Brain atrophy evaluated by computed tomography in independent and institutionalized hip fracture patients
Purpose: To examine if there is an association between brain computed tomography (CT) findings and place of residence in a series of hip fracture patients. Method: The CT scans taken immediately after hip fracture of 215 patients (mean age 81.6 years) living in their own homes or otherwise independe...
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| Veröffentlicht in: | Disability and rehabilitation 2005-01, Vol.27 (18-19), p.1197-1202 |
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| container_title | Disability and rehabilitation |
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| creator | Sakone, R. Pyhtinen, J. Pääkkö, E. Vähänikkilä, H. Ristiniemi, J. Jalovaara, P. |
| description | Purpose: To examine if there is an association between brain computed tomography (CT) findings and place of residence in a series of hip fracture patients.
Method: The CT scans taken immediately after hip fracture of 215 patients (mean age 81.6 years) living in their own homes or otherwise independently (home-dwelling group) and 95 patients (mean age 82.5 years) permanently institutionalized (institutionalized group) were analysed.
Results: The institutionalized patients had significantly more cortical cerebral (frontal, p = 0.004; temporal, p = 0.007; parietal, p |
| doi_str_mv | 10.1080/09638280500056717 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68774596</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68774596</sourcerecordid><originalsourceid>FETCH-LOGICAL-c404t-6b95d098b6bc4905023a589a136b503c72f9c3e8d734e9c32c6716582faeb3073</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMouq7-AC_Sk7dq0jQfRS8qfoHgRc9hmqZupG1qkirrrzfLLogIXpIJeeZl5kHoiOBTgiU-wxWnspCYYYwZF0RsoRkpeZkzwtk2mq3-8wTIPbQfwluiCBXlLtojvBCSyGqG7JUHO2QQvRsXy8x8QDdBNE1WLzPt-nFa1dH17tXDCkisHRozmnQMMYOhSe8QbZyidQN09ivxCztmrQcdJ2-yEaJNaDhAOy10wRxu7jl6ub15vr7PH5_uHq4vH3Nd4jLmvK5YgytZ81qXVVqtoMBkBYTymmGqRdFWmhrZCFqaVBU6Lc6ZLFowNcWCztHJOnf07n0yIareBm26DgbjpqC4FKJkycwckTWovQvBm1aN3vbgl4pgtfKr_vhNPceb8KnuTfPTsRGagIs1YIfW-R4-ne8aFWHZOZ-UDNoGRf_LP__VvjDQxYUGb9Sbm3wSHP6Z7hsOwZyY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68774596</pqid></control><display><type>article</type><title>Brain atrophy evaluated by computed tomography in independent and institutionalized hip fracture patients</title><source>MEDLINE</source><source>Taylor & Francis:Master (3349 titles)</source><source>Taylor & Francis Medical Library - CRKN</source><creator>Sakone, R. ; Pyhtinen, J. ; Pääkkö, E. ; Vähänikkilä, H. ; Ristiniemi, J. ; Jalovaara, P.</creator><creatorcontrib>Sakone, R. ; Pyhtinen, J. ; Pääkkö, E. ; Vähänikkilä, H. ; Ristiniemi, J. ; Jalovaara, P.</creatorcontrib><description>Purpose: To examine if there is an association between brain computed tomography (CT) findings and place of residence in a series of hip fracture patients.
Method: The CT scans taken immediately after hip fracture of 215 patients (mean age 81.6 years) living in their own homes or otherwise independently (home-dwelling group) and 95 patients (mean age 82.5 years) permanently institutionalized (institutionalized group) were analysed.
Results: The institutionalized patients had significantly more cortical cerebral (frontal, p = 0.004; temporal, p = 0.007; parietal, p < 0.001) and central cerebral (third ventricle width, p < 0.001; frontal horn width, p < 0.001; midbody width, p < 0.001) atrophy than the home-dwelling ones. This was also true of atrophy in the white-matter (WM) area (p < 0.001). The institutionalized patients also had more atrophy of the cerebellar hemisphere (atrophy of the cerebellopontine angle cistern, p = 0.002, greater fourth ventricle width, p = 0.020). No significant difference was seen in the incidence of brain infarcts.
Conclusions: Hip fracture patients living in institutions have more brain atrophy than those living independently. The brain atrophy may be one factor in the multiple mechanism underlying their institutional admission.</description><identifier>ISSN: 0963-8288</identifier><identifier>EISSN: 1464-5165</identifier><identifier>DOI: 10.1080/09638280500056717</identifier><identifier>PMID: 16278189</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Aged ; Aged, 80 and over ; Atrophy ; brain ; Cerebral Cortex - diagnostic imaging ; Cerebral Cortex - pathology ; Female ; Frontal Lobe - diagnostic imaging ; Frontal Lobe - pathology ; Hip fracture ; Hip Fractures - diagnostic imaging ; Humans ; Institutionalization ; Male ; Middle Aged ; Temporal Lobe - diagnostic imaging ; Temporal Lobe - pathology ; Tomography, X-Ray Computed ; x-ray computed tomography</subject><ispartof>Disability and rehabilitation, 2005-01, Vol.27 (18-19), p.1197-1202</ispartof><rights>2005 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-6b95d098b6bc4905023a589a136b503c72f9c3e8d734e9c32c6716582faeb3073</citedby><cites>FETCH-LOGICAL-c404t-6b95d098b6bc4905023a589a136b503c72f9c3e8d734e9c32c6716582faeb3073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/09638280500056717$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/09638280500056717$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,59652,59758,60441,60547,61226,61261,61407,61442</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16278189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakone, R.</creatorcontrib><creatorcontrib>Pyhtinen, J.</creatorcontrib><creatorcontrib>Pääkkö, E.</creatorcontrib><creatorcontrib>Vähänikkilä, H.</creatorcontrib><creatorcontrib>Ristiniemi, J.</creatorcontrib><creatorcontrib>Jalovaara, P.</creatorcontrib><title>Brain atrophy evaluated by computed tomography in independent and institutionalized hip fracture patients</title><title>Disability and rehabilitation</title><addtitle>Disabil Rehabil</addtitle><description>Purpose: To examine if there is an association between brain computed tomography (CT) findings and place of residence in a series of hip fracture patients.
Method: The CT scans taken immediately after hip fracture of 215 patients (mean age 81.6 years) living in their own homes or otherwise independently (home-dwelling group) and 95 patients (mean age 82.5 years) permanently institutionalized (institutionalized group) were analysed.
Results: The institutionalized patients had significantly more cortical cerebral (frontal, p = 0.004; temporal, p = 0.007; parietal, p < 0.001) and central cerebral (third ventricle width, p < 0.001; frontal horn width, p < 0.001; midbody width, p < 0.001) atrophy than the home-dwelling ones. This was also true of atrophy in the white-matter (WM) area (p < 0.001). The institutionalized patients also had more atrophy of the cerebellar hemisphere (atrophy of the cerebellopontine angle cistern, p = 0.002, greater fourth ventricle width, p = 0.020). No significant difference was seen in the incidence of brain infarcts.
Conclusions: Hip fracture patients living in institutions have more brain atrophy than those living independently. The brain atrophy may be one factor in the multiple mechanism underlying their institutional admission.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atrophy</subject><subject>brain</subject><subject>Cerebral Cortex - diagnostic imaging</subject><subject>Cerebral Cortex - pathology</subject><subject>Female</subject><subject>Frontal Lobe - diagnostic imaging</subject><subject>Frontal Lobe - pathology</subject><subject>Hip fracture</subject><subject>Hip Fractures - diagnostic imaging</subject><subject>Humans</subject><subject>Institutionalization</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Temporal Lobe - diagnostic imaging</subject><subject>Temporal Lobe - pathology</subject><subject>Tomography, X-Ray Computed</subject><subject>x-ray computed tomography</subject><issn>0963-8288</issn><issn>1464-5165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMouq7-AC_Sk7dq0jQfRS8qfoHgRc9hmqZupG1qkirrrzfLLogIXpIJeeZl5kHoiOBTgiU-wxWnspCYYYwZF0RsoRkpeZkzwtk2mq3-8wTIPbQfwluiCBXlLtojvBCSyGqG7JUHO2QQvRsXy8x8QDdBNE1WLzPt-nFa1dH17tXDCkisHRozmnQMMYOhSe8QbZyidQN09ivxCztmrQcdJ2-yEaJNaDhAOy10wRxu7jl6ub15vr7PH5_uHq4vH3Nd4jLmvK5YgytZ81qXVVqtoMBkBYTymmGqRdFWmhrZCFqaVBU6Lc6ZLFowNcWCztHJOnf07n0yIareBm26DgbjpqC4FKJkycwckTWovQvBm1aN3vbgl4pgtfKr_vhNPceb8KnuTfPTsRGagIs1YIfW-R4-ne8aFWHZOZ-UDNoGRf_LP__VvjDQxYUGb9Sbm3wSHP6Z7hsOwZyY</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Sakone, R.