Navigation Links
Institute for Aging Research finds modifiable hip fracture complications contribute to mortality
Date:5/22/2009

(Boston, Mass.)Potentially modifiable post-fracture complications, including pneumonia and pressure ulcers, are associated with an increased risk of death among nursing home residents who have suffered a hip fracture, according to a new study conducted by scientists at the Institute for Aging Research at Hebrew SeniorLife.

"Prevention strategies to reduce pressure ulcers and pneumonia may help reduce mortality in this frail population," says lead author Sarah D. Berry, M.D., M.P.H., a research fellow at the Institute and a staff geriatrician at Hebrew Rehabilitation Center.

Published online by the Journal of Gerontology: Medical Sciences, the study found that pneumonia and pressure ulcers, also called bed sores, contributed to a 70 percent increase in mortality within six months of a hip fracture among nursing home residents. Compared to other studies, says Dr. Berry, "we found an even greater prevalence of the post-fracture complications of pneumonia and pressure ulcer, which is likely a reflection of our frail, institutionalized population."

The study followed 195 long-term care residents with a hip fracture from 1999 to 2006, measuring pre-fracture characteristics such as age, sex, cognition and functional status; hospital complications such as heart attack and congestive heart failure; and six-month complications, including delirium, pneumonia and urinary tract infection. Consistent with studies of community dwellers, the Institute for Aging Research investigators found that male nursing home residents with a hip fracture were more likely to die than female residents with a hip fracture. The prevalence of delirium, an acute confusional state, in men after hip fracture may be responsible, at least in part, for the marked gender difference in survival. Fifty-four percent of male nursing home residents died within a year of their hip fracture, compared to 36 percent of female residents. Nationwide, about one of five hip fracture patients dies within a year of their injury, according to the Centers for Disease Control and Prevention.

Little is known about complications that occur after hospitalization for a hip fracture, particularly in the nursing home setting. Previous studies have found, however, a high prevalence of pneumonia and pressure ulcer development among hospitalized elders with a hip fracture.

"These findings are important given that marked variations in the incidence of both pneumonia and pressure ulcers exist between nursing home facilities, suggesting that these complications may be modifiable," the researchers write.

Dr. Berry says she is uncertain if aggressive vaccination and skin-management strategies might reduce these complications in nursing home residents who suffer a hip fracture or if they might lead to improved survival in this population.


'/>"/>

Contact: Scott Edwards
Edwards@hrca.harvard.edu
781-247-8172
Hebrew SeniorLife Institute for Aging Research
Source:Eurekalert

Related medicine news :

1. Hard Times for Nursing Hires Doesnt Signal End to Shortage According to California Institute for Nursing & Health Care
2. Institute for Interactive Patient Care Launched
3. Regenstrief Institute is pace car for coordination of medical care at Indy 500
4. MMRF and the Broad Institute to perform whole genome sequencing of multiple myeloma samples
5. Karolinska Institutet Awards Honorary Degree to Feinstein Institute CEO Kevin J. Tracey, MD
6. Coalition for Quality & Patient Safety of Chicagoland PSO Taps ECRI Institute PSO for Patient Safety Support
7. Oxygen Biotherapeutics, Inc. Signs Cooperative Research and Development Agreement With Naval Medical Research Center and Walter Reed Army Institute of Research
8. Baylor Research Institute Receives Multi-Million Dollar Grant To Develop Flu Vaccine
9. ZyDoc Medical Transcription Wins Colorado Mental Health Institute Contract Award
10. Recent developments at Burnham Institute for Medical Research, May 2009
11. Texas Cardiac Arrhythmia Institute at St. Davids Medical Center Celebrates Successful First Year
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from PsychTests.com reveals that behind the tendency to set ...
(Date:6/24/2016)... ... ... was in a crisis. Her son James, eight, was out of control. Prone to extreme ... “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was ... other children and say he was going to kill them. If we were driving ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Comfort Keepers® of ... Cancer Society and the Road To Recovery® program to drive cancer patients to and ... other adults to ensure the highest quality of life and ongoing independence. Getting ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty Network, affiliated ... Weintraub as a prominent plastic surgeon and the network’s newest partner. , ... most handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands ...
(Date:6/24/2016)... ... June 24, 2016 , ... Venture Construction Group (VCG) sponsors Luke’s ... June 20th at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. ... helping service members that have been wounded in battle and their families. Venture Construction ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- According to a new market research ... Safety Pen Needles), Needle Length (4mm, 5mm, 6mm, 8mm, ... Purchase (Retail, Non-Retail) - Trends & Global Forecasts to ... for the forecast period of 2016 to 2021. This ... 2021 from USD 1.65 Billion in 2016, growing at ...
(Date:6/23/2016)... HOUSTON , June 23, 2016  MedSource ... platform as its e-clinical software solution of choice.  ... the best possible value to their clients by ... nowEDC.  The preferred relationship establishes nowEDC as the ... pricing for MedSource,s full-service clients.  "nowEDC has long ...
(Date:6/23/2016)...  In a startling report released today, National Safety Council ... a comprehensive, proven plan to eliminate prescription opioid overdoses. ... states are tackling the worst drug crisis in recorded U.S. history, ... Kentucky , New Mexico , ... the 28 failing states, three – Michigan , ...
Breaking Medicine Technology: