Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture
Por:
Tarazona-Santabalbina, F, Ojeda-Thies, C, Rodriguez, J, Cassinello-Ogea, C and Caeiro, J
Publicada:
1 mar 2021
Resumen:
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. Quality of care in orthogeriatric co-management units has increased, 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.
Filiaciones:
:
Hosp Univ Ribera, Dept Geriatr Med, Valencia 46600, Spain
Inst Carlos III, CIBERFES, Ctr Invest Biomed Red Fragilidad & Envejecimiento, Madrid 28029, Spain
Ojeda-Thies, C:
Hosp Univ 12 Octubre, Dept Orthopaed Surg & Traumatol, Madrid 28041, Spain
Rodriguez, J:
Complejo Hosp Univ Santiago de Compostela, Dept Phys Med & Rehabil, Santiago De Compostela 15706, Spain
Cassinello-Ogea, C:
Hosp Univ Miguel Servet, Dept Anaesthesiol, Zaragoza 50009, Spain
Caeiro, J:
Complejo Hosp Univ Santiago de Compostela, Dept Orthopaed & Traumatol, Santiago De Compostela 15706, Spain
Green Published, gold, Green Submitted
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