EVALUATION OF THE NEURO-AFFECTIVE STATUS IS A DECISION FACTOR IN THE THERAPEUTIC APPROACH OF SENIOR PATIENTS WITH HIP FRACTURES

Authors

  • Anca Iuliana PÎSLARU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Ioana Alexandra SANDU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Sabinne ȚĂRANU “Dr. C.I. Parhon” Clinical Hospital Iasi
  • Roxana STAICU “Dr. C.I. Parhon” Clinical Hospital Iasi
  • M. GEORGESCU “Dr. C.I. Parhon” Clinical Hospital Iasi
  • Roxana PÎNZARU “Sf. Spiridon” County Clinical Emergency Hospital Iasi

Abstract

Both the cognitive function and the affective status are fundamental geriatric cues in the objective and comprehensive evaluation of a senior patient. Aim: To investigate the impact of cognitive and emotional disturbances of senior patients with hip fractures over the postoperative prognostic. And recovery period. Material and methods: We assessed the cognition and affective status as well as the degree of fragility in group of 44 senior patients admitted in the Trauma Clinic, Iasi for hip fracture. The patients underwent preoperatively a complete geriatric evaluation, focusing on the assessment of the cognitive function (MMSE - Mini-Mental State Exam), psycho-emotional status (GDS-Geriatric Depression Scale) and fragility (Groningen-IGF fragility index). Results: Most of the evaluated patients were female, and over 80 years old. Moderate cognitive impairment was approximately 40% in the studied group, 27% associating fragility. The mild depressed patients, with fragile status, accounted for more than a half of the percentage of those analyzed. The patients with cognitive and affective disorders registered a negative prognostic on the postoperative evolution and during the recovery period. Conclusions: The results of this study confirm the need for a complete geriatric evaluation in senior patients with hip fracture, or at least the evaluation of cognitive and emotional status associated with the degree of fragility as they are considered important prognostic factors in the post-surgical and recovery period.

Author Biographies

  • Anca Iuliana PÎSLARU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Medical Specialties (II)
    “Dr. C.I. Parhon” Clinical Hospital Iasi

  • Ioana Alexandra SANDU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Faculty of Medicine
    Department of Medical Specialties (II)
    “Dr. C.I. Parhon” Clinical Hospital Iasi

  • Roxana PÎNZARU, “Sf. Spiridon” County Clinical Emergency Hospital Iasi

    Department of Orthopedics and Traumatology

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Additional Files

Published

2020-06-30

Issue

Vol. 124 No. 2 (2020): The Medical-Surgical Journal

Section

PREVENTIVE MEDICINE - LABORATORY

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