Profile of Patients with Dementia or Cognitive Impairment Hospitalized with a Proximal Femur Fracture Requiring Surgery

International Journal of Environmental Research and Public Health

María Josefa González-Garcia¹  María Bravo²  José Luis Cobo-Sánchez³  Adelaida Zabalegui⁴  Claudia Casafont⁴  Mercè Piazuelo⁵  Ana Marañón-Echeverría⁶ 

[1] Care Quality and Information Systems Unit, Hospital Universitario de Navarra, 31008 Pamplona, Spain;Department of Neurology, Hospital Universitario Marqués de Valdecilla, 39008 Pamplona, Spain;Research and Innovation Department, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain;Subdivision of Research and Teaching in Nursing, Hospital Clínic Barcelona, 08036 Barcelona, Spain;Traumatology Department, Hospital Clínic Barcelona, 08036 Barcelona, Spain;Traumatology Department, Hospital Universitario de Navarra, 31008 Pamplona, Spain;

关键词: dementia;    hip fracture;    nursing care;    hospitalization;    dependency;    elderly;   

DOI  :  10.3390/ijerph19052799

来源: DOAJ

【 摘 要 】

This study reports the characteristics of patients with dementia or cognitive impairment hospitalized with a proximal femur fracture requiring surgery. Methods: Multicentric descriptive longitudinal study conducted in three traumatology units, representing high-technology public hospitals across Spain. Data collection took place between August 2018 and December 2019 upon admission to hospital, discharge, one month and three months after discharge. Results: Study participants (n = 174) were mainly women (81.6%), and the mean age was 90.7± 6.3 years old. Significant statistical differences were noted in the decline of functional capacity at baseline and one month later, and after three months they had still not recovered. Malnutrition increased from baseline to the one-month follow-up. The use of physical restraints increased during hospitalization, especially bilateral bedrails and a belt in the chair/bed. After one month, 15.2% of patients had pressure ulcers. Although pain decreased, it was still present after three months. Conclusion: Hospitalization after hip surgery for elderly people with dementia or cognitive impairment negatively impacted their global health outcomes such as malnutrition and the development of pressure ulcers, falls, functional impairment and the use of physical restraints and pain management challenges. Hospitals should implement policy-makers’ strategic dementia care plans to improve their outcomes.

【 授权许可】

Unknown