Das AltersTraumaZentrum DGU - Ergebnisse der Pilotphase eines prospektiven Patientenregisters

Hintergrund Mit steigendem Alter wächst das Frakturrisiko, immer häufiger kommt es zu operationsbedürftigen Verletzungen von generell oft sehr multimorbiden Patienten. Die meisten dieser Frakturen sind osteoporose- assoziiert, wobei diese häufig nicht diagnostiziert und somit auch nicht behandelt w...

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Bibliographic Details
Main Author: Hevia Vaca, Maria Erika
Contributors: Buecking, Benjamin (Prof. Dr. med.) (Thesis advisor)
Format: Doctoral Thesis
Published: Philipps-Universität Marburg 2022
Online Access:PDF Full Text
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8.1 Background The risk of fractures increases in higher age, and also the number of injuries requiring surgery for patients who often are multimorbid. Most of these fractures are associated with osteoporosis, which is often not diagnosed and therefore not treated. To improve the care of these complex geriatric-traumatological patients, the AltersTraumaRegister DGU was founded in 2014. Since 2014, clinics in which trauma-surgical and geriatric patients are treated interdisciplinary have been able to certify themselves as AltersTraumaZentrum DGU. The AltersTraumaRegister DGU was set up to measure the quality of treatment in the centers. Patients and Methods 118 patients with fracture of the proximal femur or implant-associated fracture and older than 70 years were included. Various parameters in terms of the patient characteristics, the treatment and results were recorded. The health- related quality of life was measured by EQ-5D in the first postoperative week. Results Surgery was performed in 87% of patients within 24h. Specific osteoporosis therapy could be increased from 4 to 63 patients. The health-related quality of life was still significantly reduced in the first postoperative period. Conclusion Measured by the treatment parameters “time of surgery” and “initiation of osteoporosis therapy”, the treatment at the centers seems to be successful. To improve the evaluation in term of the quality of the results in the AltersTraumaZentrum DGU, it is important to establish a follow-up examination, which is performed yet in certified AltersTraumaZentrum DGU.