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

Francisco José Tarazona-Santabalbina, Cristina Ojeda-Thies, Jesús Figueroa Rodríguez, Concepción Cassinello-Ogea and José Ramón Caeiro
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Francisco José Tarazona-Santabalbina: Department of Geriatric Medicine, Hospital Universitario de la Ribera, Alzira, 46600 Valencia, Spain
Cristina Ojeda-Thies: Department of Orthopaedic Surgery and Traumatology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain
Jesús Figueroa Rodríguez: Department of Physical Medicine and Rehabilitation, Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain
Concepción Cassinello-Ogea: Department of Anaesthesiology, Hospital Universitario Miguel Servet, 50009 Zaragoza, Spain
José Ramón Caeiro: Department of Orthopaedics and Traumatology, Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain

IJERPH, 2021, vol. 18, issue 6, 1-29

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. 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.

Keywords: hip fractures; geriatric assessment; orthogeriatric care; functional recovery; geriatric syndromes; mortality; hip fracture surgery; multidisciplinary care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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