Four-month outcome after proximal femur fractures and influence of early geriatric rehabilitation: data from the German Centres of Geriatric Trauma DGU

• Published in: Archives of osteoporosis Vol. 16; no. 1; p. 68
• Main Authors: Schoeneberg, Carsten, Pass, Bastian, Volland, Ruth, Knobe, Matthias, Eschbach, Daphne, Ketter, Vanessa, Lendemans, Sven, Aigner, Rene
• Format: Journal Article
• Language: English
• Published: London Springer London 12.04.2021
• Subjects: Aged; Endocrinology; Femoral Fractures - surgery; Femur; Hip Fractures - surgery; Humans; Medicine; Medicine & Public Health; Original Article; Orthopedics; Quality of Life; Retrospective Studies; Trauma Centers; Hip fracture; Proximal femur fracture; Mortality; Orthogeriatric co-management; Quality of life
• ISSN: 1862-3522; 1862-3514
• DOI: 10.1007/s11657-021-00930-9

Summary This study analyzed the outcome of orthogeriatric patients with hip fracture 4 months after surgery. The overall mortality rate was 12.2%. Sixty-five percent presented a degradation in walking ability, and 16% had to move to a nursing home. Early geriatric rehabilitation reduces the mortality rate and increases the rate of anti-osteoporotic treatment. Purpose Hip fractures are increasingly common with severe consequences. Therefore, the German Trauma Society (DGU) implemented an orthogeriatric co-management and developed the concept for certified Centre for Geriatric Trauma DGU. The patients’ treatment data and the optional 120 days of follow-up were collected in the Registry for Geriatric Trauma DGU (ATR-DGU). This study analyzed these 4-month treatment results. Methods A retrospective analysis of the ATR-DGU was conducted. Outcome parameters were the rate of readmission, rate of re-surgery, anti-osteoporotic therapy, housing, mortality, walking ability, and quality of life (QoL) 120 days post-surgery. The influence of the early geriatric rehabilitation (EGR) was evaluated using a regression analysis. Results The follow-up data from 9780 patients were included. After 120 days, the mortality rate was 12.2%, the readmission rate 4%, and the re-surgery rate 3%. The anti-osteoporotic treatment increased from 20% at admission to 32%; 65% of the patients had a degradation in walking ability, and 16% of the patients who lived in their domestic environment pre-surgery had to move to a nursing home. QoL was distinctly reduced. The EGR showed a positive influence of anti-osteoporotic treatment ( p <0.001) and mortality ( p =0.011) but led to a slight reduction in QoL ( p =0.026). Conclusion The 4-month treatment results of the ATR-DGU are comparable to international studies. The EGR led to a significant rise in anti-osteoporotic treatment and a reduction in mortality with a slight reduction in QoL.