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Age & Ageing Journal

Age and Ageing  is the British Geriatrics Society’s international scientific journal. It publishes refereed original articles and commissioned reviews on geriatric medicine and gerontology.

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Call for Abstracts - Continence

Call for Abstracts for the BGS Continence Care in Older People to be held in Manchester in September 2018. The submissions facility closes at 17:00 on 1 August.

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BGS Vacancies: Senior Officer Posts

The BGS is now inviting expressions of interest for the posts of Deputy Honorary Secretary and BGS Vice President: Workforce. Closing date: midnight, 30 September 2018.   

Falls and Postural Stability

This annual BGS event, being held on 14 September in Leeds is widely recognised as the leading meeting in the UK for clinicians working in the field of falls and mobility medicine. 

New research highlights unseen dangers of pelvic fracture

4th November 2014, OXFORD, UK: A new Age & Ageing study into osteoporotic pelvic fractures in older patients has shown worrying effects on mortality, length of hospital stay and independent living.

It finds that mortality rates for pelvic fractures are comparable to those for hip fractures, but that the issue receives far less attention or funding. It calls for new guidelines and better management of pelvic fractures in older people, helping them to maintain an independent life.

Dr. Yousif Shanshal and Sheena Waters, co-authors of the report, said:

“Pelvic fracture patients incur a high cost to an already stretched NHS, with increased lengths of stay and high mortality rates. They are usually frail elderly patients with multiple comorbidities, and often don't regain normal function after their injury.

Following the work of the National Hip Fracture Database and the Best Practice Tariff, care for hip fracture patients has improved across the country. We now need to do the same thing for pelvic fracture patients.

It’s crucial that these patients are cared for by a geriatrician, in close liaison with their orthopaedic colleagues, and that a multi-disciplinary team is fully involved in each patient’s recovery and discharge.”

Professor Tahir Masud of the British Geriatrics Society’s Falls & Bone Health Special Interest Group, said:

“Although this is a small study and comes from a single hospital, it shows what many geriatricians have long suspected: that large numbers of patients with pelvic fractures do very poorly after they sustain their injury. 

Part of this is probably to do with how we structure care. Because there is no operation for most pelvic fractures, it is possible that these patients receive less attention than those with hip fractures. We hope that further research and attention will be concentrated on the issue of osteoporotic pelvic fracture, and services developed to deal with these fractures appropriately.

This study from the team at Gateshead is a welcome call to arms for the profession, as well as to commissioners and funders: we must not let pelvic fracture become a forgotten issue.”

The study, a collaboration between the Queen Elizabeth Hospital in Gateshead and Newcastle University, was based on pelvic fracture patients aged 60 or over, and shows an in-patient mortality rate of 9% and an all-cause mortality rate within 3 months of 13%.

It also shows a reduction in independent living following pelvic fracture: on admission to hospital, 89% of patients lived independently, but this dropped to 64% at point of discharge.

The study concludes that further clinical work is needed, calling for broader research and national guidelines to support the management of osteoporotic pelvic fractures. It cites the recent success of national guidelines for hip fractures as a possible model to follow.

Notes to editors:

‘Admission for osteoporotic pelvic fractures and predictors of length of hospital stay, mortality and loss of independence’: Pearce, Mark; Marrinan, Sarah; Jiang, Xue Yan; Waters, Sheena; Shanshal, Yousif

Further details on the study can be accessed here.

For further information or to arrange an interview with a spokesperson, contact Ed Gillett on  / 0207 608 8572 

Age and Ageing is an international journal publishing peer reviewed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life. It is published by Oxford University Press on behalf of the British Geriatrics Society. Follow Age and Ageing on Twitter @Age_and_Ageing
Oxford Journals is a division of Oxford University Press. We publish well over 230 academic and research journals covering a broad range of subject areas, two-thirds of which are published in collaboration with learned societies and other international organizations. We have been publishing journals for more than a century, and as part of the world’s oldest and largest university press, have more than 500 years of publishing expertise behind us.Follow Oxford Journals on Twitter @OxfordJournals
Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. OUP is the world's largest university press with the widest global presence. It currently publishes more than 6,000 new publications a year, has offices in around fifty countries, and employs more than 5,500 people worldwide. 

The British Geriatrics Society (BGS) is a professional association of doctors practising geriatric medicine, old age psychiatrists, general practitioners, nurses, therapists, scientists, GPs and others with a particular interest in the medical care of older people and in promoting better health in old age. It has over 2,700 members worldwide and is the only society in the UK offering specialist medical expertise in the wide range of health care needs of older people.

Follow the BGS on Twitter @GeriSoc

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