Featured Research

from universities, journals, and other organizations

Modifiable Hip Fracture Complications Contribute To Mortality, Study Suggests

Date:
May 27, 2009
Source:
Hebrew SeniorLife Institute for Aging Research
Summary:
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.

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.

Along with Dr. Berry, Institute for Aging Research investigators Elizabeth Samelson, Ph.D., Malynda Bordes, Kerry Broe, and Douglas Kiel, M.D., M.P.H., participated in the study.


Story Source:

The above story is based on materials provided by Hebrew SeniorLife Institute for Aging Research. Note: Materials may be edited for content and length.


Cite This Page:

Hebrew SeniorLife Institute for Aging Research. "Modifiable Hip Fracture Complications Contribute To Mortality, Study Suggests." ScienceDaily. ScienceDaily, 27 May 2009. <www.sciencedaily.com/releases/2009/05/090522101922.htm>.
Hebrew SeniorLife Institute for Aging Research. (2009, May 27). Modifiable Hip Fracture Complications Contribute To Mortality, Study Suggests. ScienceDaily. Retrieved April 16, 2014 from www.sciencedaily.com/releases/2009/05/090522101922.htm
Hebrew SeniorLife Institute for Aging Research. "Modifiable Hip Fracture Complications Contribute To Mortality, Study Suggests." ScienceDaily. www.sciencedaily.com/releases/2009/05/090522101922.htm (accessed April 16, 2014).

Share This



More Health & Medicine News

Wednesday, April 16, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could Even Casual Marijuana Use Alter Your Brain?

Could Even Casual Marijuana Use Alter Your Brain?

Newsy (Apr. 16, 2014) A new study conducted by researchers at Northwestern and Harvard suggests even casual marijuana use can alter your brain. Video provided by Newsy
Powered by NewsLook.com
Ebola Outbreak Now Linked To 121 Deaths

Ebola Outbreak Now Linked To 121 Deaths

Newsy (Apr. 15, 2014) The ebola virus outbreak in West Africa is now linked to 121 deaths. Health officials fear the virus will continue to spread in urban areas. Video provided by Newsy
Powered by NewsLook.com
Cognitive Function: Is It All Downhill From Age 24?

Cognitive Function: Is It All Downhill From Age 24?

Newsy (Apr. 15, 2014) A new study out of Canada says cognitive motor performance begins deteriorating around age 24. Video provided by Newsy
Powered by NewsLook.com
How Mt. Everest Helped Scientists Research Diabetes

How Mt. Everest Helped Scientists Research Diabetes

Newsy (Apr. 15, 2014) British researchers were able to use Mount Everest's low altitudes to study insulin resistance. They hope to find ways to treat diabetes. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins