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Alterstraumatologie Kongress 2016

10.03. - 11.03.2016, Marburg

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Multidimensional Prognostic Index (MPI) in association with anemia and mortality in orthogeriatric patients

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  • Gabriele Röhrig-Herzog - Uniklinik Köln, Klinik II Innere Medizin, Schwerpunkt Klinische Altersforschung, Köln, Germany
  • Christofori-Eleni Magnisali - Uniklinik Köln, Klinik II Innere Medizin, Schwerpunkt Klinische Altersforschung, Köln, Germany

Deutsche Gesellschaft für Geriatrie e.V. (DGG). Deutsche Gesellschaft für Unfallchirurgie e.V. (DGU). Österreichische Gesellschaft für Unfallchirurgie. Österreichische Gesellschaft für Geriatrie und Gerontologie. Schweizerische Fachgesellschaft für Geriatrie (SFGG). Deutscher Verband für Physiotherapie (ZVK) e. V.. Alterstraumatologie Kongress 2016. Marburg, 10.-11.03.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocWI07-44

doi: 10.3205/16altra53, urn:nbn:de:0183-16altra534

Published: March 10, 2016

© 2016 Röhrig-Herzog et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives: The MPI has been developed based on the comprehensive geriatric assessment and was found to predict mortality [1]. Among orthogeriatric patients fractures close to hip joints are particularly associated with postoperative anemia and high mortality rates [2], [3]. Data on MPI application on orthogeriatric patients is rare. This study was intended to evaluate MPI results, postoperative anemia and mortality rates among orthogeriatric patients with hip fractures compared to orthogeriatric patients with other fractures

Patients & Methods: A number of 100 patients of a universitarian orthogeriatric unit is currently being evaluated. Inclusion criteria are age ≥70 years, any type of fracture requiring surgical intervention and written consent with the study; exclusion criteria are bruises without fracture, age <70 years and lack of written consent with the study; main objective is to analyze if MPI scores in patients with fractures close to hip joints are worse than MPI scores in patients with other fractures; secondary objectives are the association of MPI scores with postoperative anemia and mortality rate after 6 months.

Results /Conclusions: Preliminary results will be published during Alterstraumatologiekongress 2016 in Marburg, Germany.

Outline

References

1.
Angleman SB, Santoni G, Pilotto A, Fratiglioni L, Welmer AK; MPI_AGE Project Investigators. Multidimensional Prognostic Index in Association with Future Mortality and Number of Hospital Days in a Population-Based Sample of Older Adults: Results of the EU Funded MPI_AGE Project. PLoS One. 2015 Jul 29;10(7):e0133789. DOI: 10.1371/journal.pone.0133789 External link
2.
Willems JM, de Craen AJ, Nelissen RG, van Luijt PA, Westendorp RG, Blauw GJ. Haemoglobin predicts length of hospital stay after hip fracture surgery in older patients. Maturitas. 2012 Jul;72(3):225-8. DOI: 10.1016/j.maturitas.2012.03.016 External link
3.
Negrete-Corona J, Alvarado-Soriano JC, Reyes-Santiago LA. Hip fracture as risk factor for mortality in patients over 65 years of age. Case-control study. Acta Ortop Mex. 2014 Nov-Dec;28(6):352-62.