Quality of life and psychological consequences in elderly patients after a hip fracture: a review Konstantinos I Alexiou,1 Andreas Roushias,2 Sokratis E Varitimidis,1 Konstantinos N Malizos1 1Department of Orthopaedic Surgery and Musculoskeletal Trauma, Medical School, University of Thessaly, Larissa, Greece; 2Orthopaedic Department, Apollonion Private Hospital, Nicosia, Cyprus … Many of these conditions can even contribute to the other. When these effects persist, other psychological difficulties might arise, even in mild cases (such as concussions). Probably, the consequences of lesser injuries are frequently disregarded, whereas severely injured patients are doing better than expected. The age range of participants was 21–75 years with a mean of 51.6 years. Injuries resulting from falls in older people are a major public health concern, representing a main cause of disability and death in this population [1]. S Afr J Physiother. Moerman S, Vochteloo AJ, Tuinebreijer WE, Maier AB, Mathijssen NM, Nelissen RG. The emotional toll of osteoporosis is real. Keywords: Lack of consensus concerning the most appropriate HRQoL questionnaires to screen and identify those patients with more difficulties in the psychosocial functions, demonstrates the necessity for further research to assess the newer outcome measurement tools, which might improve our understanding for better care of patients with hip fractures. When a “c” is added, the diagnosis was only clinical. Bergstrom U, Johnson H, Gustafson Y, Pettersson U, Stenlund H, Svensson O. The physical impact of long bone fractures on adults in KwaZulu-Natal. 2020 Dec 13;17(24):9327. doi: 10.3390/ijerph17249327. Zentralbl Chir. You may see yourself as more fragile than before. Materials and methods 2.1. Quality of life following hip fractures: results from the Norwegian hip fracture register. After you get the diagnosis, your self-image can change. A diagnosis of osteoporosis can lead to anxiety, depression, and a loss of self-esteem. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Acta Orthop Scand Suppl. Knauf T, Hack J, Barthel J, Eschbach D, Schoeneberg C, Ruchholtz S, Buecking B, Aigner R. Arch Osteoporos. Further social changes (marital status, leisure activities) were mostly found in the severely injured patients. These fractures are caused A neglected area of research is the contribution of psychosocial factors to the management of fall-related injury risk. Forty-nine randomized controlled trials or prospective cohort studies reporting the QoL and psychological outcomes were assessed by using standardized questionnaires. Surprisingly, half of them (52 per cent) had psychological complaints due to the initial injury. CORR Insights®: What Factors Are Associated With Outcomes Scores After Surgical Treatment of Ankle Fractures With a Posterior Malleolar Fragment. Amarilla-Donoso FJ, Roncero-Martín R, Lavado-García J, Canal-Macías ML, Pedrera-Canal M, Chimpén-López C, Toribio-Felipe R, Rico-Martin S, Barrios-Fernández S, López-Espuela F. Int J Environ Res Public Health. Psychological stress is defined as an emotional experience that is accompanied by predictable biochemical, physiological, and behavioral changes . Yap JN (1988) The effects of hospitalization and surgery on children: A critical review. Currently, the mainstay of emergent management of a suspected pelvic fracture is placement of a pelvic binder, and their use in the prehospital setting is recommended for any individual involved in high-energy trauma. 3. Epub 2018 Feb 12. For the displaced femoral neck fractures, the treatment with total hip arthroplasty or hemiarthroplasty, when compared to the treatment with internal fixation, provided a better functional outcome. A fracture is when the … Fracture holds the largest proportion of the causes of trauma or injury. 1. We examined the combined effect of the physical stress of hip fracture and psychological stress, specifically depression, on monocyte subset distribution, bactericidal properties, cytokine production and antigen presentation and co-stimulatory capacity in older adults. Please enable it to take advantage of the complete set of features! Severa… eCollection 2020. Plast Reconstr Surg. 2020 Sep;6(3):139-145. doi: 10.1016/j.afos.2020.06.001. March 8, 2020 By Amira Leyva Leave a Comment.  |  Sarcopenia in women with hip fracture: A comparison of hormonal biomarkers and their relationship to skeletal muscle mass and function. 2020 Nov 6;15(1):174. doi: 10.1007/s11657-020-00843-z. 2020 Aug 20;12(9):2528. doi: 10.3390/nu12092528. Long-term physical, psychological and social consequences of severe injuries. To increase awareness of psychological factors in recovery from hip fracture and to describe strategies that can be used to help patients in the process of recovery. Peeters CM, Visser E, Van de Ree CL, Gosens T, Den Oudsten BL, De Vries J. position has psychological, aesthetic and functional effects which impairs the function of mandible ... position has psychological and aesthetic effect which impairs ocular and mandibular function [8]. [1–3] Such fractures are caused by direct or indirect trauma. A systematic electronic search of the relevant literature was carried out using the CINAHL, Cochrane, EMBASE, Medline (OvidSP), and PubMed databases spanning the time period from their establishment up to January 2017. The relationship between physical and psychological complaints and quality of life in severely injured patients. Orthopade. Moreover, most of the patients did not return to prefracture levels of performance regarding both the parameters. Quality of life, morbidity, and mortality after low trauma hip fracture in men. Osteoporos Int. 2020 Aug 20;76(1):1393. doi: 10.4102/sajp.v76i1.1393. 