Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

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 adver...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-03, Vol.18 (6), p.3049
Main Authors: Tarazona-Santabalbina, Francisco José, Ojeda-Thies, Cristina, Figueroa Rodríguez, Jesús, Cassinello-Ogea, Concepción, Caeiro, José Ramón
Format: Article
Language:English
Subjects:
Aged
Anemia
Cognitive ability
Collaboration
Costs
Fractures
Health Services for the Aged
Hip Fractures - therapy
Hospitalization
Hospitals
Humans
Length of Stay
Medical prognosis
Mortality
Older people
Orthopedics
Patients
Recovery of function
Rehabilitation
Review
Surgery
Teams
Trauma
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Summary: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.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18063049