinesterase inhibitor donepezil resulted in uncertain benefit. PROTOCOL:an N-of-1 randomized, double-blind controlled trial of donepez...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/31.4.307
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:the incidence of pulmonary embolism increases with age but the 'classical' presentation of acute pulmonary embolism may not occur in older persons. OBJECTIVES:to compare the clinical presentation of younger and older patients with acute pulmonary embolism. DESIGN:retrospective identification of 60 consecut...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afg098
更新日期:2003-11-01 00:00:00
abstract::The effectiveness was compared of 'Classroom' Reality Orientation presented (1) once daily, in groups; (2) twice daily, in groups; and (3) once daily, individually. On a questionnaire measure of orientation all three versions produced significantly greater improvement than that found in an untreated control group, but...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/10.1.33
更新日期:1981-02-01 00:00:00
abstract:OBJECTIVES:to compare the cost effectiveness of post-acute care for older people provided in community hospitals with general hospital care. DESIGN:cost-effectiveness study embedded within a randomised controlled trial. SETTING:seven community hospitals and five general hospitals at five centres in the midlands and n...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/ageing/afn120
更新日期:2008-09-01 00:00:00
abstract:AIM:to examine the degree of medical treatment wanted by nursing home residents, their relatives and staff members should the resident develop a serious and life-threatening disease and to analyse the degree of agreement between the wishes of these parties. DESIGN:an epidemiological, descriptive cross-sectional study....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/26.2.133
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:age-related differences in the treatment of lung cancer patients have been reported in the past, but most previous studies have not recorded case-mix factors, nor have they studied the impact of such ageism on survival. METHODS:a questionnaire-based study of diagnostic and case-mix factors was carried out a...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.2.171
更新日期:2003-03-01 00:00:00
abstract::To learn whether the percentage of time spent at different functional levels varies as a function of age, we studied 44 older (mean age 70 years) and 46 younger (mean age 27 years) urban, community-dwelling volunteers who participated in a study of normative ageing of the cardiovascular system. Each subject completed ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/23.1.34
更新日期:1994-01-01 00:00:00
abstract:AIM:to assess the effects of a physiotherapist-led stroke training programme for nurses working in a rehabilitation ward on clinical practice and patient outcome. METHOD:before and after group comparison with outcome assessment by observational and quantitative methods. Non-participant observation before and after the...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.6.567
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:The number of new world records has decreased substantially in most athletic events in recent years. There has been enormous growth in participation at Masters events, and older athletes have been competing at the highest levels with much younger athletes. However, the progression of athletic performance ove...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afv023
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:dementia is associated with an excess risk of death but mortality after chronic subdural hematoma (CSDH) evacuation in older people with dementia is unknown. We assessed the association between dementia and 1-year case-fatality in older persons undergoing CSDH evacuation. METHODS:we conducted a nationwide F...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa193
更新日期:2020-10-06 00:00:00
abstract:BACKGROUND:Cognitive health expectancy estimates the proportion of the lifespan that is lived in good cognitive health at the population level. A number of cardiovascular diseases have been identified to be risk factors for cognitive decline and dementia including diabetes, stroke, heart diseases and hypertension. The ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa111
更新日期:2021-01-08 00:00:00