Abstract:
BACKGROUND:Femoral neck fractures (FNFs), which are common in the older population, are associated with high mortality and morbidity. Some 20% of FNFs are undisplaced (uFNFs). The routine surgical procedure for uFNFs is internal fixation (IF) with 2-3 screws/pins with a reported reoperation rate in older patients (age ≥ 75 years) of up to 21%. The reoperation rate for hemiarthroplasties for displaced fractures is lower than for undisplaced fractures operated with IF. This study will aim to determine whether the outcome for older patients with an uFNF can be improved by replacing the hip instead of preserving it. METHODS:A national multicentre, register-based, randomised controlled trial (rRCT) will be conducted. For this trial, 1440 patients, ≥75 years with an acute uFNF, will be allocated. Eligible patients will be identified by the Swedish Fracture Register (SFR) platform, which will notify the admitting orthopaedic surgeon of eligibility. After informed consent has been given and documented, patients will be randomised to either IF (control group) or arthroplasty (intervention group) within the SFR platform. Injury mechanism, fracture classification, date of injury, and type of treatment are registered in the SFR. Type and brand of arthroplasty, surgical approach, and fixation are obtained from the Swedish Hip Arthroplasty Register (SHAR). The study cohort from the SFR will be cross-checked with the National Patient Register and the SHAR for outcome variables at 2, 5, and 10 years. The primary outcome will be a composite variable comprising reoperation rate and mortality at 2 years postoperatively. Secondary endpoints will include reoperation rate and mortality as stand-alone variables. In addition, secondary endpoints will be patient-reported outcomes as measured by the Short Musculoskeletal Functional Assessment questionnaire at 1 year postoperatively as routinely collected within the SFR. Further secondary endpoints will include the occurrence of adverse events such as pneumonia, stroke or myocardial infarction and evaluation of the external validity of the study. DISCUSSION:This large, multicentre, register-based randomised controlled trial could potentially shift the treatment of uFNFs in older patients towards primary hip arthroplasty in order to improve the outcome. TRIAL REGISTRATION:The trial is registered at www.clinicaltrials.gov (NCT03966716); May 29, 2019.
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Wolf O,Sjöholm P,Hailer NP,Möller M,Mukka Sdoi
10.1186/s12877-020-1418-2subject
Has Abstractpub_date
2020-01-21 00:00:00pages
19issue
1issn
1471-2318pii
10.1186/s12877-020-1418-2journal_volume
20pub_type
杂志文章,多中心研究,随机对照试验相关文献
BMC Geriatrics文献大全abstract:BACKGROUND:Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to ass...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01854-8
更新日期:2020-11-04 00:00:00
abstract:BACKGROUND:Increasing viscosity can reduce the risk of aspiration into the airway, but excessively thickened food may require more force and effort. We assumed that semi-solid foods with similar viscosities will behave differently in the oropharynx and there might exist the possibility that properties other than viscos...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01890-4
更新日期:2020-11-23 00:00:00
abstract:BACKGROUND:Osteoporosis is an important morbidity factor for ageing populations in developed countries. However, compared to the amount of information available on diabetes and cardiovascular disease, little is known about the direct impact of osteoporosis on general mortality in older age. METHODS:We obtained data fr...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0809-0
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:Medication side effects are an important cause of morbidity, mortality and costs in older people. The aim of our study was to examine prevalence and risk factors for self-reported medication side effects in an older cohort living independently in the community. METHODS:The Melbourne Longitudinal Study on He...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-10-37
更新日期:2010-06-10 00:00:00
abstract:BACKGROUND:Fall-related injuries in older adults are a major health problem. Although the aetiology of falls is multifactorial, physical factors are assumed to contribute significantly. The "Timed up and go test" (TUG) is designed to measure basic mobility function. This report evaluates the association between TUG tim...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-7-1
更新日期:2007-01-12 00:00:00
abstract:BACKGROUND:Memory complaints and depressive symptoms are frequently associated in older adults and both serve as potential indicators of future cognitive decline. However, the temporal ordering of the development of these two symptoms remains unclear. The goal of the current study was to examine concurrent and temporal...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1451-1
更新日期:2020-03-02 00:00:00