2016 Jul;136(7):935-43. doi: 10.1007/s00402-016-2474-0. Participants 2019 Nov 8;19(1):819. doi: 10.1186/s12913-019-4547-6. Clin Orthop Relat Res. Adıyeke et al.  |  ... gathered from a randomized trial of the effects of bone morphogenetic protein (BMP), showed that one year after injury, more than half of the patients who were managed with the current standard of care had treatment failure. Psychological Effects of Spinal Cord Injury. -, Pande I, Scott DL, O’neill TW, Pritchard C, Woolf AD, Davis MJ. We sought to test the hypothesis that psychological distress - specifically depressive symptoms that emerge after hip fracture - combined with physical stress amplifies the effect … 2009;80(5):520–524. Results Ten participants were interviewed, five of whom were female and six of whom needed an operation to fix their ankle fracture. Most of these falls occur in the home for a variety of reasons including clutter, loose rugs, limited access to … 2019 Apr;477(4):870-871. doi: 10.1097/CORR.0000000000000671. Fractures of the head or body such as skull, ribs and pelvis are all serious and should be managed by paramedics. O'Hara NN, Isaac M, Slobogean GP, Klazinga NS. USA.gov. Emotional and psychological trauma can be caused by: One-time events, such as an accident, injury, or a violent attack, especially if it was unexpected or happened in childhood. Method and results . Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 1997 Aug;18(8):513-21. doi: 10.1177/107110079701800811. Injury. Patients were treated at a level I Trauma Centre between January 1989 and December 1989. Epub 2016 May 28. Gjertsen JE, Baste V, Fevang JM, Furnes O, Engesæter LB. General Issues Decline in quality of life is typical following a fracture, regardless of the site of fracture, and impose substantial medical and social costs.9 Furthermore, poorer psychological health has also been observed, with the associated decline in physical functioning, physical disability and a loss of independence associated with fracture.10–12 A review investigating outcomes following hip fracture … If you follow sports on a regular basis then you must have seen players getting injured and having to take time off in order to recover from their injury. Arch Orthop Trauma Surg. 2004 Dec;129(6):453-9. doi: 10.1055/s-2004-832398. NIH Osteoporos Int. Acta Orthop. The levels of mental, physical, and nutritional status, prior to the fracture, comorbidity, and female gender, in addition to the postoperative pain, complications, and the length of hospital stay, were the factors associated with the outcome. Surprisingly, half of them (52 per cent) had psychological complaints due to the initial injury.  |   |  2017 Sep;48(9):1978-1984. doi: 10.1016/j.injury.2017.05.007. 2001 Aug;108(2):312-27. doi: 10.1097/00006534-200108000-00005. The Transmural Trauma Care Model (TTCM) for the rehabilitation of trauma patients is effective in improving patient related outcome measures: a non-randomized controlled trial. Girotto JA, MacKenzie E, Fowler C, Redett R, Robertson B, Manson PN. The common mechanisms of … 2019 Jun;122(6):464-468. doi: 10.1007/s00113-018-0550-3. Absence of callus (remodelled bone) or lack of progressive change in the callus suggests delayed union. Unlike other common painful musculoskeletal conditions, such as low back pain, little consideration has been given to the role that psychological variables may play in explaining the relationship between pain and disability during early fracture recovery.  |  Fracture repair: Successful advances, persistent problems, and the psychological burden of trauma. Poor vision—not seeing as well as in the past. Following hip fracture and subsequent surgery, many older people suffer a decline in mobility, independence and quality of life. eCollection 2020. Serious bone fractures can also result in serious psychological trauma as … van der Sluis CK, Eisma WH, Groothoff JW, ten Duis HJ. Yee ML, Hau R, Taylor A, Guerra M, Guerra P, Darzins P, Gilfillan C. Osteoporos Sarcopenia. Where applicable, the outcomes were compared with the outcomes of severely injured patients who were investigated previously. The long-term physical, psychological and social outcomes of 68 patients with an ankle fracture were investigated by using a postal questionnaire 6 years after injury. Psychological stress can occur in response to an acute event, as in a fight-or … Please enable it to take advantage of the complete set of features! For the displaced femoral neck fractures, the treatment with total hip arthroplasty or hemiarthroplasty, when compared to the treatment with internal fixation, provided a better functional outcome. Eighty-nine per cent of the patients returned to work. Joint stiffness (prolonged >3 months). NIH Get tips to cope with the emotional effects of osteoporosis. Epub 2016 Apr 23. 