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Antony Johansen
Athro Anrhydeddus. Orthogeriatregydd Ymgynghorol yn Ysbyty Athrofaol Cymru
Trosolwyg
Bob blwyddyn mae 80,000 o bobl yn torri eu cluniau yn y DU. Mae'r rhan fwyaf ohonynt dros 80 oed ac mae ganddynt amrywiaeth o broblemau cymdeithasol, meddygol a seicolegol sy'n 'fregus'.
Er gwaethaf llwyddiant llawfeddygaeth fodern ac anesthesia, mae llawer yn wynebu arosiadau hir yn yr ysbyty a dibyniaeth hirdymor, sy'n golygu bod yr un cyflwr hwn yn costio dros £2 biliwn y flwyddyn i wasanaethau iechyd a chymdeithasol.
Mae fy 30 mlynedd yn gofalu am bobl sydd â thoriadau clun wedi fy helpu i ddeall y gofal, tosturi a chydweithio sydd eu hangen ar bob person bregus a hŷn yn yr ysbyty, wrth i mi archwilio mewn set o fideos ar dab 'Addysgu' y dudalen we hon.
Mae fy nhabl 'Ymchwil' yn dangos sut rwyf wedi adeiladu ar fy ngwaith clinigol; gan ddefnyddio epidemioleg, treialon ac archwiliad cenedlaethol i fodelu sut y dylai gwasanaethau gofal cleifion ac iechyd ledled y byd newid i gwrdd â her poblogaeth sy'n heneiddio.
Cyhoeddiad
2025
- Johansen, A. and Poacher, A. 2025. What do orthopaedic surgeons need to know about frailty?. The Bone & Joint Journal 107-B(4), pp. 378-379. (10.1302/0301-620x.107b4.bjj-2024-1333.r2)
- Penfold, R. S. et al. 2025. Delirium on presentation with a hip fracture is associated with adverse outcomes. The Bone & Joint Journal 107-B(4), pp. 470-478. (10.1302/0301-620x.107b4.bjj-2024-1164.r1)
- Aryaie, M. et al. 2025. Post-operative periprosthetic femoral fractures in England: Patient profiles and short-term outcomes.. Injury 56(2), article number: 112026. (10.1016/j.injury.2024.112026)
- Merriman, N. A. et al. 2025. Delirium and cognitive screening in national hip fracture registries: Scoping review protocol. HRB Open Research 7, pp. 68. (10.12688/hrbopenres.13996.2)
- Webster, J., Goldacre, R., Lane, J. C. E., Mafham, M., Campbell, M. K., Johansen, A. and Griffin, X. L. 2025. Facilitating clinical trials in hip fracture in the UK. The Bone & Joint Journal 107-B(2), pp. 229-238. (10.1302/0301-620x.107b2.bjj-2024-0846.r1)
2024
- Nisar, S., Lamb, J., Johansen, A., West, R. and Pandit, H. 2024. The impact of ethnicity on care and outcome after hip fracture in England and Wales. The Bone & Joint Journal 106-B(10), pp. 1182-1189. (10.1302/0301-620x.106b10.bjj-2024-0217.r1)
- Patel, R. et al. 2024. Following hip fracture, hospital organizational factors associated with prescription of anti-osteoporosis medication on discharge, to address imminent refracture risk: a record-linkage study. Journal of Bone and Mineral Research (JBMR) 39(8), pp. 1071-1082. (10.1093/jbmr/zjae100)
- Siminiuc, D. et al. 2024. Rehabilitation after surgery for hip fracture – the impact of prompt, frequent and mobilisation-focused physiotherapy on discharge outcomes: an observational cohort study. BMC Geriatrics 24(1), article number: 629. (10.1186/s12877-024-05206-8)
2023
- Zhang, X. et al. 2023. Establishing a Chinese older hip fracture registry for older patients: a Delphi study to define the focus and key variables for this registry. Osteoporosis International 34, pp. 1763-1770. (10.1007/s00198-023-06832-5)
- Almilaji, O. et al. 2023. Frequency, duration, and type of physiotherapy in the week after hip fracture surgery - analysis of implications for discharge home, readmission, survival, and recovery of mobility. Physiotherapy 120, pp. 47—59. (10.1016/j.physio.2023.03.002)
- Johansen, A. et al. 2023. Call to action: a five nations consensus on the use of intravenous zoledronate after hip fracture. Age and Ageing 52(9) (10.1093/ageing/afad172)
- Johansen, A., Hall, A. J., Ojeda-Thies, C., Poacher, A. T. and Costa, M. L. 2023. Standardization of global hip fracture audit could facilitate learning, improve quality, and guide evidence-based practice. The Bone & Joint Journal 105-B(9), pp. 1013-1019. (10.1302/0301-620X.105B9.BJJ-2023-0281)
