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Tytuł pozycji:

Occurrence, management and outcomes of hip fractures in patients with Parkinson's disease.

Tytuł :
Occurrence, management and outcomes of hip fractures in patients with Parkinson's disease.
Autorzy :
Critchley RJ; Department of Trauma and Orthopaedics, Newcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, Tyne and Wear NE7 7DN, UK.
Khan SK; Department of Trauma and Orthopaedics, Newcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, Tyne and Wear NE7 7DN, UK .
Yarnall AJ; Institute of Neuroscience, Clinical Ageing Research Unit, Campus for Ageing and Vitality, Newcastle University, Newcastle upon Tyne, Tyne and Wear NE4 5PL, UK.
Parker MJ; Department of Trauma and Orthopaedics, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough, Cambridgeshire PE3 9GZ, UK.
Deehan DJ; Department of Trauma and Orthopaedics, Newcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, Tyne and Wear NE7 7DN, UK.
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Źródło :
British medical bulletin [Br Med Bull] 2015 Sep; Vol. 115 (1), pp. 135-42. Date of Electronic Publication: 2015 Jun 29.
Typ publikacji :
Journal Article; Review
Język :
English
Imprint Name(s) :
Publication: 2001- : London : Oxford University Press
Original Publication: London.
MeSH Terms :
Fracture Fixation/*methods
Hip Fractures/*etiology
Osteoporotic Fractures/*etiology
Parkinson Disease/*complications
Accidental Falls ; Anesthesia/methods ; Fracture Fixation/adverse effects ; Hip Fractures/epidemiology ; Hip Fractures/surgery ; Humans ; Osteoporotic Fractures/epidemiology ; Parkinson Disease/epidemiology ; Postoperative Complications ; Risk Assessment/methods
Contributed Indexing :
Keywords: Parkinson's disease; bone mineral density; falls; hip fractures
Entry Date(s) :
Date Created: 20150702 Date Completed: 20161109 Latest Revision: 20161230
Update Code :
20210210
DOI :
10.1093/bmb/ldv029
PMID :
26130734
Czasopismo naukowe
Introduction: Hip fractures can be debilitating, especially in patients with pre-existing Parkinson's disease; they have reportedly worse outcomes than non-Parkinson's disease patients.
Sources of Data: A computerized literature search on PubMed, Medline, Embase, and CINAHL, supplemented by a manual search of related publications.
Areas of Agreement: Parkinson's disease patients were found to have significantly lower bone mineral density; higher incidence of falls and hip fractures; delays to receiving their Parkinson's disease medication and surgery; higher risk of pneumonia, urinary infection, pressure sores, post-operative mortality; surgical complications and sequelae, including failed fixation, dislocation, longer hospital stay, re-operation; and increased risk of contralateral hip fracture.
Areas of Controversy: Regain of mobility and return to previous residential status have been variably reported.
Growing Points: All Parkinson's disease patients should be screened and considered for primary prevention treatment. On admission with hip fractures, attention should be paid to avoid delays to medication, ensuring safe anaesthetic and timely surgery, and post-operative chest physiotherapy and mobilization.
Research: Research is needed in minimizing the bone-resorptive effects of anti-Parkinson's disease medication.
(© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

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