Evidence map›Paper›PMID 35075082›Full record

ArticleActa bio-medica : Atenei Parmensis2022

Role of frailty in functional recovery after hip fracture, the variable impact in restoring autonomy.

Oriana Amata, Lorenzo Panella, Cristoforo Incorvaia, Alessandro Tomba, Fabrizio Gervasoni, Antonello Valerio Caserta, Camilla Callegari

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. A nationwide analysis on the interaction between frailty and beta-blocker therapy in hip fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  9. Article
  10. 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

7 authors at 3 institutions in 1 country.

Oriana AmataDepartment of Rehabilitation, ASST Gaetano Pini-CTO, Milan, Italy. amata.oriana@gmail.com.
Lorenzo PanellaDepartment of Rehabilitation, ASST Gaetano Pini-CTO, Milan, Italy. lorenzopanella20@gmail.com.
Cristoforo IncorvaiaDepartment of Rehabilitation, ASST Gaetano Pini-CTO, Milan, Italy. cristoforo.incorvaia@gmail.com.
Alessandro TombaDepartment of Rehabilitation, ASST Gaetano Pini-CTO, Milan, Italy. alessandro.tomba@asst-pini-cto.it.
Fabrizio GervasoniRehabilitation Unit, "Luigi Sacco" Hospital, ASST Fatebenefratelli Sacco, Milan, Italy. fabrizio.gervasoni@fisiatramilano.it.
Antonello Valerio CasertaDepartment of Rehabilitation, ASST Gaetano Pini-CTO, Milan, Italy. antonellovalerio.caserta@asst-pini-cto.it.
Camilla CallegariDepartment of Medicine and Surgery, Division of Psychiatry; University of Insubria, Varese, Italy. camilla.callegari@uninsubria.it.
Istituto Ortopedico Gaetano Pini · ITASST Fatebenefratelli Sacco · ITUniversity of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn an old or very older adult, frailty is a common geriatric syndrome resulting from aging-associated decline including loss of autonomy related to multiple pathologies.

aimThe study aims to evaluate the frailty affects on functional and rehabilitative recovery of the elderly patient.

designThis is a retrospective study of subjects over 65 years old who underwent hip surgery following a traumatic femoral fracture.

settingPatients admitted to intensive rehabilitation department after hip fracture event. POPULATION: The sudy include records of 350 patients over-65-year-old with hip fracture treated in hospital with surgery.

methodsPatients enrolled were classified into three groups: youngest-old, ages 65 to 74 years; middle-old, 75 to 84 years; and oldest-old, ≥85 years. Each patient underwent a multidimensional evaluation capable of identifying the deficient domains, defining the presence of frailty, and the different degrees of severity. All patients underwent a project and rehabilitation program according to the literature protocol.

resultsThe average age of the enrolled patients was 73.2 ± 5.6, 38.6% were over 75 years of age, mostly females (58.9%). The prevalence of frailty increased with age, and cognitive functions were associated with both the frailty measured with the Rockwood and Lacks scales. The recovery of Barthel and Tinetti scores correlates to the level of fragility.

conclusionThe approach based on the diagnosis and treatment of the individual disease should be radically changed to a culture and an assessment capacity of elderly persons that take into account the indicators which characterize it as comorbidity, psychological, cultural factors, and environmental health status. Frailty is the sum of these conditions, and it is the most impacting variable in the recovery of autonomy. CLINICAL REHABILITATION IMPACT: The approach based on the diagnosis and treatment of the individual disease should include comorbidity, psychological condition, cultural factors, and environmental health status.

Indexed as

FrailtyHip FracturesAgedAged, 80 and overFemaleGeriatric AssessmentHumansMaleRecovery of FunctionRetrospective Studies

Identifiers

PMID35075082
PMCPMC8823552
OpenAlexW4210784713

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.