Profile of Patients with Dementia or Cognitive Impairment Hospitalized with a Proximal Femur Fracture Requiring Surgery.
| Autor: | Casafont C; Subdivision of Research and Teaching in Nursing, Hospital Clínic Barcelona, 08036 Barcelona, Spain., González-Garcia MJ; Care Quality and Information Systems Unit, Hospital Universitario de Navarra, 31008 Pamplona, Spain., Marañón-Echeverría A; Traumatology Department, Hospital Universitario de Navarra, 31008 Pamplona, Spain., Cobo-Sánchez JL; Research and Innovation Department, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain.; Escuela Universitaria Clínica Mompía, Universidad Católica de Ávila, 39108 Mompía, Spain., Bravo M; Department of Neurology, Hospital Universitario Marqués de Valdecilla, 39008 Pamplona, Spain.; Institute for Research Marqués de Valdecilla, Universidad de Cantabria, 39011 Santander, Spain., Piazuelo M; Traumatology Department, Hospital Clínic Barcelona, 08036 Barcelona, Spain., Zabalegui A; Subdivision of Research and Teaching in Nursing, Hospital Clínic Barcelona, 08036 Barcelona, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Feb 28; Vol. 19 (5). Date of Electronic Publication: 2022 Feb 28. |
| DOI: | 10.3390/ijerph19052799 |
| Abstrakt: | This study reports the characteristics of patients with dementia or cognitive impairment hospitalized with a proximal femur fracture requiring surgery. Methods: Multicentric descriptive longitudinal study conducted in three traumatology units, representing high-technology public hospitals across Spain. Data collection took place between August 2018 and December 2019 upon admission to hospital, discharge, one month and three months after discharge. Results: Study participants ( n = 174) were mainly women (81.6%), and the mean age was 90.7± 6.3 years old. Significant statistical differences were noted in the decline of functional capacity at baseline and one month later, and after three months they had still not recovered. Malnutrition increased from baseline to the one-month follow-up. The use of physical restraints increased during hospitalization, especially bilateral bedrails and a belt in the chair/bed. After one month, 15.2% of patients had pressure ulcers. Although pain decreased, it was still present after three months. Conclusion: Hospitalization after hip surgery for elderly people with dementia or cognitive impairment negatively impacted their global health outcomes such as malnutrition and the development of pressure ulcers, falls, functional impairment and the use of physical restraints and pain management challenges. Hospitals should implement policy-makers' strategic dementia care plans to improve their outcomes. |
| Databáze: | MEDLINE |
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