</creator><creator>Pyhtinen, J.</creator><creator>Pääkkö, E.</creator><creator>Vähänikkilä, H.</creator><creator>Ristiniemi, J.</creator><creator>Jalovaara, P.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20050101</creationdate><title>Brain atrophy evaluated by computed tomography in independent and institutionalized hip fracture patients</title><author>Sakone, R. ; Pyhtinen, J. ; Pääkkö, E. ; Vähänikkilä, H. ; Ristiniemi, J. ; Jalovaara, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-6b95d098b6bc4905023a589a136b503c72f9c3e8d734e9c32c6716582faeb3073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Atrophy</topic><topic>brain</topic><topic>Cerebral Cortex - diagnostic imaging</topic><topic>Cerebral Cortex - pathology</topic><topic>Female</topic><topic>Frontal Lobe - diagnostic imaging</topic><topic>Frontal Lobe - pathology</topic><topic>Hip fracture</topic><topic>Hip Fractures - diagnostic imaging</topic><topic>Humans</topic><topic>Institutionalization</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Temporal Lobe - diagnostic imaging</topic><topic>Temporal Lobe - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>x-ray computed tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakone, R.</creatorcontrib><creatorcontrib>Pyhtinen, J.</creatorcontrib><creatorcontrib>Pääkkö, E.</creatorcontrib><creatorcontrib>Vähänikkilä, H.</creatorcontrib><creatorcontrib>Ristiniemi, J.</creatorcontrib><creatorcontrib>Jalovaara, P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Disability and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakone, R.</au><au>Pyhtinen, J.</au><au>Pääkkö, E.</au><au>Vähänikkilä, H.</au><au>Ristiniemi, J.</au><au>Jalovaara, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brain atrophy evaluated by computed tomography in independent and institutionalized hip fracture patients</atitle><jtitle>Disability and rehabilitation</jtitle><addtitle>Disabil Rehabil</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>27</volume><issue>18-19</issue><spage>1197</spage><epage>1202</epage><pages>1197-1202</pages><issn>0963-8288</issn><eissn>1464-5165</eissn><abstract>Purpose: To examine if there is an association between brain computed tomography (CT) findings and place of residence in a series of hip fracture patients.
Method: The CT scans taken immediately after hip fracture of 215 patients (mean age 81.6 years) living in their own homes or otherwise independently (home-dwelling group) and 95 patients (mean age 82.5 years) permanently institutionalized (institutionalized group) were analysed.
Results: The institutionalized patients had significantly more cortical cerebral (frontal, p = 0.004; temporal, p = 0.007; parietal, p < 0.001) and central cerebral (third ventricle width, p < 0.001; frontal horn width, p < 0.001; midbody width, p < 0.001) atrophy than the home-dwelling ones. This was also true of atrophy in the white-matter (WM) area (p < 0.001). The institutionalized patients also had more atrophy of the cerebellar hemisphere (atrophy of the cerebellopontine angle cistern, p = 0.002, greater fourth ventricle width, p = 0.020). No significant difference was seen in the incidence of brain infarcts.
Conclusions: Hip fracture patients living in institutions have more brain atrophy than those living independently. The brain atrophy may be one factor in the multiple mechanism underlying their institutional admission.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>16278189</pmid><doi>10.1080/09638280500056717</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
| subjects | Aged Aged, 80 and over Atrophy brain Cerebral Cortex - diagnostic imaging Cerebral Cortex - pathology Female Frontal Lobe - diagnostic imaging Frontal Lobe - pathology Hip fracture Hip Fractures - diagnostic imaging Humans Institutionalization Male Middle Aged Temporal Lobe - diagnostic imaging Temporal Lobe - pathology Tomography, X-Ray Computed x-ray computed tomography |
| title | Brain atrophy evaluated by computed tomography in independent and institutionalized hip fracture patients |
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