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Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Gerontol Geriat"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/objective<\/jats:title>\n                    <jats:p>Orthogeriatric co-management (OGCM) significantly improves outcomes in older adults with hip fractures; however, it remains unclear whether older adults with pelvic fractures can similarly benefit. This study aimed to compare clinical and geriatric profiles of older adults with hip fractures and pelvic fractures across relevant medical and geriatric domains. Demonstrating comparable profiles would support future prospective studies evaluating OGCM in patients with pelvic fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed data from an ongoing observational study at our institution including 611 hospitalized adults aged 70\u00a0years or older with hip fractures (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u2009535) or pelvic fractures (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200976). Variables included age, functional status, comorbidity burden and incidence of delirium. Group comparisons were performed using the \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      -test for categorical variables and the Kruskal\u2013Wallis test for continuous variables. After Bonferroni adjustment, a\u00a0\n                      <jats:italic>p<\/jats:italic>\n                      -value &lt;\u202f0.005 was considered statistically significant. The study was approved by the Ethics Committee of the Medical Faculty of Heinrich Heine University.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median age was 85\u00a0years (interquartile range 80\u201389 years) and 69% of patients were female. Hip fractures accounted for 87.6% of cases and pelvic fractures for 12.4%. Both groups showed a\u00a0high burden of comorbidity and geriatric impairment, including cognitive impairment, functional limitations, frailty and medical comorbidity. Most clinical parameters were comparable between groups. Although surgery was performed much more frequently in the hip fracture group, no significant differences in the overall medical and geriatric profiles were observed except for transfusion rate and postoperative delirium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Older adults with hip fractures and pelvic fractures have largely comparable clinical and geriatric profiles. Given the established benefits of OGCM in hip fracture care, a\u00a0similar approach could also benefit patients with pelvic fractures. This hypothesis should be evaluated in future prospective interventional studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00391-026-02590-1","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:46:44Z","timestamp":1778240804000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Observational study on the comparability of the clinical profiles of older adults with hip fractures and pelvic fractures in Germany","Beobachtungsstudie zur Vergleichbarkeit der klinischen Profile \u00e4lterer Patienten mit H\u00fcftfrakturen und Beckenfrakturen in Deutschland"],"prefix":"10.1007","author":[{"given":"Christoph","family":"Beyersdorf","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Frohnhofen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Albers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henriette Louise","family":"M\u00f6llmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Latz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uwe","family":"Maus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Stenmanns","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"2590_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-020-0706-y","volume":"15","author":"F Borgstr\u00f6m","year":"2020","unstructured":"Borgstr\u00f6m\u00a0F, Karlsson\u00a0L, Orts\u00e4ter\u00a0G et\u00a0al (2020) Fragility fractures in Europe: burden, management and opportunities. 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The funders had no role in the design of the study; in the collection, analyses, or interpretation of data, in the writing of the manuscript or in the decision to publish the results.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study protocol was approved by the ethics committee of the Medical Faculty of the Heinrich-Heine-University Duesseldorf (2022\u20131810) on 11\u00a0July 2022. All participants provided written informed consent prior to enrolment in the study. This research was conducted ethically in accordance with the World Medical Association Declaration of Helsinki. Informed Consent Statement: Informed consent was obtained from all subjects involved in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}