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 Health2021, 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.
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 Health2021, 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.
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
Subject
Medicine and Pharmacology, Immunology and Allergy
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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