- Baji, P. et al. 2023. Organisational factors associated with hospital costs and patient mortality in the 365 days following hip fracture in England and Wales (REDUCE): a record-linkage cohort study. The Lancet Healthy Longevity 4(8), pp. e386-e398. (10.1016/S2666-7568(23)00086-7)
- Patel, R. et al. 2023. Patients’ recovery of mobility and return to original residence after hip fracture are associated with multiple modifiable components of hospital service organisation: the REDUCE record-linkage cohort study in England and Wales. BMC Geriatrics 23(1), article number: 459. (10.1186/s12877-023-04038-2)
- Mohsin, Z., Javaid, M. K. and Johansen, A. 2023. Current approaches to secondary prevention after hip fracture in England and Wales - an analysis of trends between 2016 and 2020 using the National Hip Fracture Database (NHFD). Archives of Osteoporosis 18(1), article number: 93. (10.1007/s11657-023-01282-2)
- Hawley, S., Inman, D., Gregson, C., Whitehouse, M., Johansen, A. and Judge, A. 2023. Risk factors and 120-day functional outcomes of delirium after hip fracture surgery: a prospective cohort study using the UK National Hip Fracture Database (NHFD). Journal of the American Medical Directors Association 24(5), pp. 694-701. (10.1016/j.jamda.2023.02.008)
- Grimm, F., Johansen, A., Knight, H., Brine, R. and Deeny, S. R. 2023. Indirect effect of the COVID-19 pandemic on hospital mortality in patients with hip fracture: a competing risk survival analysis using linked administrative data. BMJ Quality & Safety 32(5), pp. 264-273. (10.1136/bmjqs-2022-014896)
- Jones, C. S., Eardley, W. G. P., Johansen, A., Inman, D. S. and Evans, J. T. 2023. Caring for patients with periprosthetic femoral fractures across England and Wales in 2021. Bone & Joint Open 4(5), pp. 378-384. (10.1302/2633-1462.45.bjo-2023-0011.r1)
- Janjua, S. S., Boardman, H. F., Sami, A., Johansen, A., Toh, L. S. and Javaid, K. M. 2023. Anti‐osteoporosis medication dispensing by clinical commissioning groups in England: an ecological study of variability in practice and of the effect of the Covid‐19 pandemic. Pharmacoepidemiology & Drug Safety 32, pp. 248-255. (10.1002/pds.5544)
- Fox, F. et al. 2023. Complex organisational factors influence multidisciplinary care for patients with hip fractures: a qualitative study of barriers and facilitators to service delivery. BMC Musculoskeletal Disorders 24(1), article number: 128. (10.1186/s12891-023-06164-9)
2022
- Matharu, G. S. et al. 2022. The influence of mode of anaesthesia on perioperative outcomes in people with hip fracture: a prospective cohort study from the National Hip Fracture Database for England, Wales and Northern Ireland. BMC Medicine 20, article number: 319. (10.1186/s12916-022-02517-8)
- Patel, R. et al. 2022. Multiple hospital organisational factors are associated with adverse patient outcomes post-hip fracture in England and Wales: the REDUCE record-linkage cohort study. Age and Ageing 51(8), article number: afac183. (10.1093/ageing/afac183)
- Johansen, A., Ojeda-Thies, C., Poacher, A. T., Hall, A. J., Brent, L., Ahern, E. C. and Costa, M. L. 2022. Developing a minimum common dataset for hip fracture audit to help countries set up national audits that can support international comparisons. Bone and Joint Journal 104-B(6), pp. 721–728. (10.1302/0301-620X.104B6.BJJ-2022-0080.R1)
- Poacher, A. T., Hoskins, H. C., Protty, M. B., Pettit, R. and Johansen, A. 2022. The impact of adopting low-molecular-weight heparin in place of aspirin as routine thromboprophylaxis for patients with hip fracture. Postgraduate Medical Journal, article number: 141628. (10.1136/postgradmedj-2022-141628)
2021
