Fractures in Parkinson’s Disease: injury patterns, hospitalization, and therapeutic aspects

Aim The primary aim of this study was to analyze the frequency and characteristic patterns of fall-related fractures as well as consecutive hospitalization and management relating to such fractures. In addition, important pathognomonic and therapeutic aspects are discussed. Methods This retrospectiv...

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Veröffentlicht in:European journal of trauma and emergency surgery (Munich : 2007) 2021-04, Vol.47 (2), p.573-580
Hauptverfasser: Mühlenfeld, Nils, Söhling, Nicolas, Marzi, Ingo, Pieper, Martin, Paule, Esther, Reif, Philipp S., Strzelczyk, Adam, Verboket, René D., Willems, Laurent M.
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Sprache:eng
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Zusammenfassung:Aim The primary aim of this study was to analyze the frequency and characteristic patterns of fall-related fractures as well as consecutive hospitalization and management relating to such fractures. In addition, important pathognomonic and therapeutic aspects are discussed. Methods This retrospective mono-center study was conducted at the University Hospital Frankfurt am Main, Germany. Between 2007 and 2017, a total of 145 PD patients with fall-related fractures were identified via a retrospective systematic query in the hospital information system using the ICD-10 German modification codes G20.0–G20.9. Patients with unclear or falsely coded PD were strictly excluded. Results The mean age of the cohort was 77.7 years (± 7.5, median 77.) and 57.9% of the cohort were females ( n  = 84). A total number of 151 fractures were reported, with 140 patients (96.6%) suffering from one, four patients from two (2.8%), and one patient from three fractures (0.6%) at a time. For 43.9% ( n  = 65) of the cohort, fractures concerned lower extremities (LE) followed by trunk (38.1%, n  = 58) and upper extremities (UE, 17.9%, n  = 27). Most common fracture types in LE were femoral neck fractures (52.3%, n  = 34). Mean length of hospital stay (LOS) was 13.6 days (95% CI 12.4–14.7). In 43.4% ( n  = 63) of cases, an interim admission to an intensive-care unit (ICU) was necessary. Mean ICU LOS was 2.3 days (95% CI 1.5–3.0), and mean LOS for normal care unit was 10.5 days (95% CI 10.3–12.4). Surgical treatment was necessary in 75.9% of the cases ( n  = 110). Patients undergoing surgical treatment showed significantly longer LOS compared to conservatively treated patients ( p  
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-019-01240-z