Skip to main content
Erschienen in: Zeitschrift für Gerontologie und Geriatrie 5/2012

01.07.2012 | Original Contribution

Treatment of dementia patients with fracture of the proximal femur in a specialized geriatric care unit compared to conventional geriatric care

verfasst von: A. Rösler, W. von Renteln-Kruse, C. Mühlhan, B. Frilling

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 5/2012

Einloggen, um Zugang zu erhalten

Abstract

To prove the efficiency of a specialized geriatric ward (cognitive geriatric unit, CGU) for patients with a fracture of the proximal femur and additional dementia, we conducted a matched-pair analysis comparing 96 patients with fracture of the proximal femur and additional dementia matched for age, sex, surgical treatment and the degree of cognitive impairment by MMSE score. A total of 48 patients were treated in the CGU, offering extended geriatric assessment, special education of staff, and architecture appropriate for patients with cognitive decline. Target criteria were a gain in the Barthel index and Tinetti score, the length of stay, new admissions to nursing home, the frequency of neuroleptic, antidepressant, and antidementive medication, and the number of specified clinical diagnoses for the dementia syndrome. Length of stay was significantly longer in the CGU. The increase of the Tinetti score was significantly higher in the patients in the CGU, regardless of the length of stay (analysis of covariance: treatment (CGU/non-CGU): F(1/93) = 9.421, p = 0.003; covariate (length of stay): F(1/93) = 3.452, p = 0.066, η2 = 3.6%). In the intervention group, the number of definite diagnoses concerning the dementia syndrome was also higher. Comparison of drug treatment and the percentage of new admission to a nursing home did not differ between groups. Treatment in a specialized, “cognitive geriatric unit” seems to result in better mobility of demented patients with proximal fractures of the femur.
Literatur
1.
Zurück zum Zitat Rösler A, Hofmann W, Renteln-Kruse W von (2010) Special care units for the treatment of acutely ill, cognitively impaired geriatric patients in Germany. Z Gerontol Geriatr 43:249–253PubMedCrossRef Rösler A, Hofmann W, Renteln-Kruse W von (2010) Special care units for the treatment of acutely ill, cognitively impaired geriatric patients in Germany. Z Gerontol Geriatr 43:249–253PubMedCrossRef
2.
Zurück zum Zitat Rösler A, Krause T, Niehuus C, Renteln-Kruse W von (2009) Dementia as a cofactor for geriatric rehabilitation-outcome in patients with osteosynthesis of the proximal femur: a retrospective, matched-pair analysis of 250 patients. Arch Gerontol Geriatr 49:e36–e39PubMedCrossRef Rösler A, Krause T, Niehuus C, Renteln-Kruse W von (2009) Dementia as a cofactor for geriatric rehabilitation-outcome in patients with osteosynthesis of the proximal femur: a retrospective, matched-pair analysis of 250 patients. Arch Gerontol Geriatr 49:e36–e39PubMedCrossRef
3.
Zurück zum Zitat Stevenson DG, Decker SL, Dwyer LL et al (2010) Antipsychotic and benzodiazepine use among nursing home residents: findings from the 2004 National Nursing Home Survey. Am J Geriatr Psychiatry 18:1078–1092PubMedCrossRef Stevenson DG, Decker SL, Dwyer LL et al (2010) Antipsychotic and benzodiazepine use among nursing home residents: findings from the 2004 National Nursing Home Survey. Am J Geriatr Psychiatry 18:1078–1092PubMedCrossRef
4.
Zurück zum Zitat Weyerer S, Schäufele M, Hendlmeier I (2010) Evaluation of special and traditional dementia care in nursing homes: results from a cross-sectional study in Germany. Int J Geriatr Psychiatry 25:1159–1167PubMedCrossRef Weyerer S, Schäufele M, Hendlmeier I (2010) Evaluation of special and traditional dementia care in nursing homes: results from a cross-sectional study in Germany. Int J Geriatr Psychiatry 25:1159–1167PubMedCrossRef
5.
Zurück zum Zitat Zieschang T, Dutzi I, Müller E (2009) Improving care for patients with dementia hospitalized for acute somatic illness in a specialized care unit: a feasibility study. Int Psychogeriatr 22:139–146PubMedCrossRef Zieschang T, Dutzi I, Müller E (2009) Improving care for patients with dementia hospitalized for acute somatic illness in a specialized care unit: a feasibility study. Int Psychogeriatr 22:139–146PubMedCrossRef
Metadaten
Titel
Treatment of dementia patients with fracture of the proximal femur in a specialized geriatric care unit compared to conventional geriatric care
verfasst von
A. Rösler
W. von Renteln-Kruse
C. Mühlhan
B. Frilling
Publikationsdatum
01.07.2012
Verlag
Springer-Verlag
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 5/2012
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-012-0299-1

Weitere Artikel der Ausgabe 5/2012

Zeitschrift für Gerontologie und Geriatrie 5/2012 Zur Ausgabe

Mitteilungen der DGGG

Mitteilungen der DGGG

Mitteilungen der ÖGGG

Mitteilungen der ÖGGG

Beiträge zum Themenschwerpunkt

Wie Kommunen für das Alter(n) planen können