- Shah, A., Hawley, S., Inman, D. S., Cooper, C., Fagan, E., Johansen, A. and Judge, A. 2021. Geographical variation in surgical care and mortality following hip fracture in England: a cohort study using the National Hip Fracture Database (NHFD). Osteoporosis International 32(10), pp. 1989–1998. (10.1007/s00198-021-05922-6)
1999
- Johansen, A., Evans, W. and Stone, M. 1999. Bone assessment in elderly women: what does a low bone ultrasound result tell us about bone mineral density?. Archives of Gerontology and Geriatrics 28(3), pp. 239-246. (10.1016/s0167-4943(99)00010-2)
Erthyglau
- Johansen, A. and Poacher, A. 2025. What do orthopaedic surgeons need to know about frailty?. The Bone & Joint Journal 107-B(4), pp. 378-379. (10.1302/0301-620x.107b4.bjj-2024-1333.r2)
- Penfold, R. S. et al. 2025. Delirium on presentation with a hip fracture is associated with adverse outcomes. The Bone & Joint Journal 107-B(4), pp. 470-478. (10.1302/0301-620x.107b4.bjj-2024-1164.r1)
- Aryaie, M. et al. 2025. Post-operative periprosthetic femoral fractures in England: Patient profiles and short-term outcomes.. Injury 56(2), article number: 112026. (10.1016/j.injury.2024.112026)
- Merriman, N. A. et al. 2025. Delirium and cognitive screening in national hip fracture registries: Scoping review protocol. HRB Open Research 7, pp. 68. (10.12688/hrbopenres.13996.2)
- Webster, J., Goldacre, R., Lane, J. C. E., Mafham, M., Campbell, M. K., Johansen, A. and Griffin, X. L. 2025. Facilitating clinical trials in hip fracture in the UK. The Bone & Joint Journal 107-B(2), pp. 229-238. (10.1302/0301-620x.107b2.bjj-2024-0846.r1)
- Nisar, S., Lamb, J., Johansen, A., West, R. and Pandit, H. 2024. The impact of ethnicity on care and outcome after hip fracture in England and Wales. The Bone & Joint Journal 106-B(10), pp. 1182-1189. (10.1302/0301-620x.106b10.bjj-2024-0217.r1)
- Patel, R. et al. 2024. Following hip fracture, hospital organizational factors associated with prescription of anti-osteoporosis medication on discharge, to address imminent refracture risk: a record-linkage study. Journal of Bone and Mineral Research (JBMR) 39(8), pp. 1071-1082. (10.1093/jbmr/zjae100)
- Siminiuc, D. et al. 2024. Rehabilitation after surgery for hip fracture – the impact of prompt, frequent and mobilisation-focused physiotherapy on discharge outcomes: an observational cohort study. BMC Geriatrics 24(1), article number: 629. (10.1186/s12877-024-05206-8)
- Zhang, X. et al. 2023. Establishing a Chinese older hip fracture registry for older patients: a Delphi study to define the focus and key variables for this registry. Osteoporosis International 34, pp. 1763-1770. (10.1007/s00198-023-06832-5)
- Almilaji, O. et al. 2023. Frequency, duration, and type of physiotherapy in the week after hip fracture surgery - analysis of implications for discharge home, readmission, survival, and recovery of mobility. Physiotherapy 120, pp. 47—59. (10.1016/j.physio.2023.03.002)
- Johansen, A. et al. 2023. Call to action: a five nations consensus on the use of intravenous zoledronate after hip fracture. Age and Ageing 52(9) (10.1093/ageing/afad172)
- Johansen, A., Hall, A. J., Ojeda-Thies, C., Poacher, A. T. and Costa, M. L. 2023. Standardization of global hip fracture audit could facilitate learning, improve quality, and guide evidence-based practice. The Bone & Joint Journal 105-B(9), pp. 1013-1019. (10.1302/0301-620X.105B9.BJJ-2023-0281)
- Baji, P. et al. 2023. Organisational factors associated with hospital costs and patient mortality in the 365 days following hip fracture in England and Wales (REDUCE): a record-linkage cohort study. The Lancet Healthy Longevity 4(8), pp. e386-e398. (10.1016/S2666-7568(23)00086-7)
- Patel, R. et al. 2023. Patients’ recovery of mobility and return to original residence after hip fracture are associated with multiple modifiable components of hospital service organisation: the REDUCE record-linkage cohort study in England and Wales. BMC Geriatrics 23(1), article number: 459. (10.1186/s12877-023-04038-2)
