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

Author

Listed:
  • Francisco José Tarazona-Santabalbina

    (Department of Geriatric Medicine, Hospital Universitario de la Ribera, Alzira, 46600 Valencia, Spain
    CIBERFES, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable, Instituto Carlos III, 28029 Madrid, 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)

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.

Suggested Citation

  • Francisco José Tarazona-Santabalbina & Cristina Ojeda-Thies & Jesús Figueroa Rodríguez & Concepción Cassinello-Ogea & José Ramón Caeiro, 2021. "Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture," IJERPH, MDPI, vol. 18(6), pages 1-29, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3049-:d:517807
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    References listed on IDEAS

    as
    1. Paolo Chiari & Cristiana Forni & Monica Guberti & Domenica Gazineo & Sabrina Ronzoni & Fabio D’Alessandro, 2017. "Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-12, January.
    2. Maria Ganczak & Krzysztof Chrobrowski & Marcin Korzeń, 2018. "Predictors of a Change and Correlation in Activities of Daily Living after Hip Fracture in Elderly Patients in a Community Hospital in Poland: A Six-Month Prospective Cohort Study," IJERPH, MDPI, vol. 15(1), pages 1-13, January.
    3. Rami K. Aldwikat & Elizabeth Manias & Patricia Nicholson, 2020. "Incidence and risk factors for acute delirium in older patients with a hip fracture: A retrospective cohort study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 958-966, December.
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    Cited by:

    1. Carlos Hernández-Pascual & José Ángel Santos-Sánchez & Jorge Hernández-Rodríguez & Carlos Fernando Silva-Viamonte & Carmen Pablos-Hernández & Manuel Villanueva-Martínez & José Antonio Mirón-Canelo, 2022. "New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore," IJERPH, MDPI, vol. 19(18), pages 1-12, September.

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