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Item Metadata only Prognostic Factors for Functional Recovery at 1-Year Following Fragility Hip Fractures(2024-02-01) Kitcharanant N.; Atthakomol P.; Khorana J.; Phinyo P.; Unnanuntana A.; Kitcharanant N.; Mahidol UniversityBackground: The main objective of treating fragility hip fractures is to maximize the patients' ability to return to their basic activities of daily living (ADL) levels. This study explored prognostic factors associated with the ability to recover... pre-fracture ADL levels at 1 year after fragility hip fractures. Methods: We retrospectively recruited patients admitted with fragility hip fractures between July 2016 and September 2018. Details of the following were extracted from electronic medicalItem Metadata only Quality of Life and Depression Status of Caregivers of Patients with Femoral Neck or Intertrochanteric Femoral Fractures during the First Year after Fracture Treatment(2023-01-01) Sukchokpanich P.; Anusitviwat C.; Jarusriwanna A.; Kitcharanant N.; Unnanuntana A.; Mahidol UniversityObjective: The burden placed on caregivers can negatively affect the functional recovery of patients with hip fractures. It is therefore essential to consider caregivers' well-being during the hip fracture care pathway. The aim of this study... is to evaluate caregivers' quality of life and depression status during the first year after hip fracture treatment. Methods: We prospectively enrolled the primary caregivers of patients with hip fractures admitted to the Faculty of Medicine Siriraj HospitalItem Metadata only AMBULATION RECOVERY PREDICTION AFTER HIP FRACTURE SURGERY USING THE HIP FRACTURE SHORT-TERM AMBULATION PREDICTION TOOL(2024-01-01) Adulkasem N.; Chotiyarnwong P.; Vanitcharoenkul E.; Unnanuntana A.; Adulkasem N.; Mahidol UniversityObjective: To develop models for predicting postoperative ambulation recovery at 3 months following fragility hip fracture surgery. Design: Cross-sectional study. Subjects: Fragility hip fracture patients aged ≥ 50 years who underwent operative... to develop the Hip Fracture Short-Term Ambulation Prediction, consisting of 2 models: Model 1 for postoperative ambulation and Model 2 for preinjury status recovery. Results: Among the 275 patients, 55 (20.0%) achieved good ambulation, and 59 (21.5%) returItem Metadata only A multidisciplinary approach to post-operative fragility hip fracture care in Thailand – a narrative review(2023-11-01) Unnanuntana A.; Kuptniratsaikul V.; Srinonprasert V.; Charatcharoenwitthaya N.; Kulachote N.; Papinwitchakul L.; Wattanachanya L.; Chotanaphuti T.; Mahidol UniversityIntroduction: Appropriate care and rehabilitation following surgery for fragility hip fractures in older adults is associated with better outcomes and a greater likelihood of achieving pre-injury functioning. Clinical guidelines specifically... for the post-operative care and rehabilitation of patients with hip fractures are scarce; as such, country-specific protocols benchmarked against established guidelines are essential given the wide variation in cultures and beliefs, clinical practiceItem Metadata only In-Hospital Costs of Hemiarthroplasty in Patients with Osteoporotic Femoral Neck Fracture at Faculty of Medicine Siriraj Hospital(2023-02-01) Vanitcharoenkul E.; Kitcharanant N.; Maneeon S.; Chotiyarnwong P.; Unnanuntana A.; Mahidol UniversityBackground: The medical cost of osteoporotic hip fracture has become a great burden for the healthcare system. In Thailand, studies on the costs of bipolar hemiarthroplasty treatment for osteoporotic femoral neck fractures are limited and not up... to date. Objective: To evaluate the in-hospital costs of treating the elderly with osteoporotic femoral neck fractures receiving hemiarthroplasty treatment. Materials and Methods: Patients with hip fractures who were 60 years or older and underwent bipolarItem Metadata only Current practice and barriers in