Evidence map›Paper›PMID 31598740›Full record

ArticleDer Unfallchirurg2020

[120-day follow-up after proximal femoral fractures-first results from the Geriatric Trauma Registry DGU®].

Carsten Schoeneberg, Matthias Knobe, Reto Babst, Thomas Friess, Ruth Volland, Erich Hartwig, Wolfgang Schmidt, Sven Lendemans, Benjamin Buecking, AltersTraumaRegister DGU

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Der Unfallchirurg, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07582575 (Nutrition and Trauma), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07582575 nacompletednot on this mapstarted 2024, after this paper: background citation

Nutrition and Trauma (NuTra) - The Influence of Malnutrition in Geriatric Trauma Patients

TypeinterventionalSponsorDepartment of Trauma and Reconstructive Surgery at Eberhard Karls University Tuebingen, BG Klinik TuRan2024 to 2025Enrolled218ConditionsMalnutitrionArmsProtein-enriched nutritional regimen with a targeted total protein intake of 1.5-2.0 g/kg body weight per day
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Hip Fracture in the Elderly: Time to Act.Deutsches Arzteblatt international · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carsten SchoenebergKlinik für Orthopädie und Unfallchirurgie, Alfried Krupp Krankenhaus, Hellweg 100, 45276, Essen, Deutschland. carsten.schoeneberg@krupp-krankenhaus.de.
Matthias KnobeKlinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum RWTH, Aachen, Deutschland.
Reto BabstKlinik für Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, Luzern, Schweiz.
Thomas FriessProjektkoordination AltersTraumaZentrum DGU®, Herne, Deutschland.
Ruth VollandAUC, Akademie der Unfallchirurgie GmbH, München, Deutschland.
Erich HartwigKlinik für Orthopädie und Unfallchirurgie, ViDia Kliniken Karlsruhe Standort Diakonissenkrankenhaus, Karlsruhe, Deutschland.
Wolfgang SchmidtKlinik für Unfallchirurgie, Sportorthopädie und Kindertraumatologie, Klinikum Garmisch-Partenkirchen, Garmisch-Partenkirchen, Deutschland.
Sven LendemansKlinik für Orthopädie und Unfallchirurgie, Alfried Krupp Krankenhaus, Hellweg 100, 45276, Essen, Deutschland.
Benjamin BueckingZentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Marburg, Deutschland.
AltersTraumaRegister DGU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeriatric trauma centers which are certified to the status of a Geriatic Trauma Center DGU® based on the criteria catalogue as outlined by the German Trauma Society (DGU), are required to participate in the Geriatric Trauma Register (ATR-DGU) for quality management and outcome analyses. The evaluation is pseudoanonymous and includes data on all treated hip fracture patients over 70 years old. This has been in regular use since 2016. This study analyzed the postoperative evaluation of gait, mortality, quality of life, hospital readmission and treatment of osteoporosis after 120 days.

methodsA voluntary retrospective data evaluation of the ATR-DGU 120-day follow-up from 2017 was carried out. Written consent for the analysis and publication of the data was obtained from six clinics that already participated in the follow-up. The primary target parameters were mortality rate, readmission and revision rates, gait quality, osteoporosis treatment and quality of life according to EQ-5D-3L. The patient data were completely pseudonymized and a descriptive analysis was carried out.

resultsIn this study 957 patients from the 6 hospitals were included. The average age was 84.5 years (±6.8 years). The mortality rate during the acute treatment phase was 5%. The 120-day follow-up could be evaluated in 412 patients, 10% of these required hospital readmission due to complications oft he same fracture and of these 6% required revision surgery. The mortality rate at 120 days was 12%. In 54% of the patients the fracture led to deterioration of mobility and 49% of patients received osteoporosis treatment after 120 days. The results of the EQ-5D-3L at 120 days revealed improvement as compared to the values on postoperative day 7; however, the preoperative status with respect to mobility and quality of life could not be regained.

conclusionDespite the clear advantages of interdisciplinary treatment, the results are still limited concerning mobilization and quality of life. Further analysis of causative and influencing factors is necessary.

Indexed as

Femoral FracturesAgedAged, 80 and overFollow-Up StudiesGermanyHumansMaleQuality of LifeRegistriesRetrospective StudiesTrauma CentersGeriatric trauma centerMortalityOrtho-geriatric co-managementQuality of lifeReadmission

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.