abstract:BACKGROUND:The development of ambulatory emergency care services, now called 'Same Day Emergency Care' (SDEC) has been advocated to provide sustainable high quality healthcare in an ageing population. However, there are few data on SDEC and the factors associated with successful ambulatory care in frail older people. W...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01942-9
更新日期:2021-01-06 00:00:00
abstract:BACKGROUND:The aim of the current study was to establish the prevalence and relationship of Body Mass Index (BMI) and Waist-Hip Ratio (WHR) with chronic health conditions and their associated socio-demographic correlates in the elderly population of Singapore. METHODS:The data was extracted from the Well-being of the ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0297-z
更新日期:2016-06-18 00:00:00
abstract:BACKGROUND:The Spiritual Distress Assessment Tool (SDAT) is a 5-item instrument developed to assess unmet spiritual needs in hospitalized elderly patients and to determine the presence of spiritual distress. The objective of this study was to investigate the SDAT psychometric properties. METHODS:This cross-sectional s...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-12-13
更新日期:2012-03-29 00:00:00
abstract:BACKGROUND:Due to the gradual loss of function, it is crucial for persons with dementia to discuss advance care planning in due course. However, nursing home staff, residents and their families feel uncomfortable to start this type of conversation, resulting in unknown (care) preferences. 'We DECide optimized' will pro...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12877-019-1044-z
更新日期:2019-02-04 00:00:00
abstract:BACKGROUND:Falls are a major problem for older adults. Many falls occur when a person's attention is divided between two tasks, such as a dual task (DT) involving walking. Most recently, the role of personality in walking performance was addressed; however, its association with DT performance remains to be determined. ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0691-1
更新日期:2018-01-02 00:00:00
abstract:BACKGROUND:Many older people in long-term care do not receive evidence-based diagnosis or management for heart failure; it is not known whether this can be achieved for this population. We initiated an onsite heart failure service, compared with 'usual care' with the aim of establishing the feasibility of accurate diag...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2318-12-70
更新日期:2012-11-14 00:00:00
abstract:BACKGROUND:The prevalence of major depression (MD) according to population studies is the same for old (65 years and older) and younger adults. In contrast, an elevated proportion of old MD patients are hospitalized compared to younger adults with MD, indicating a need to expand the characteristics of old inpatients wi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0836-x
更新日期:2018-06-25 00:00:00
abstract:BACKGROUND:Uncoordinated interprofessional communication in nursing homes increases the risk of polypharmacy and inappropriate medication use. This may lead to augmented frequency of adverse drug events, hospitalizations and mortality. The aims of this study were (1) to improve interprofessional communication and medic...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1263-3
更新日期:2019-09-18 00:00:00
abstract:BACKGROUND:Frailty represents a public health priority and an increasingly prevalent condition in the ageing population. It is seen as reflecting an interaction among individual factors and a range of environmental elements. This study aims to examine the association between frailty and individual factors, physical and...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0982-1
更新日期:2018-12-14 00:00:00
abstract:BACKGROUND:Increasing frailty is associated with risk of mortality and functional decline in hospitalized older adults, but there is no consensus on the best screening method for use by non-geriatricians. The objective of this study is to determine whether the clinical frailty scale (CFS) can be used to identify patien...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0292-4
更新日期:2016-06-02 00:00:00
abstract:BACKGROUND:Sarcopenia often accompanies osteoarthritis (OA), which is managed by total knee arthroplasty (TKA) in the late stage. Recent studies have suggested a higher risk of post-operative complications after TKA in sarcopenic OA subjects, but whether TKA can benefit them similar to non-sarcopenic subjects remains u...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01929-6
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:Older people living in nursing homes are at high risk of falling because of their general frailty and multiple pathologies. Prediction of falls might lead to an efficient allocation of preventive measures. Although several tools to assess the risk of falling have been developed, their impact on clinically re...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-5-14
更新日期:2005-11-10 00:00:00