- Mohsin, Z., Javaid, M. K. and Johansen, A. 2023. Current approaches to secondary prevention after hip fracture in England and Wales - an analysis of trends between 2016 and 2020 using the National Hip Fracture Database (NHFD). Archives of Osteoporosis 18(1), article number: 93. (10.1007/s11657-023-01282-2)
- Hawley, S., Inman, D., Gregson, C., Whitehouse, M., Johansen, A. and Judge, A. 2023. Risk factors and 120-day functional outcomes of delirium after hip fracture surgery: a prospective cohort study using the UK National Hip Fracture Database (NHFD). Journal of the American Medical Directors Association 24(5), pp. 694-701. (10.1016/j.jamda.2023.02.008)
- Grimm, F., Johansen, A., Knight, H., Brine, R. and Deeny, S. R. 2023. Indirect effect of the COVID-19 pandemic on hospital mortality in patients with hip fracture: a competing risk survival analysis using linked administrative data. BMJ Quality & Safety 32(5), pp. 264-273. (10.1136/bmjqs-2022-014896)
- Jones, C. S., Eardley, W. G. P., Johansen, A., Inman, D. S. and Evans, J. T. 2023. Caring for patients with periprosthetic femoral fractures across England and Wales in 2021. Bone & Joint Open 4(5), pp. 378-384. (10.1302/2633-1462.45.bjo-2023-0011.r1)
- Janjua, S. S., Boardman, H. F., Sami, A., Johansen, A., Toh, L. S. and Javaid, K. M. 2023. Anti‐osteoporosis medication dispensing by clinical commissioning groups in England: an ecological study of variability in practice and of the effect of the Covid‐19 pandemic. Pharmacoepidemiology & Drug Safety 32, pp. 248-255. (10.1002/pds.5544)
- Fox, F. et al. 2023. Complex organisational factors influence multidisciplinary care for patients with hip fractures: a qualitative study of barriers and facilitators to service delivery. BMC Musculoskeletal Disorders 24(1), article number: 128. (10.1186/s12891-023-06164-9)
- Matharu, G. S. et al. 2022. The influence of mode of anaesthesia on perioperative outcomes in people with hip fracture: a prospective cohort study from the National Hip Fracture Database for England, Wales and Northern Ireland. BMC Medicine 20, article number: 319. (10.1186/s12916-022-02517-8)
- Patel, R. et al. 2022. Multiple hospital organisational factors are associated with adverse patient outcomes post-hip fracture in England and Wales: the REDUCE record-linkage cohort study. Age and Ageing 51(8), article number: afac183. (10.1093/ageing/afac183)
- Johansen, A., Ojeda-Thies, C., Poacher, A. T., Hall, A. J., Brent, L., Ahern, E. C. and Costa, M. L. 2022. Developing a minimum common dataset for hip fracture audit to help countries set up national audits that can support international comparisons. Bone and Joint Journal 104-B(6), pp. 721–728. (10.1302/0301-620X.104B6.BJJ-2022-0080.R1)
- Poacher, A. T., Hoskins, H. C., Protty, M. B., Pettit, R. and Johansen, A. 2022. The impact of adopting low-molecular-weight heparin in place of aspirin as routine thromboprophylaxis for patients with hip fracture. Postgraduate Medical Journal, article number: 141628. (10.1136/postgradmedj-2022-141628)
- Shah, A., Hawley, S., Inman, D. S., Cooper, C., Fagan, E., Johansen, A. and Judge, A. 2021. Geographical variation in surgical care and mortality following hip fracture in England: a cohort study using the National Hip Fracture Database (NHFD). Osteoporosis International 32(10), pp. 1989–1998. (10.1007/s00198-021-05922-6)
- Johansen, A., Evans, W. and Stone, M. 1999. Bone assessment in elderly women: what does a low bone ultrasound result tell us about bone mineral density?. Archives of Gerontology and Geriatrics 28(3), pp. 239-246. (10.1016/s0167-4943(99)00010-2)
Ymchwil
Rwy'n awdur cyntaf nifer o ganllawiau cenedlaethol a dwsin o adroddiadau archwilio cenedlaethol, ac mae'r sampl hon o'm 100 papur yn dangos sut mae fy niddordebau yn amrywio ar draws epidemioleg, atal a rheoli toriadau acíwt, maeth, bregusrwydd, orthogeriatrics ac archwilio.
