VERTEBROBASILAR BLOOD FLOW IN GERIATRIC PATIENTS WITH HIP FRACTURES

Ekrem Aydın
  MNJ, pp. 20-23  

Abstract


Background: Falls constitute a problem especially in individuals aged above 70 years in terms of fracture formation. Considering the etiology of falling, insufficiency of the blood flow which feeds the balance center in the brain may cause postural hypotension and vertigo and may lead to falling.

Objective: In this study, we emphasized the importance of evaluating vertebrobasilar blood flow in the etiology of fractures in the elderly.

Methods: This study was executed on 48 patients aged 70 years and older (28 females, 20 males, mean age 80.45), who were presented to the emergency department of Dumlupınar University Evliya Çelebi Training and Research Hospital with hip fractures resulting from a simple fall around where they live, diagnosed with hip fractures and treated via joint prostheses or different internal and external fixation methods. After the stabilization of the patients' postoperative fractures, the carotid artery lumen and blood flow, vertebral arterial lumen, diameter and blood flow were examined via doppler ultrasonography. The control group was comprised of 48 patients aged 70 years and older (26 females, 22 males, mean age 75.52 years) who were presented to the Polyclinic of Neurology for routine examination and had no falling and fracture history, and the carotid artery and vertebral artery examination of this group was also performed by the same radiologist via doppler ultrasonography 

Results: In individuals aged above 70 years, temporary cerebral blood flow disorders are more severe in those with vertebrobasilar insufficiency. This study was conducted between 2015-2016 on 48 patients aged 70 years and older (28 females and 20 males), who were presented to the emergency department of Dumlupınar University Faculty of Medicine Training and Research Hospital and hospitalized due to hip fractures; the control group was comprised of 48 patients within the same age group, who were presented to the Polyclinic of Neurology with different complaints (26 females and 22 males).The vertebral arterial diameters and flow velocities of the patients were assessed via Doppler USG.

Conclusion: The vertebral arterial diameters and flow velocities were found statistically lower in the patient group with fracture formation resulting from falling.We recommend taking precautions against the risk of falling in patients aged above 70 years who are found to have a flow decrease through carotid artery doppler USG at certain intervals.


Keywords


Hip fracture, falling, vertebrobasilar insufficiency

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References


Soleimani R, Jalali MM, Mirbolook AR. Predictors of fear of falling among Iranian older adults with hip fracture and controls Clinical gerontologist; 2019. 1-9. DOI: 10.1080/07317115.2019.1704958

Eibling D. Balance disorders in older adults. Clinics in Geriatric Medicine; 2018. 34(2):175-181.

DOI: 10.1016/j.cger.2018.01.002

Santy-Tomlinson J, et al. Falls and secondary fracture prevention. Fragility Fracture Nursing. Springer, Cham; 2018. 27-40. DOİ: 10.1007/978-3-319-76681-2_3

Byun H, et al. Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study. Scientific Reports; 2019. 9(1):1-8. DOI: 10.1038/s41598-019-39830-x

Jordan DR, Islamiyah WR, Pyaritno JH. Profile of type2 diabetes mellitus in acute thrombotic stroke in neurology department at dr. Soetomo General Hospital. Malang Neurology Journal; 2019. 5:80-85. DOI: 10.21776/ub.mnj.2019.005.2.6

Yurdakul S, Aytekin S. Doppler ultrasaund imaging of the carotid and vertebral arteries. Arch Turk Soc Cardiol; 2011. 39:508-517.

DOİ: 10.5543/tkda.2011.01588

Setiadi QH, Harahap HS, Indrayana Y. The correlation of waist hip ratio to ischemic stroke probability of population in Sekarbela Mataram. Malang Neurology Journal; 2017. 4(1):1-6.

DOI: 10.21776/ub.mnj.2018.004.01.1

Amin Hanjani, Sepideh et al. Hypoperfusion syptoms poorly predict hemodynamic compromyse and stroke risk in vertebrobasiler disease. Stroke; 2019. 50(2):495-497.

DOI:10.1161/Strokeaha.118.023101stroke.2019;50:495-497

Aydın E, Dulgeroglu TC, Metineren H. Bilateral simultaneous intertrochanteric fractures of femur without major trauma. Int Med Case Rep J; 2015. 8:137-9. PMID: 26170725

Dewi R, Dewi Kartikawati N, Sri A. Factors affecting the knowledge about stroke rısks and early symptoms ın emergency department East Java, Indonesia. Malang Neurology Journal; 2020. 6(1). DOI: 10.21776/ub.mnj.2020.006.01.3


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