THE ROLE OF COMPREHENSIVE GERIATRIC ASSESSMENT IN THE COMPLEX MANAGEMENT OF SENIOR PATIENTS WITH HIP FRACTURE

  • Anca Iuliana PÎSLARU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Sabinne ȚĂRANU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • M. GEORGESCU “Dr. C.I. Parhon” Clinical Hospital, Iasi
  • Ramona ȘTEFĂNIU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Roxana PÎNZARU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Ioana Dana ALEXA “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

The increased incidence of hip fracture in the frail elderly patients requires the development of differentiated care, adapted to their physical, psychological and emotional profile. Pre- and postoperative comprehensive geriatric assessment (CGA) is the most accurate tool for developing a personalized therapeutic and care plan. Aim: To investigate the consequences of the surgical treatment of hip fractures on senior patients using CGA preoperatively and in the immediate postoperative period. Material and methods: The prospective study, from which we present the preliminary data, was conducted on a group of 95 patients admitted in the Trauma Clinic with hip fracture. Of these, only 59 underwent CGA preoperatively and 48 hours postoperatively. Particular attention was given to frailty - evaluated with Groningen Frailty Index (GFI), neurocognitive status - evaluated with Mini-Mental State Examination (MMSE), and psycho-emotional status - evaluated with Geriatric Depression Scale (GDS). Results: Analyzing the GFI scores (p = 0.014) it was found that of the preoperatively robust patients 71.4% became frail postoperatively. No statistically significant differences in cognitive and psycho-emotional status were found in the immediate postoperative compared to the initial preoperative assessment, probably due to the small sample size. Conclusions: The results of this study confirm the importance of evaluating the degree of frailty for the prediction of the postoperative evolution of hip fractures in senior patients.

Author Biographies

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

“Dr. C.I. Parhon” Clinical Hospital, Iasi
Geriatric Department

Sabinne ȚĂRANU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

“Dr. C.I. Parhon” Clinical Hospital, Iasi
Geriatric Department

M. GEORGESCU, “Dr. C.I. Parhon” Clinical Hospital, Iasi

Geriatric Department

Ramona ȘTEFĂNIU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Dr. C.I. Parhon” Clinical Hospital, Iasi
Geriatric Department

Roxana PÎNZARU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

“Sf. Spiridon” County Clinical Emergency Hospital, Iasi
Department of Orthopedics and Traumatology

Ioana Dana ALEXA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

“Dr. C.I. Parhon” Clinical Hospital, Iasi
Geriatric Department

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Published
2021-06-30
Section
INTERNAL MEDICINE - PEDIATRICS