Research into hip fracture focuses on mortality, despite the fact that patients are more concerned to avoid long-term dependency and institutional care.
A research study published in Age and Ageing in 2022 identified factors that were associated with a successful return home. The work used records from 2018/19 for 87,797 patients in the National Hip Fracture Database, to look at whether people were discharged home (as 65% were) or were living in their own home at 120 days.
The chance of return home was unsurprisingly lower for people with cognitive impairment and those with malnutrition, or ‘at risk of malnutrition’ on admission screening, and for those presenting in the early morning (04:00 to 07:30).
The study also looked at how local service organisation affected successful return home – identifying the additional risk associated with delay to surgery for logistical reasons and the benefit of a pre-op. nerve block in the ward or emergency unit.
Dr. Johansen, one of the study authors, stated that “the study is helpful in identifying key patient and service challenges we must make a priority for local improvement work”.
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|UCB is launching a brand new and exciting podcast series, “Fragility Fractures in Focus”. In each episode, Head of Medical Strategy Bone, Cesar Libanati focuses on one of the “Ps” from the P4 Health Spectrum (predictive, preventive, personalized, and participatory) – an increasingly recognized cornerstone of proactive modern medicine – which looks to shift focus away from disease to the promotion of a state of wellness, defined as a state of optimal health. |
The theme for the first episode is “predictive” and features a conversation between Prof Bente Langdahl, Aarhus University, Denmark and Prof Richard Eastell, Sheffield University, UK. Entitled, “Predicting the Future of Osteoporosis”, this episode explores different biomarkers as predictors of fracture prevention and the role of 'optimized treatment strategies' in clinical practice.
The second episode, “Breaking the Fracture Cycle”, focuses on the second “P” – “preventive” – and welcomes Dr. Maria Talla, clinical lead of a Fracture Liaison Service (FLS) in Glasgow, Scotland. The conversation focuses on secondary fracture prevention, the role of FLSs, how they work and their impact on patient care. Nico Reynders, Head of the Bone Health Mission at UCB, said: “The Fragility Fractures in Focus podcast series underscores UCB’s continued commitment to creating value for patients and the scientific community”.
Click here to access the podcast!
|*Prof. Bente Langdahl, Prof. Richard Eastell and Dr. Maria Talla have been engaged by Ogilvy on behalf of UCB and received an honorarium for their involvement in the series.|
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