Hip fractures in people with idiopathic Parkinson's disease: incidence and outcomes.
Identifieur interne : 000965 ( Main/Exploration ); précédent : 000964; suivant : 000966Hip fractures in people with idiopathic Parkinson's disease: incidence and outcomes.
Auteurs : Richard W. Walker [Royaume-Uni] ; Andrew Chaplin ; Rebecca L. Hancock ; Rachel Rutherford ; William K. GraySource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Hip Fractures, Parkinson Disease.
- statistics & numerical data : Databases, Factual.
- surgery : Hip Fractures.
- Adult, Age Factors, Aged, Aged, 80 and over, Female, Humans, Incidence, Male, Middle Aged, Odds Ratio, Prevalence, Prospective Studies, Treatment Outcome.
Abstract
The incidence of hip fracture and outcomes from hip surgery for people with Parkinson's disease (PD) are thought to be poorer than for people without PD. The aim of this audit of a prospective hip-fracture database was to establish the incidence of, and outcomes from, hip fracture in people with and without PD living in North East England. The number of people with PD living in the study area was estimated using data from two previous prevalence studies in the same geographical area. Using data collected prospectively for the National Hip Fracture Database for Northumbria Healthcare National Health Service Foundation Trust in the UK, the annual incidence of hip fracture in people with and without PD was calculated. Type of fracture, time to surgery, time to discharge, and 30-day outcomes from surgery were compared. Annual incidence of hip fracture was significantly higher in people with PD across all age bands. In those 60 years of age and over, it was 2,171 (95% confidence interval [CI]: 2,082-2,264) per 100,000 in people with PD and 551 (95% CI: 506-598) in people without PD. The experience of PD and non-PD patients within hospital was remarkably similar. However, PD patients had poorer mobility before hip fracture, took longer to be discharged to the community, and were less mobile postsurgery. Specific guidelines for managing people with PD who sustain a hip fracture may help to improve awareness of the potential complications of the condition and improve outcomes.
DOI: 10.1002/mds.25297
PubMed: 23389925
Affiliations:
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Le document en format XML
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Hancock</name></author><author><name sortKey="Rutherford, Rachel" sort="Rutherford, Rachel" uniqKey="Rutherford R" first="Rachel" last="Rutherford">Rachel Rutherford</name></author><author><name sortKey="Gray, William K" sort="Gray, William K" uniqKey="Gray W" first="William K" last="Gray">William K. 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Walker</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, North Tyneside General Hospital, Rake Lane, North Shields, United Kingdom. Richard.walker@nhct.nhs.uk</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Medicine, North Tyneside General Hospital, Rake Lane, North Shields</wicri:regionArea><wicri:noRegion>North Shields</wicri:noRegion></affiliation></author><author><name sortKey="Chaplin, Andrew" sort="Chaplin, Andrew" uniqKey="Chaplin A" first="Andrew" last="Chaplin">Andrew Chaplin</name></author><author><name sortKey="Hancock, Rebecca L" sort="Hancock, Rebecca L" uniqKey="Hancock R" first="Rebecca L" last="Hancock">Rebecca L. Hancock</name></author><author><name sortKey="Rutherford, Rachel" sort="Rutherford, Rachel" uniqKey="Rutherford R" first="Rachel" last="Rutherford">Rachel Rutherford</name></author><author><name sortKey="Gray, William K" sort="Gray, William K" uniqKey="Gray W" first="William K" last="Gray">William K. Gray</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Databases, Factual (statistics & numerical data)</term><term>Female</term><term>Hip Fractures (epidemiology)</term><term>Hip Fractures (surgery)</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Parkinson Disease (epidemiology)</term><term>Prevalence</term><term>Prospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Hip Fractures</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Databases, Factual</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hip Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Prevalence</term><term>Prospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The incidence of hip fracture and outcomes from hip surgery for people with Parkinson's disease (PD) are thought to be poorer than for people without PD. The aim of this audit of a prospective hip-fracture database was to establish the incidence of, and outcomes from, hip fracture in people with and without PD living in North East England. The number of people with PD living in the study area was estimated using data from two previous prevalence studies in the same geographical area. Using data collected prospectively for the National Hip Fracture Database for Northumbria Healthcare National Health Service Foundation Trust in the UK, the annual incidence of hip fracture in people with and without PD was calculated. Type of fracture, time to surgery, time to discharge, and 30-day outcomes from surgery were compared. Annual incidence of hip fracture was significantly higher in people with PD across all age bands. In those 60 years of age and over, it was 2,171 (95% confidence interval [CI]: 2,082-2,264) per 100,000 in people with PD and 551 (95% CI: 506-598) in people without PD. The experience of PD and non-PD patients within hospital was remarkably similar. However, PD patients had poorer mobility before hip fracture, took longer to be discharged to the community, and were less mobile postsurgery. Specific guidelines for managing people with PD who sustain a hip fracture may help to improve awareness of the potential complications of the condition and improve outcomes.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Chaplin, Andrew" sort="Chaplin, Andrew" uniqKey="Chaplin A" first="Andrew" last="Chaplin">Andrew Chaplin</name><name sortKey="Gray, William K" sort="Gray, William K" uniqKey="Gray W" first="William K" last="Gray">William K. Gray</name><name sortKey="Hancock, Rebecca L" sort="Hancock, Rebecca L" uniqKey="Hancock R" first="Rebecca L" last="Hancock">Rebecca L. Hancock</name><name sortKey="Rutherford, Rachel" sort="Rutherford, Rachel" uniqKey="Rutherford R" first="Rachel" last="Rutherford">Rachel Rutherford</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Walker, Richard W" sort="Walker, Richard W" uniqKey="Walker R" first="Richard W" last="Walker">Richard W. Walker</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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