2018 Jul;26(3):147-156. doi: 10.1080/10669817.2018.1432542. -, Schurch MA, Rizzoli R, Mermillod B, Vasey H, Michel JP, Bonjour JP. Older hip fracture patients may be at higher risk for psychological problems related to the traumatic nature of the injury. Hägglöf B (1999) Psychological reaction by children of various ages to hospital care and invasive procedures. Patients with a hip fracture who were older than 65 years, were included in the analysis. If you suspect a bone fracture, you should: Keep the person still – do not move them unless there is an immediate danger, especially if you suspect fracture of … -, Cooper C, Campion G, Melton LJ., 3rd Hip fractures in the elderly: a worldwide projection. Injury. Long-term physical impairment and functional outcomes after complex facial fractures. … This site needs JavaScript to work properly. HHS A fracture caused by a disease or condition is known as a pathological fracture. ... fracture should receive a specific treatment plan [11]. Pelvic fractures, although infrequent, are a significant cause of morbidity and mortality in the trauma population. Current fall prevention strategies are based on a rehabilitation intervention model to identify and treat those at high risk [2]. COVID-19 is an emerging, rapidly evolving situation. Background: Research has suggested that bone fractures can hinder the health status of patients’ life. 2003 Apr;74(309):1-42. Negative psychological consequences following ankle fractures have been reported to include fatigue, depression, anxiety and sleep disturbances [ 9 ]. Clipboard, Search History, and several other advanced features are temporarily unavailable. [Psychological factors following ankle fractures : A review article]. 1996;11(12):1935–1942. Psychosocial factors and symptoms of depression could increase pain severity and emotional distress. The differences between the two groups are not as pronounced as is generally assumed. Quality of life after hip fracture in the elderly: A systematic literature review. A prospective study on socioeconomic aspects of fracture of the proximal femur. Anxiety and Depression. 2016 Jul 7;17:265. doi: 10.1186/s12891-016-1111-y. Disclosure The authors report no conflicts of interest in this work. 1992;2(6):285–289. van Delft-Schreurs CCHM, van Son MAC, de Jongh MAC, Lansink KWW, de Vries J, Verhofstad MHJ. Injury. Anxiety and depression. NLM PDF | The present study aims at identifying the psychological diseases of fractures' patients. Hip Fracture Patients in Geriatric Rehabilitation Show Poor Nutritional Status, Dietary Intake and Muscle Health. The purpose of this review was to evaluate the impact of hip fractures on the quality of life (QoL), health status (HS), functioning, and psychological parameters, and factors influencing the outcome and the appropriate interventions for improvement of elderly patients. Effects of psychological factors on the clinical outcomes of fifth metacarpal neck fractures and their relation to injury etiology fifth metacarpal neck fractures. Eight themes emerged from the data during analysis; mobility, loss of independence, healthcare, psychological effects, social and family life, ankle symptoms, sleep disturbance and … Upper limb fracture is a common musculoskeletal injury and can lead to marked pain-related disability. fractures plays an important role in the improved postoperative quality of life, relieved pain, reduced anxiety and depression, and fastened rehabilitation. [Hip fractures in the elderly : Osteosynthesis versus joint replacement]. The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis. Wiertsema SH, van Dongen JM, Geleijn E, Beckerman H, Bloemers FW, Ostelo RWJG, de Groot V. BMC Health Serv Res. HHS Slower reflexes which can lead to difficulty re-gaining balance. Negative social consequences have included difficulty returning to work and dependence on disability benefits [ 9 ]. Depression is common in people with this disease. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Pain at fracture site, persisting for months or years. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Innovative diagnosis and treatment Palpable gap at fracture site. Psychosocial factors and symptoms of depression could increase pain severity and emotional distress. This has directed attention to the role of modifiable behavioural factors aimed at risk reduction in individuals. Dizziness that results from postural hypertension. … 1998 May;29(4):281-5. doi: 10.1016/s0020-1383(97)00199-x. Social and psychological factors such as fear of falling, self-efficacy, perceived control and coping strategies are now thought to … [Healing time of foot and ankle fractures in patients with diabetes mellitus: literature review and report on own cases]. Weimert S, Kuhn S, Rommens PM, Beutel ME, Reiner I. Unfallchirurg. COVID-19 is an emerging, rapidly evolving situation. In the majority of elderly patients, the hip fracture seriously affected physical and mental functioning and exerted a severe impact on their HS and health-related QoL (HRQoL). Timing of initiating manual therapy and therapeutic exercises in the management of patients after hindfoot fractures: a randomized controlled trial. They each have their own long-term effects, but they do have some things in common. The psychological & … 2014 Apr;43(4):314-24. doi: 10.1007/s00132-014-2265-7. BMC Musculoskelet Disord. Non-use of extremity. doi: 10.1371/journal.pone.0227907. Fractures due to fragility of the bone around the hip joint have become a major public health issue, presenting with an increasing incidence due to the growth of the elderly population. 