A Record-based Analysis of Profile, Pattern and Outcomes of Geriatric Fractures in a Tertiary Care Hospital, Chandigarh

A Rana; A Kumar; S Sharma; Amarjeet Singh

A Rana Project Associate, Community Medicine & School of Public Health, PGIMER, Chandigarh, India.
A Kumar Senior Physiotherapist, PGIMER, Chandigarh, India.
S Sharma Associate Professor, Trauma & Orthopedics.
Amarjeet Singh Professor & Head, Community Medicine & School of Public Health, PGIMER, Chandigarh, India.

Keywords: Elderly Care, Geriatric Friendly Environment, Fracture, Fall, Geriatric Fracture

Abstract

Introduction: Older people with diseased conditions are more prone to fracture irrespective of gender. Osteoporosis is the most common cause of elderly fractures.

Objectives: 1) To ascertain the profile and pattern of geriatric fracture cases reporting a tertiary care institution, 2) To ascertain the extent of mortality and complications in geriatric fracture cases, and 3) To ascertain the functional outcomes of geriatric fracture cases discharged from the tertiary care institute.

Methodology: A list of geriatric fracture inpatients of an institution was made for 2014 - 2018. The data on the profile of patients, type of fracture, treatment received, the lag time between the reporting and the surgery, comorbidities, past medical history, cause/ place of fracture, length of stay, and status at the time of the phone-based interview were analysed through SPSS software.

Results: The highest range of the age for fracture occurrence was 60-70 years. Female patients were more than the male ones. Femur fracture was the most common. The most common direct cause of the fracture
was fall (indoor). Open reduction, internal fixation and arthroplasty were the commonest treatment performed. The lag time between the patient arrival to the health care and surgery was 0-5 days. The highest length of stay by the patients in the hospital was 0-10 days.

Conclusion: The possible direct causes of the fracture reported in the study were falls, roadside accidents, trauma etc.

How to cite this article:
Rana A, Kumar A, Sharma S, Singh A. A Recordbased Analysis of Profile, Pattern and Outcomes of Geriatric Fractures in a Tertiary Care Hospital, Chandigarh. Int J Preven Curat Comm Med. 2021;7(3):12-16.

DOI: https://doi.org/10.24321/2454.325X.202112

References

Cooper C, Campion G, Melton 3rd LJ. Hip fractures in the elderly: a world-wide projection. Osteoporos Int.

;2(6):285-9. [PubMed] [Google Scholar]

Jordan KM, Cooper C. Epidemiology of osteoporosis. Best Pract Res Clin Rheumatol. 2002;16(5):795-806.

[PubMed] [Google Scholar]

Mithal A, Bansal B, Kyer CS, Ebeling P. The Asia-Pacific Regional Audit-epidemiology, costs, and burden of

osteoporosis in India 2013: a report of International Osteoporosis Foundation. Indian J Endocrinol Metab.

;18(4):449. [PubMed] [Google Scholar]

Roth T, Kammerlander C, Gosch M, Luger TJ, Blauth M. Outcome in geriatric fracture patients and how it

can be improved. Osteoporos Int. 2010;21(4):615-9. [PubMed] [Google Scholar]

Menzies IB, Mendelson DA, Kates SL, Friedman SM. The impact of comorbidity on perioperative outcomesof hip fractures in a geriatric fracture model. Geriatr Orthop Surg Rehabil. 2012 Sep;3(3):129-34. [PubMed]

[Google Scholar]

Rath S, Yadav L, Tewari A, Chantler T, Woodward M, Kotwal P, Jain A, Dey A, Garg B, Malhotra R, Goel

A, Farooque K, Sharma V, Webster P, Norton R. Management of older adults with hip fractures in India:

a mixed-methods study of current practice, barriers and facilitators, with recommendations to improve

care pathways. Arch Osteoporos. 2017 Dec;12(1):55. [PubMed] [Google Scholar]

Bishnoi M, Kirmani TT, Huda N, Chahal G, Bishnoi S. Epidemiological analysis of hip fractures at a tertiary

care centre: a retrospective study. Int J Res Orthop. 2018;4(4):568-71. [Google Scholar]

Al-Aama T. Falls in the elderly: spectrum and prevention. Can Fam Physician. 2011 Jul;57(7):771-6. [PubMed]

[Google Scholar]

Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: worldwide geographic

variation. Indian J Orthop. 2011;45(1):15-22. [PubMed] [Google Scholar]

Berg RL, Cassells JS. Falls in older persons: risk factors and prevention. In: The second fifty years: promoting

health and preventing disability. United States: National Academies Press; 1992. [Google Scholar]

Graf C. The Lawton instrumental activities of daily living (IADL) scale. Medsurg Nurs. 2009;18(5):315-6.

[PubMed]

Roche JJ, Wenn RT, Sahota O, Moran CG. Effect of comorbidities and postoperative complications on

mortality after hip fracture in elderly people: prospective observational cohort study. BMJ. 2005;331(7529):1374.

[PubMed] [Google Scholar]

Dash SK, Panigrahi R, Palo N, Priyadarshi A, Biswal M. Fragility hip fractures in elderly patients in Bhubaneswar, India (2012-2014): a prospective multicenter study of 1031 elderly patients. Geriatr Orthop Surg Rehabil. 2015;6(1):11-5. [PubMed] [Google Scholar]

Safer MA, Tharps QJ, Jackson TC, Leventhal H. Determinants of three stages of delay in seeking care

at a medical clinic. Med Care. 1979 Jan;17(1):11-29. [PubMed] [Google Scholar]

Wei J, Zeng L, Li S, Luo F, Xiang Z, Ding Q. Relationship between co-morbidities and treatment decision-making in elderly hip fracture patients. Aging Clin Exp Res. 2019 Apr16;31:1375-41. [Google Scholar]

Bennett A, Li H, Patel A, Kang K, Gupta P, Choueka J, Feierman DE. Retrospective analysis of geriatric patients

undergoing hip fracture surgery: delaying surgery is associated with increased morbidity, mortality, and

length of stay. Geriatric Orthop Surg Rehabil. 2018 Sep;9:2151459318795260. [PubMed] [Google Scholar]

Frost SA, Nguyen ND, Black DA, Eisman JA, Nguyen TV. Risk factors for in-hospital post-hip fracture mortality.

Bone. 2011 Sep;49(3):553-8. [PubMed] [Google Scholar]

Chrispal A, Mathews KP, Surekha V. The clinical profile and association of delirium in geriatric patients with

hip fractures in a tertiary care hospital in India. J Assoc Physicians India. 2010 Jan;58:15-9. [PubMed] [Google

Scholar]