abstract:BACKGROUND:In long-term care (LTC) homes in the province of Ontario, implementation of the Minimum Data Set (MDS) assessment and The Braden Scale for predicting pressure ulcer risk were occurring simultaneously. The purpose of this study was, using available data sources, to develop a bedside MDS-based scale to identif...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-10-67
更新日期:2010-09-20 00:00:00
abstract:BACKGROUND:The "Program of Research on the Integration of Services for the Maintenance of Autonomy" (PRISMA-7) and "Emergency room evaluation and recommendations" (ER2) are both clinical tools used in Québec Emergency Departments (EDs) for screening of older ED users at higher risk of poor outcomes, such as prolonged l...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01999-6
更新日期:2021-01-22 00:00:00
abstract:BACKGROUND:Current model of medication supply to Residential Aged Care Facilities (RACFs) in Australia is dependent on paper-based prescriptions. This study is aimed at assessing the use of a centralized medication chart as a prescription-less model for supplying medications to RACFs. METHODS:Two separate focus groups...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-12-25
更新日期:2012-07-11 00:00:00
abstract:BACKGROUND:Falls are a major threat to older people's health and wellbeing. Approximately half of falls occur in outdoor environments but little is known about the circumstances in which they occur. We conducted a qualitative study to explore older people's experiences of outdoor falls to develop understanding of how t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-13-125
更新日期:2013-11-18 00:00:00
abstract:BACKGROUND:Interactive video games such as the Nintendo Wii Fit are increasingly used as a therapeutic tool in health and aged care settings however, their acceptability to older people is unclear. The aim of this study was to determine the acceptability of the Nintendo Wii Fit as a therapy tool for hospitalised older ...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-64
更新日期:2011-10-20 00:00:00
abstract:BACKGROUND:Balance control, and specifically balance reactive responses that contribute to maintaining balance when balance is lost unexpectedly, is impaired in older people. This leads to an increased fall risk and injurious falls. Improving balance reactive responses is one of the goals in fall-prevention training pr...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-021-02015-1
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:There is scientific evidence that preventive physical exercise is effective even in high age. In contrast, there are few opportunities of preventive exercise for highly aged people endangered by or actually in need of care. For example, they would not be able to easily go to training facilities; standard exe...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-9-51
更新日期:2009-11-24 00:00:00
abstract:BACKGROUND:Neuropsychiatric symptoms (NPS) frequently occur in patients with dementia. To date, prospective studies on the course of NPS have been conducted in patients with dementia in clinical centers or psychiatric services. The primary goal of this study is to investigate the course of NPS in patients with dementia...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-14-32
更新日期:2014-03-17 00:00:00
abstract:BACKGROUND:Geriatric patients are at high risk of re-admission after discharge. Pre-existing nutritional risk amongst these patients is of primary concern, with former nutritional intervention studies being largely ineffective. None of these studies has included individual dietary counselling by a registered dietician ...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-90
更新日期:2011-12-28 00:00:00
abstract:BACKGROUND:Despite emerging evidence that foot problems and inappropriate footwear increase the risk of falls, there is little evidence as to whether foot-related intervention strategies can be successfully implemented. The aim of this study was to evaluate adherence rates, barriers to adherence, and the predictors of ...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-51
更新日期:2011-08-26 00:00:00
abstract:BACKGROUND:Previous studies suggest that psychotropic drug changes may signal an acute period of time whereby a person is highly vulnerable to fall. It is unknown whether certain classes of psychotropic agents are less safe with respect to the acute risk of falls. Our purpose was to compare fall rates in the 7 days fol...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-13-19
更新日期:2013-02-22 00:00:00
abstract:BACKGROUND:Daughters-in-law have played an important role in informal care-giving arrangements within East Asian traditional norms. The aim of this study was to measure the impact of daughter-in-law care-giving on the survival of care recipients. We prospectively examined the associations between different types of kin...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-10-61
更新日期:2010-08-29 00:00:00