Epidemioleg torri
Johansen A, Evans R, Stone MD, Richmond P, Lo SV, Woodhouse KW. Nifer yr achosion o dorri tir yn y Deyrnas Unedig: astudiaeth yn seiliedig ar boblogaeth Caerdydd. Anaf 1997; 28: 655-660
Johansen A, Evans RJ, Bartlett C, Stone MD. Toriadau yn yr henoed: ffactorau sy'n dylanwadu ar yr angen am fynediad i'r ysbyty yn dilyn cyflwyniad i'r adran damweiniau ac achosion brys. Anaf 1998; 29:779-784
Johansen A, Lyons RA, Jones S, Jones G, Stone MD, Palmer SR. Achosion o dorri ymhlith pobl oedrannus mewn gofal sefydliadol: cysylltu data gwyliadwriaeth anafiadau â chofrestr sy'n seiliedig ar god post o gartrefi preswyl a nyrsio. Rhyngwladol J Defnyddwyr a Diogelwch Cynnyrch 1999; 6: 215-221
Johansen A, Stone M; Torgerson DJ, Dolan P. Cost trin toriadau osteoporotig ym mhoblogaeth benywaidd y Deyrnas Unedig. Osteoporosis International 2000; 11:551-2
Atal torri
Lyons RA, Johansen A, Brophy S, Newcombe RG, Phillips CJ, Lervy B, Evans R, Wareham K a Stone MD. Atal toriadau ymhlith pobl hŷn sy'n byw mewn gofal sefydliadol: treial pragmatig ar hap, dwbl-ddall placebo rheoledig o ychwanegiad fitamin D. Osteoporosis International 2007; 18,6: 811-818
Grŵp DIPART (Dadansoddiad Cleifion Unigol fitamin D o Hap-dreialon). Dadansoddiad pooler lefel cleifion o 65,800 o gleifion o saith treial torri fitamin D mawr yn yr UD ac Ewrop. BMJ 2010; 340:b5463
Singh I, Hooton K, Edwards C, Lewis B, Anwar A, Johansen A. Toriadau clun cleifion mewnol: deall a mynd i'r afael â'r risg o'r anaf cyffredin hwn. Oedran a Heneiddio 2020; 49 : 481–486 https://doi:10.1093/ageing/afz179
Johansen A, Sahota O, Dockery F, Black AJ, MacLullich AMJ, Javaid MK, Ahern E, Gregson CL.Galwad i weithredu: consensws pum gwlad ar ddefnyddio zoledronate mewnwythiennol ar ôl torri clun. Oedran a Heneiddio 2023; 52.9 https://doi.org/10.1093/ageing/afad172
Rheoli torri acíwt
Protty MB, Aithal S, Hickey B, Pettit R, Johansen A. Prophylaxis mecanyddol ar ôl torri clun: beth yw'r risg o thrombosis gwythiennau dwfn? Astudiaeth arsylwi ôl-weithredol. BMJ Agored 2015 doi.org/10.1136/ bmjopen-2014-006956
Poacher AT, Hoskins HC, Protty MB, Pettit R, Johansen A. Effaith mabwysiadu heparin pwysau moleciwlaidd isel yn lle aspirin fel thromboproffylacsis arferol ar gyfer cleifion â thoriad clun. Ôl-radd Med J 2022. http://dx.doi.org/10.1136/postgradmedj-2022-141628
Bregusrwydd a maeth
Krishnan M, Beck S, Havelock W, Eeles E, Hubbard R, Johansen A. Rhagfynegi'r canlyniad ar ôl torri clun: gan ddefnyddio mynegai eiddilwch i integreiddio canlyniadau asesu geriatreg cynhwysfawr Heneiddio 2013 doi: 10.1093/heneiddio/aft084
