Mingzhuang Hou1,2, Yijian Zhang1,2, Angela Carley Chen3, Tao Liu1, Huilin Yang1,2, Xuesong Zhu4,5, Fan He6,7. 1. Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Soochow University, No. 899 Pinghai Road, Suzhou, 215006, Jiangsu, China. 2. Orthopaedic Institute, Medical College, Soochow University, No.708 Renmin Road, Suzhou, 215007, Jiangsu, China. 3. School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, NZL 3G1, Canada. 4. Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Soochow University, No. 899 Pinghai Road, Suzhou, 215006, Jiangsu, China. sudazxs@sina.com. 5. Orthopaedic Institute, Medical College, Soochow University, No.708 Renmin Road, Suzhou, 215007, Jiangsu, China. sudazxs@sina.com. 6. Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Soochow University, No. 899 Pinghai Road, Suzhou, 215006, Jiangsu, China. fanhe@suda.edu.cn. 7. Orthopaedic Institute, Medical College, Soochow University, No.708 Renmin Road, Suzhou, 215007, Jiangsu, China. fanhe@suda.edu.cn.
Abstract
OBJECTIVES: Dementia is a common mental disorder that affects the life quality in elders. Recently, emerging studies reported the negative impacts of dementia on prognosis after hip surgeries. However, the integrated and reliable role of dementia in hip surgery is not illustrated. METHODS: We searched the relevant literatures before June 2020 and extracted the data that met the inclusion criteria. The influence of dementia on postoperative walking ability, complications including infection, cardiovascular complications, hip dislocation, delirium, and respiratory complications, and survival rate at different periods were evaluated. Qualitative and quantitative analysis were conducted using Review Manager Version 5.3. RESULTS: The meta-analysis enrolled a total of 30 studies with 1,037,049 patients. The pooled results revealed that there were significant negative impacts of dementia on the recovery of postoperative walking ability, postoperative infection, hip dislocation, delirium and respiratory complications and mortality at different periods. CONCLUSIONS: Dementia is a crucial risk factor for the poor prognosis after hip fracture surgery. Therefore, when making clinical strategies for hip fracture patients with dementia, countermeasures for possible complications should be generated.
OBJECTIVES: Dementia is a common mental disorder that affects the life quality in elders. Recently, emerging studies reported the negative impacts of dementia on prognosis after hip surgeries. However, the integrated and reliable role of dementia in hip surgery is not illustrated. METHODS: We searched the relevant literatures before June 2020 and extracted the data that met the inclusion criteria. The influence of dementia on postoperative walking ability, complications including infection, cardiovascular complications, hip dislocation, delirium, and respiratory complications, and survival rate at different periods were evaluated. Qualitative and quantitative analysis were conducted using Review Manager Version 5.3. RESULTS: The meta-analysis enrolled a total of 30 studies with 1,037,049 patients. The pooled results revealed that there were significant negative impacts of dementia on the recovery of postoperative walking ability, postoperative infection, hip dislocation, delirium and respiratory complications and mortality at different periods. CONCLUSIONS: Dementia is a crucial risk factor for the poor prognosis after hip fracture surgery. Therefore, when making clinical strategies for hip fracture patients with dementia, countermeasures for possible complications should be generated.
Authors: Lisa Hartling; Andrea Milne; Michele P Hamm; Ben Vandermeer; Mohammed Ansari; Alexander Tsertsvadze; Donna M Dryden Journal: J Clin Epidemiol Date: 2013-05-16 Impact factor: 6.437
Authors: Irena S Cenzer; Victoria Tang; W John Boscardin; Alexander K Smith; Christine Ritchie; Margaret I Wallhagen; Roxanne Espaldon; Kenneth E Covinsky Journal: J Am Geriatr Soc Date: 2016-06-13 Impact factor: 5.562