Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Orthogeriatric Care: Reviewing Improvements in Outcomes

Version 1 : Received: 20 February 2021 / Approved: 22 February 2021 / Online: 22 February 2021 (15:31:03 CET)

A peer-reviewed article of this Preprint also exists.

Tarazona-Santabalbina, F.J.; Ojeda-Thies, C.; Rodríguez, J.F.; Cassinello-Ogea, C.; Caeiro, J.R. Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture. Int. J. Environ. Res. Public Health 2021, 18, 3049. Tarazona-Santabalbina, F.J.; Ojeda-Thies, C.; Rodríguez, J.F.; Cassinello-Ogea, C.; Caeiro, J.R. Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture. Int. J. Environ. Res. Public Health 2021, 18, 3049.

Journal reference: Int. J. Environ. Res. Public Health 2021, 18, 3049
DOI: 10.3390/ijerph18063049

Abstract

Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Orthogeriatric co-management units have increased quality of care, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.

Keywords

hip fractures; geriatric assessment; orthogeriatric care; functional recovery; geriatric syndromes; mortality; hip fracture surgery; multidisciplinary care

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