Duncan DG, Beck SJ, Hood K, Johansen A. Defnyddio cynorthwywyr dietegol i wella canlyniad torri clun: treial rheoledig ar hap o gefnogaeth faethol mewn ward trawma acíwt. Oedran Heneiddio 2006; 35: 148-153
Anesthesia
Johansen A, Tsang C, Boulton C, Wakeman R a Moppett I. Deall cyfraddau marwolaethau ar ôl atgyweirio torri clun gan ddefnyddio statws corfforol ASA yng Nghronfa Ddata Torasgwrn Clun Cenedlaethol Anaesthesia 2017 https://doi.org/10.1111/anae.13908
Ffisiotherapi
Johansen A, Boulton C, Burgon V, Rai S, Ten Hove R, Wakeman R. Defnyddio'r Gronfa Ddata Genedlaethol Torri Clun (NHFD) i ddiffinio effaith asesiad ffisiotherapydd ar symud yn gynnar ar ôl torri clun. Physiotherapy Journal 2017. https://doi.org/10.1016/j.physio.2017.11.053
Archwilio rhyngwladol
Johansen A, Golding D, Brent L, Close J, Gjertsen JE, Holt G, Hommel A, Pedersen AB, Röck ND, Thorngren KG. Defnyddio cofrestrfeydd torri clun cenedlaethol a chronfeydd data archwilio i ddatblygu persbectif rhyngwladol. Marwolaethau 2017. http://dx.doi.org/10.1016/j.injury.2017.08.001
Johansen A, Ojeda-Thies C, Poacher AT, Hall AJ, Brent C, Ahern EC, Costa ML, ar ran Grŵp Diddordeb Arbennig Archwilio Torasgwrn Clun Rhwydwaith Fragility Byd-eang. Datblygu set ddata gyffredin leiaf ar gyfer archwiliad torri cluniau i helpu gwledydd i sefydlu archwiliadau cenedlaethol a all gefnogi cymariaethau rhyngwladol. Cyd-Asgwrn J 2022; 104-B (6):721–728 https://doi.org/10.1302/0301-620X.104B6.BJJ-2022-0080.R1
Johansen A, Neuadd, AJ, Ojeda-Thies C, Poacher AT, Costa ML. Gallai safoni archwiliad torri clun byd-eang hwyluso dysgu, gwella ansawdd, ac arwain arfer sy'n seiliedig ar dystiolaeth: Astudiaeth ryngwladol o gofrestrfeydd torri clun mewn 20 gwlad gan ddefnyddio set ddata gyffredin Lleiafswm Rhwydwaith Fragility 2022. Cyd-Gyfnodolyn Esgyrn 2023 https://boneandjoint.org.uk/article/10.1302/0301-620X.105B9.BJJ-2023-0281
Addysgu
Rwyf wedi defnyddio darlithoedd ac addysgu rhyngweithiol i hyrwyddo'r arbenigedd newydd o orthogeriatrics yn fy ysbyty, yng Nghymru, ledled y DU ac yn rhyngwladol. Rwyf wedi arloesi dulliau newydd o ofalu am gleifion bregus a thrawma hŷn, gan ddefnyddio torri clun fel model i ddeall eu hanghenion, a gwella sut mae gwasanaethau iechyd yn ymateb iddynt.
Mae fy addysgu o fyfyrwyr, llawfeddygol a meddygol iau a'n tîm amlddisgyblaethol, a'm darlithio cenedlaethol a rhyngwladol yn anelu at gefnogi mabwysiadu archwiliad torri cluniau a chydweithio orthopedig-geriatreg mewn gwledydd eraill.
Mae protocolau ar gyfer asesu a rheoli cleifion yn allweddol i wella gofal a chanlyniad. Mae llawer o'm gwaith wedi canolbwyntio ar ddatblygu protocolau ar gyfer gofal cychwynnol fy nghleifion fy hun gyda chlun a thoriadau femoral eraill.
