Evidence map›Paper›PMID 37294793›Full record

ArticlePloS one2023

Implementation of a novel nursing assessment tool in geriatric trauma patients with proximal femur fractures.

Till Berk, Marion Thalmann, Kai Oliver Jensen, Peter Schwarzenberg, Gerrolt Nico Jukema, Hans-Christoph Pape, Sascha Halvachizadeh

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2023. 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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.

Till BerkDepartment of Trauma, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0001-9582-1810
Marion ThalmannHarald-Tscherne Laboratory for Orthopedic and Trauma Research, University of Zurich, Zurich, Switzerland.
Kai Oliver JensenDepartment of Trauma, University Hospital Zurich, Zurich, Switzerland.
Peter SchwarzenbergAO Research Institute Davos, Davos, Switzerland.
Gerrolt Nico JukemaDepartment of Trauma, University Hospital Zurich, Zurich, Switzerland.
Hans-Christoph PapeDepartment of Trauma, University Hospital Zurich, Zurich, Switzerland.
Sascha HalvachizadehDepartment of Trauma, University Hospital Zurich, Zurich, Switzerland.
University of Zurich · CHUniversity Hospital of Zurich · CHAO Foundation · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeriatric trauma patients represent a special challenge in postoperative care and are prone to specific complications. The goal of this study was to analyse the predictive potential of a novel nursing assessment tool, the outcome-oriented nursing assessment for acute care (ePA-AC), in geriatric trauma patients with proximal femur fractures (PFF).

methodsA retrospective cohort study of geriatric trauma patients aged ≥ 70 years with PFF was conducted at a level 1 trauma centre. The ePA-AC is a routinely used tool that evaluates pneumonia; confusion, delirium and dementia (CDD); decubitus (Braden Score); the risk of falls; the Fried Frailty index (FFI); and nutrition. Assessment of the novel tool included analysis of its ability to predict complications including delirium, pneumonia and decubitus.

resultsThe novel ePA-AC tool was investigated in 71 geriatric trauma patients. In total, 49 patients (67.7%) developed at least one complication. The most common complication was delirium (n = 22, 44.9%). The group with complications (Group C) had a significantly higher FFI compared with the group without complications (Group NC) (1.7 ± 0.5 vs 1.2 ± 0.4, p = 0.002). Group C had a significantly higher risk score for malnutrition compared with Group NC (6.3 ± 3.4 vs 3.9 ± 2.8, p = 0.004). A higher FFI score increased the risk of developing complications (odds ratio [OR] 9.8, 95% confidence interval [CI] 2.0 to 47.7, p = 0.005). A higher CDD score increased the risk of developing delirium (OR 9.3, 95% CI 2.9 to 29.4, p < 0.001).

conclusionThe FFI, CDD, and nutritional assessment tools are associated with the development of complications in geriatric trauma patients with PFF. These tools can support the identification of geriatric patients at risk and might guide individualised treatment strategies and preventive measures.

Indexed as

DeliriumProximal Femoral FracturesAgedGeriatric AssessmentHumansNutritional StatusRetrospective StudiesRisk Factors

Identifiers

PMID37294793
PMCPMC10256203
OpenAlexW4379981177

What OpenQuestion holds

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LicenceCC BY
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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.