ArticleArchives of osteoporosis2021
Four-month outcome after proximal femur fractures and influence of early geriatric rehabilitation: data from the German Centres of Geriatric Trauma DGU.
Article in Archives of osteoporosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Prevalence and Outcome of Delirium in Proximal Femur Fracture Patients Undergoing Orthogeriatric Treatment.Journal of clinical medicine · 2026Article
- The enhancement of medical treatment of proximal femur fracture despite COVID-19 pandemic - a retrospective analysis of a level 1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- [Surgical treatment variation of displaced femoral neck fractures in certified centers for geriatric trauma DGU® and arthroplasty centers in Germany].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- The Influence of Orthogeriatric Co-Management on Clinical Outcomes After Treatment of Proximal Femoral Fractures-Real World Data of Comparable Cohorts Originating from the Same Geographic Area.Journal of clinical medicine · 2025Article
- [Complication management of shaft fractures of the upper extremities : From revision surgery to rehabilitation].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Time Is Bone: Missed Opportunities for Secondary Prevention After a Hip Fracture.Journal of clinical medicine · 2025Review
- [Centers for geriatric trauma DGU® : Distribution and development in Germany].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- The Influence of Orthogeriatric Co-Management on Economical Outcomes After Treatment of Proximal Femoral Fractures: Real-World Data of Comparable Cohorts Originating from the Same Geographic Area.Journal of clinical medicine · 2025Article
- Comparing mortality in the elderly after proximal femur fractures and coxarthrosis: the effect of individual health characteristics and day of surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- An Additional Certification as a Centre for Geriatric Trauma Had No Benefit on Mortality Among Seriously Injured Elderly Patients-An Analysis of the TraumaRegister DGUJournal of clinical medicine · 2024Article
- Intensive Multiprofessional Rehabilitation Is Superior to Standard Orthogeriatric Care in Patients with Proximal Femur Fractures-A Matched Pair Study of 9580 Patients from the Registry for Geriatric Trauma (ATR-DGU).Journal of clinical medicine · 2024Article
- Validation of the Geriatrics at Risk Score (GeRi-Score) on 120-day follow-up, the influence of preoperative geriatric visits, and the time to surgery on the outcome of hip fracture patients: an analysis from the Registry for Geriatric Trauma (ATR-DGU).Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- [Conservative fracture treatment in old people].Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- Association of two geriatric treatment systems with anti-osteoporotic drug treatment and second hip fracture in patients with an index hip fracture: retrospective cohort study.BMC geriatrics · 2024Article
- Outcomes in very elderly ICU patients surgically treated for proximal femur fractures.Scientific reports · 2024Article
- The Geriatrics at Risk Score (GeRi-Score) for mortality prediction in geriatric patients with proximal femur fracture - a development and validation study from the Registry for Geriatric Trauma (ATR-DGU).Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Article
- Internal fixation versus hip arthroplasty in patients with nondisplaced femoral neck fractures: short-term results from a geriatric trauma registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Review
- Prognostic Factors of the Inability to Bear Self-Weight at Discharge in Patients with Fragility Femoral Neck Fracture: A 5-Year Retrospective Cohort Study in Thailand.International journal of environmental research and public health · 2022Observational
Corrections and comments
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Authors and funding
9 authors.
Funding
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Abstract
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.
methodsA 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.
resultsThe 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).
conclusionThe 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.
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