2016 Jul;47(7):1369-82. doi: 10.1016/j.injury.2016.04.018. Keywords: Psychological nursing, femoral fractures, elderly patients, effect Introduction Femoral fractures are most commonly observed in elderly patients. However, limited research has examined the impact that the healing process of a fracture has on the physical health and psychological state of individuals, particularly in considering the short- and long-term impact of having a fracture that fails to heal and drops into a non-union. Physically, the patients were suffering from problems in the extremities and the spine. -. The hip fracture incidence curve is shifting to the right. 2004;15(10):834–841. USA.gov. Any serious physical injury can cause serious psychological trauma as well. Journal of Applied Developmental Psychology 9: 349–358. – psychological questionnaire, site of stress fracture: F – femoral, T – tibial, M – metatarsal. Those with an ankle fracture needed less time to return to work (3 months versus 13 months in the severely injured patients). 2006;65(1):87–92. Epub 2020 Jul 18. elderly; health status; hip fractures; psychological outcomes; quality of life. Albin SR, Koppenhaver SL, Van Boerum DH, McPoil TG, Morgan J, Fritz JM. Patients with an ankle fracture as well as severely injured patients are affected by long-term consequences. Nutrients. Quality of life and femoral neck fractures. Thus, hip fracture and its subsequent disability must be studied as a biopsychosocial phenomenon, rather than merely as a physiological event. -, Hallberg I, Rosenqvist AM, Kartous L, Lofman O, Wahlstrom O, Toss G. Health-related quality of life after osteoporotic fractures. 2. The most common fractures for people who have osteoporosis are in the spine, hip, wrist, and forearm. Movement around the fracture site (pseudarthrosis). Groenendijk I, Kramer CS, den Boeft LM, Hobbelen HSM, van der Putten GJ, de Groot LCPGM. Tenderness and swelling. There is an ongoing need to identify, develop, and improve therapeutics that reduce fracture risk, enhance bone mineral density, and promote fracture healing. Would you like email updates of new search results? Would you like email updates of new search results? Epub 2017 May 5.  |  The Psychological effects of sports injuries on athletes. J Bone Miner Res. It can occur at any age and can lead to significant changes in the quality of life of individuals. As you’ll see a lot of the symptoms of these conditions overlap, so it is common to experience multiple psychological effects of spinal cord injury. Clipboard, Search History, and several other advanced features are temporarily unavailable. Foot Ankle Int. Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial. Physically, the patients were suffering from problems in the extremities and the spine. We examine the facts about fractures in this article. This site needs JavaScript to work properly. 2020 Jan 15;15(1):e0227907. Acta Paediatr Suppl 88: 72-78. Factors associated with the course of health-related quality of life after a hip fracture. Eighty-nine per cent of the patients returned to work. NLM This result seems to be only slightly better than the return to work in severely injured patients (74 per cent). Ankle fractures involving the fibula proximal to the distal tibiofibular syndesmosis. Medical and economic consequences of perioperative complications in older hip fracture patients. PLoS One. This condition can lead to self conflict and result psychological & existential. Ann Rheum Dis. J Man Manip Ther. However, the underlying reason for the perpetuation of the symptoms beyond the expected time frame might be due to associated factors, such as poor sleep, fatigue, pain, headaches, and distress. Supportive rehabilitation programs, complemented by psychotherapy and nutritional supplementation prior to and after surgery, provided beneficial effects on the HS and the psychosocial dimension of the more debilitated patients' lives. Psychological Stress. And result psychological & existential ; 122 ( 6 ):464-468. doi: psychological effects of a fracture diabetes:. Outcomes ; quality of life Amira Leyva Leave a Comment, many people! Conditions can even contribute to the initial injury fractures on adults in KwaZulu-Natal interviewed, five of whom needed operation... Plan [ 11 ] hip fracture: a randomized controlled trial of performance regarding both parameters! 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