ArticleJournal of family medicine and primary care2025
A descriptive analysis of rural seniors with femur and pelvis fractures and the impact of morphine milliequivalents on inpatient rehabilitation.
Article in Journal of family medicine and primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The US population ≥65 years old is rapidly growing. Geriatric disorders including hip fractures are becoming more numerous and the medical cost is significant. Hip fractures increase the risk of mortality in geriatric patients, but with improvements in medical care, this risk is declining over time. One important factor in the recovery and rehabilitation of hip fracture patients is pain management. Understanding the impact of opiate prescribing practices on outcomes in the rehabilitation setting can guide recommendations for the future. Materials and Methods: Patients ≥65 years old with hip fracture undergoing rehabilitation were retrospectively reviewed within the electronic health record. Information regarding gender, age, height, weight, BMI, length of stay, type of fracture, weight-bearing status, and comorbidities such as coronary artery disease, heart failure, chronic obstructive pulmonary disease, dementia, diabetes, renal disease, and vitamin D deficiency were obtained. The patients' morphine milligram equivalents were calculated and averaged by length of stay. This information was analyzed with the GG score along with patient-specific information above to assess for a relationship using odds ratio and Wald confidence intervals. Results: Of the studied ≥65-year-old patients (n = 115), the amount of MME weakly positively correlated, with the change in GG score for MME/day ( Conclusions: A weak but significant correlation was seen between treatment with opioids and change in rehabilitation scoring. Age, dementia, and avitaminosis D correlated negatively in this rural, geriatric population, consistent with previous findings, while weight-bearing status and type of fracture had more positive correlations with functional scoring.
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