fragility hip fracture management: insights from a national survey of Thai orthopaedic surgeons(2026-02-06) Jinlawal B.; Chotiyarnwong P.; Vanitcharoenkul E.; Adulkasem N.; Unnanuntana A.; Jinlawal B.; Mahidol UniversityBACKGROUND: Despite well-established recommendations for the treatment and secondary prevention of fragility fractures, implementation remains challenging. Understanding local practice realities and barriers is therefore essential for adapting... global guidelines to national health systems. This study assessed the management of fragility hip fractures in elderly patients in Thailand, focusing on the perspectives of orthopaedic surgeons. METHOD: We conducted a questionnaire-based surveyItem Metadata only Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region(2022-12-01) Mitchell P.J.; Ang S.B.; Mercado-Asis L.B.; Rey-Matias R.; Chen W.S.; Flicker L.; Leung E.; Choon D.; Chandrasekaran S.K.; Close J.C.T.; Seymour H.; Cooper C.; Halbout P.; Blank R.D.; Zhao Y.; Lim J.Y.; Tabu I.; Tian M.; Unnanuntana A.; Wong R.M.Y.; Yamamoto N.; Chan D.C.; Lee J.K.; Mahidol UniversitySummary: This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health... improvement Road Maps to be implemented at scale during the United Nations ‘Decade of Healthy Ageing’. Purpose: This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvementItem Metadata only Predictive Model of Recovery to Prefracture Activities-of-Daily-Living Status One Year after Fragility Hip Fracture(2024-04-01) Kitcharanant N.; Atthakomol P.; Khorana J.; Phinyo P.; Unnanuntana A.; Kitcharanant N.; Mahidol UniversityBackground and Objectives: Achieving prefracture functional status is a critical objective following a hip fracture, yet fewer than half of patients reach this milestone. The adoption of tools for assessing functional outcomes is increasingly... recognized as essential for evaluating recovery following treatment for fragility hip fractures. We developed multivariable clinical prediction criteria to estimate the likelihood of patients regaining their prefracture activities-of-daily-living (ADL) statusItem Metadata only Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association(2024-12-01) Lee J.K.; Mitchell P.J.; Ang S.B.; Mercado-Asis L.B.; Rey-Matias R.; Li J.; Flicker L.; Leung E.; Choon D.; Chandrasekaran S.K.; Close J.C.T.; Seymour H.; Cooper C.; Halbout P.; Blank R.D.; Zhao Y.; Malhotra R.; Unnanuntana A.; Woo Y.L.; Noor Z.; Yang R.S.; Tabu I.; Islam S.S.; Chinoy M.A.; Pande S.; Thapa B.; Wong R.M.Y.; Pande K.; Chan D.C.; Lee J.K.; Mahidol UniversitySummary : A survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association conducted in 2022 found considerable variation in care across the region. A Call to Action... is proposed to improve acute care, rehabilitation and secondary fracture prevention across Asia Pacific. Purpose: Fragility fractures impose a substantial burden on older people and their families, healthcare systems and national economies. The currentItem Metadata only Early Hip Fracture Surgery Within 24 hours did not Reduce the Mortality Rate but Resulted in Less Postoperative Opioid use and a Shorter Length of Stay: A Retrospective Study of 276 Patients From a Tertiary Private Hospital in Thailand(2024-01-01) Unnanuntana A.; Anusitviwat C.; Lertsiripatarajit V.; Riawraengsattha P.; Raksakietisak M.; Unnanuntana A.; Mahidol UniversityIntroduction: The comparative results of early hip fracture surgery including mortality and postoperative complications in Thailand were not reported. Therefore, we conducted this study to compare the outcomes between patients who received hip...-energy fracture, pathological fractures, or multiple traumas were excluded. The patients were categorized into two groups for comparison: surgery within and surgery after 24 hours groups. The outcome measures were in-hospital, 30-day, and 1-year mortality
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