Benzinger, Petra
Refine
Document Type
- Article (19)
- Part of a Book (3)
- Other (2)
- conference proceeding (presentation) (1)
- conference proceeding (summary) (1)
Publication reviewed
- begutachtet (26)
Keywords
- Frailty (5)
- Sturzprävention (3)
- Altenpflege (2)
- Delirium (2)
- Gebrechlichkeit (2)
- Geriatrie (2)
- Pandemie (2)
- Pflege (2)
- Pflegeheim (2)
- Sarkopenie (2)
Institute
Background
Hip fractures are regarded as a worldwide epidemic and a major public health concern. Changing risk factors, local differences and temporal trends contribute to the particular epidemiology of hip fractures. This overview gives a comprehensive insight into the epidemiology of hip fractures and reviews where German data have contributed to the literature.
Methods
The review of the epidemiology of hip fractures in Germany is based on a systematic literature search in PubMed.
Information about the global epidemiology of hip fractures was provided by a selective literature review focusing on specific aspects
of the epidemiology of hip fractures.
Results
Hip fracture rates vary more than 100-fold between different countries. In most high-income countries, a rise in agestandardized
hip fracture rates was observed until the 1980s and 1990s and a decrease thereafter. Such a decrease has not been observed for Germany so far. Many factors,diseases and drugs have been found to be
associated with hip fractures and there is some evidence that fracture risk in later life is already programmed during fetal life and
early childhood. Of the hip fracture burden 50% occur in people with disability and in need of care. In nursing homes approximately 4 fractures can be expected in 100 women per year. In people with intellectual or developmental disabilities comparable risks of hip fracture occur 10–40 years earlier than in the general population. Incidence of disability, institutionalization and death are frequent consequences of hip fractures.
Conclusion
The epidemiology of hip fractures is characterizedby a high burden of disease, local differences, temporal trends, well-defined high-risk populations and many established risk factors.
Introduction Sarcopenia has been recognised as a disease that is consistently associated with a range of geriatric syndromes and negative health consequences. The prevalence of sarcopenia is high among nursing home residents. Several systematic reviews have assessed the efficacy of a range of treatment strategies against sarcopenia. However, no systematic review discussing specifically the treatment options for sarcopenic nursing home residents has been conducted so far. The objective of this scoping review, therefore, is to identify and map existing studies that assessed the feasibility and effectiveness of interventions that were conducted with the aim to treat sarcopenic nursing home residents. Methods and analysis The protocol was developed using an established scoping review methodological framework. A systematic search of relevant literature databases will be conducted. We will also conduct a search of ClinicalTrials. gov and the WHO International Clinical Trials Registry Platform Search Portal for ongoing and recently completed trials, and will search for grey literature. Two reviewers will independently screen titles and abstracts for inclusion, followed by screening of the full text of potentially relevant articles to determine final inclusion. A data extraction sheet will be developed including key study characteristics that will be relevant for collating, summarising and reporting the results of the scoping review. Ethics and dissemination The proposed scoping review will undertake a secondary analysis of publicly available data, and therefore does not require ethical approval. The results will be disseminated to researchers in the field by submitting the review to a peer-reviewed international journal and by presenting our findings at relevant conferences. We expect that the results of the final review will help to guide future research in the field of sarcopenia treatment for nursing home residents.
Stürze und Gangstörungen
(2020)
Stürze sind mit zunehmendem Alter häufig auftretendes Geschehen. Stürze ereignen sich beim Gehen und Stehen, aber auch bei Transfers. Je weniger mobil ein älterer Mensch ist, desto eher ereignen sich Stürze bei alltäglichen Transfers, z.B. im Rahmen von Toilettengängen. Bei mobilen älteren Menschen sind Störungen von Gleichgewicht und Gehen von erheblicher Bedeutung für die Entstehung von Stürzen.
Geriatrisches Assessment
(2020)
Obwohl die Zahl der chronischen Erkrankungen mit dem Alter deutlich ansteigt, erfreuen sich viele ältere Menschen einer guten Lebensqualität bei hoher Selbstständigkeit bis in das höchste Alter. Andere erleben jedoch deutliche Einschränkungen in der Funktionalität und Autonomie. Ältere Menschen unterscheiden sich auch hinsichtlich ihrer Einstellungen und Wünsche, Lebenserfahrungen und Lebensumstände ganz erheblich. Das geriatrische Assessment dienst der Erfassung dieser Unterschiede.
Background
Hospital admissions resulting from traumatic intracranial haemorrhages (TIH) in older people are increasing. There are concerns regarding an increased risk of a TIH in people taking oral anticoagulants (OAC) like phenprocoumon.
Aims
The aim of this study was to estimate the incremental risk of a TIH associated with OAC in older people. Furthermore, this study explored differences in risk according to functional status.
Methods
The study took data from a large German health insurance provider and combined hospital diagnoses with data regarding drug dispensing to estimate rates of a TIH in people with and without exposure to phenprocoumon. Analyses were stratified by sex and by severe functional impairment as disclosed by the long-term care insurance provider.
Results
Overall, exposure to OAC resulted in 2.7 times higher rates of TIH. People with severe functional impairment had a higher baseline risk of TIH than people without severe functional impairment. However, the incremental risk in those exposed to OAC was similar among people with and without severe functional impairment (standardised incidence rate difference 15.73 (95% CI 7.84; 23.61) and 12.10 (95% CI 9.63; 14.57) per 10,000 person-years, respectively.
Conclusions
OAC increases the risk of TIH considerably. The incremental risk of TIH in those exposed to OAC is comparable between people with and without severe functional impairment. The presence of severe functional impairment per se should not exclude such patients from the potential benefits of OAC. For now, the prescription should be personalized based on individual fall risk factors and risk-taking behaviour.
Previously independent living older people suffering fractures of the hip have a high risk of new admission to a nursing home during the subsequent months. This study shows that older people admitted to hospital for fractures of the pelvis and spine have a similar risk of admission to a nursing home.