Crynhoir y protocolau hyn yn y ddogfen clercio a 'bwndel gofal' y trefnir gofal yn ei gylch yng Nghaerdydd:
https://drive.google.com/file/d/1XkjJXIWX_Pe_D3fge43lV2BAa826W4lE/view?usp=sharing
Mae fy nghyfres o sgyrsiau YouTube yn adnodd sefydlu ar gyfer myfyrwyr, nyrsys, therapyddion a phobl iau sy'n ymuno â'r adran. Mae'r sgyrsiau hyn hefyd wedi'u bwriadu fel adnodd am ddim i bobl sy'n datblygu gwasanaeth torri clun mewn gwledydd lle mae nifer yr achosion o'r anaf hwn yn codi, ond mae arbenigeddau orthogeriatrig a meddygaeth geriatreg wedi'u datblygu'n llai da.
Torri Clun wedi'i wneud yn syml
Cyflwyniad cyflym iawn i agweddau allweddol gofal torri clun acíwt https://youtu.be/qbN50gg5uUg (15 munud)
Sgyrsiau orthogeriatrics
Defnyddio torri clun i'n helpu i ddeall https://youtu.be/cVpnS2MSIaU eiddil (28 munud)
Defnyddio torasgwrn y clun i'n helpu i ddeall https://youtu.be/U0xBgtK_Sfo gofal Peri-operative (35 munud)
Defnyddio toriad clun i'n helpu i ddeall Delirium https://youtu.be/Ri78onBt_gw (27 munud)
Defnyddio torri clun i'n helpu i ddeall https://youtu.be/1BNtLIpQDbI maeth (19 munud)
Defnyddio torri clun i'n helpu i ddeall Cwympiadau https://youtu.be/GzZDpZtE-7I (22 munud)
Defnyddio torasgwrn y glun i'n helpu i ddeall https://youtu.be/OTiIBXKehFc Osteoporosis (19 munud)
Bywgraffiad
Yn y 1990au arloesodd geriatregwyr yng Nghaerdydd gefnogaeth feddygol cleifion bregus a hŷn ein wardiau trawma acíwt, ac yn 1997 fi oedd y geriatregydd ymgynghorol cyntaf yn y byd i weithio'n llawn amser yn y lleoliad orthopedig acíwt.
Mae cefnogaeth hynod hael cydweithwyr Geriatreg, nyrsys arbenigol, fferyllwyr ac eraill wedi fy ngalluogi i helpu i sefydlu'r arbenigedd newydd o 'orthogeriatrics', a phrofiad o gydweithio â llawfeddygon yng Nghaerdydd at fy nghyd-awduro 'Llyfr Glas' Cymdeithas Orthopedig Prydain ar doriadau breuder, a chanllawiau NICE 2011 ar dorri clun.
Rwyf wedi arwain yr archwiliad clinigol cenedlaethol o dorri clun, y Gronfa Ddata Genedlaethol Torasgwrn Clun (NHFD ) ers 2013, ac wedi cynnal archwiliadau sbrint cenedlaethol mewn cydweithrediad â Chymdeithas Anaesthesia (ASAP) a Chymdeithas Siartredig Ffisiotherapi (PHFSA).
Ers ei sefydlu, mae'r NHFD wedi llywyddu dros haneru marwolaethau, gan ddefnyddio gwefan mynediad agored i helpu staff clinigol, rheolwyr gwasanaethau iechyd a'r cyhoedd yn gyffredinol i archwilio a gwella ansawdd y gofal a gynigir mewn gwahanol ysbytai; rhywbeth rwy'n ei drafod yn fy rôl fel Arweinydd Geriatreg ar gyfer y NHFD yn y fideo hwn.
Fel cadeirydd grŵp diddordeb arbennig Hip Fracture Audit o'r Rhwydwaith Torri Fragility byd-eang (FFN). Rwyf bellach yn ceisio cefnogi mentrau tebyg ledled y byd. Gall gwasanaethau iechyd mewn gwahanol wledydd ddysgu oddi wrth ei gilydd os bydd pob archwiliad cenedlaethol yn ceisio casglu data tebyg; y 'set ddata gyffredin leiaf'; rhywbeth rwy'n ei drafod yn y fideo hwn.