Profile of Patients with Dementia or Cognitive Impairment Hospitalized with a Proximal Femur Fracture Requiring Surgery

Claudia Casafont, María Josefa González-Garcia, Ana Marañón-Echeverría, José Luis Cobo-Sánchez, María Bravo, Mercè Piazuelo and Adelaida Zabalegui
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Claudia Casafont: Subdivision of Research and Teaching in Nursing, Hospital Clínic Barcelona, 08036 Barcelona, Spain
María Josefa González-Garcia: Care Quality and Information Systems Unit, Hospital Universitario de Navarra, 31008 Pamplona, Spain
Ana Marañón-Echeverría: Traumatology Department, Hospital Universitario de Navarra, 31008 Pamplona, Spain
José Luis Cobo-Sánchez: Research and Innovation Department, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
María Bravo: Department of Neurology, Hospital Universitario Marqués de Valdecilla, 39008 Pamplona, Spain
Mercè Piazuelo: Traumatology Department, Hospital Clínic Barcelona, 08036 Barcelona, Spain
Adelaida Zabalegui: Subdivision of Research and Teaching in Nursing, Hospital Clínic Barcelona, 08036 Barcelona, Spain

IJERPH, 2022, vol. 19, issue 5, 1-11

Abstract: This study reports the characteristics of patients with dementia or cognitive impairment hospitalized with a proximal femur fracture requiring surgery. Methods: Multicentric descriptive longitudinal study conducted in three traumatology units, representing high-technology public hospitals across Spain. Data collection took place between August 2018 and December 2019 upon admission to hospital, discharge, one month and three months after discharge. Results: Study participants ( n = 174) were mainly women (81.6%), and the mean age was 90.7± 6.3 years old. Significant statistical differences were noted in the decline of functional capacity at baseline and one month later, and after three months they had still not recovered. Malnutrition increased from baseline to the one-month follow-up. The use of physical restraints increased during hospitalization, especially bilateral bedrails and a belt in the chair/bed. After one month, 15.2% of patients had pressure ulcers. Although pain decreased, it was still present after three months. Conclusion: Hospitalization after hip surgery for elderly people with dementia or cognitive impairment negatively impacted their global health outcomes such as malnutrition and the development of pressure ulcers, falls, functional impairment and the use of physical restraints and pain management challenges. Hospitals should implement policy-makers’ strategic dementia care plans to improve their outcomes.

Keywords: dementia; hip fracture; nursing care; hospitalization; dependency; elderly; cognitive impairment; pain (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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