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  1. Article: Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures.

    Koizia, Alexander / Abuown, Ala / Vowles, Julie / Smith, Damien / Koizia, Louis J

    Case reports in orthopedics

    2020  Volume 2020, Page(s) 8847080

    Abstract: One of the major impacts following a neck of femur fracture is pain. Most patients (nearly all) undergo an operation. This usually includes the frailest terminal patients and deemed a palliative procedure to reduce ongoing pain. The operation comes with ... ...

    Abstract One of the major impacts following a neck of femur fracture is pain. Most patients (nearly all) undergo an operation. This usually includes the frailest terminal patients and deemed a palliative procedure to reduce ongoing pain. The operation comes with risks and can reduce life expectancy in these patients and result in prolonged hospital admission, delirium, and postoperative complications. This case highlights a novel approach to managing the frailest end-of-life patients that does not require them to undergo a conventional operation. The case resulted in a quick discharge from hospital and for the patient and family to maximise the time out of hospital, with a reduced analgesic burden and a peaceful passing away. We feel that this could be an alternative, more humane option for such patients.
    Language English
    Publishing date 2020-06-22
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2684648-2
    ISSN 2090-6757 ; 2090-6749
    ISSN (online) 2090-6757
    ISSN 2090-6749
    DOI 10.1155/2020/8847080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Major trauma in the elderly: Frailty decline and patient experience after injury.

    Koizia, Louis / Kings, Rosalind / Koizia, Alexander / Peck, George / Wilson, Mark / Hettiaratchy, Shehan / Fertleman, Michael B

    Trauma (London, England)

    2018  Volume 21, Issue 1, Page(s) 21–26

    Abstract: Introduction: The prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and ... ...

    Abstract Introduction: The prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and patients' perceptions of their injuries after discharge.
    Aim: We hypothesised that the number of elderly patients that survive major trauma is low and, of those that do, frailty post injury worsens with overall negative views about quality of life. To investigate this, we examined mortality, frailty and patient experience for elderly major trauma admissions to a level 1 trauma centre at one year after admission.
    Method: All consecutive patients > 75 with an injury severity score of > 15 were included in the study. Patients were invited to participate in a structured telephone interview to assess change in frailty status as well as assess patient experience after injury.
    Results: A total of 79 patients met inclusion criteria; 34 patients had died and 17 were uncontactable; 88% had become more frail (
    Conclusions: These findings highlight the elevated mortality in elderly major trauma patients, but also indicate that preconceived opinions on quality of life, post injury, might not be appropriate.
    Language English
    Publishing date 2018-06-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1493258-1
    ISSN 1460-4086
    ISSN 1460-4086
    DOI 10.1177/1460408618783221
    Database MEDical Literature Analysis and Retrieval System OnLINE

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