Does a bicycle accident as the cause of proximal femur fracture indicate that geriatric co-management is superfluous? A retrospective cohort study

Autor: Petra E. Spies, Malene Fix, Benjamin L. Emmink, Tjard R. Schermer
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: European Review of Aging and Physical Activity, Vol 20, Iss 1, Pp 1-7 (2023)
Druh dokumentu: article
ISSN: 1861-6909
DOI: 10.1186/s11556-023-00315-6
Popis: Abstract Background Deployment of geriatric care would be more sustainable if we could limit geriatric co-management to older hip fracture patients who benefit most from it. We assumed that riding a bicycle is a proxy of good health and hypothesized that older patients with a hip fracture due to a bicycle accident have a more favorable prognosis than patients whose hip fracture was caused by another type of accident. Methods Retrospective cohort study of hip fracture patients ≥ 70 years admitted to hospital. Nursing home residents were excluded. Primary outcome was length of hospital stay (LOS). Secondary outcomes were delirium, infection, blood transfusion, intensive care unit stay and death during hospitalization. The group with a bicycle accident (BA) was compared to the non-bicycle accident (NBA) group using linear and logistic regression models, with correction for age and sex. Results Of the 875 patients included, 102 (11.7%) had a bicycle accident. BA patients were younger (79.8 versus 83.9 years, p
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