Key result
A review of 13 articles identified decision-making tools for nonoperative care in older hip fracture patients (who face 20-30% 1-year mortality), though none have been prospectively tested.
Why the study?
The reasoning behind choosing surgery versus conservative management in older, high-risk hip fracture patients is often poorly understood.
What decision-making tools exist to help determine whether high-risk older patients with hip fracture should undergo surgery or receive nonoperative/palliative care?
Population
13 articles on high-risk patients with hip fracture
Design
Review
Authors
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Existing tools may inform decisions in high-mortality hip fracture cases; hypothesis-generating and should not yet change practice pending validation.
What decision-making tools exist to help determine whether high-risk older patients with hip fracture should undergo surgery or receive nonoperative/palliative care?
Several tools exist to aid in surgical decision-making for high-risk hip fracture patients, but prospective validation is lacking.
Sullivan et al. (2019) conducted a review in Hip fracture (n=13). Decision-making tools for nonoperative care was evaluated on Decision-making tools for surgery in high-risk patients. A review of 13 articles identified decision-making tools for nonoperative care in older hip fracture patients (who face 20-30% 1-year mortality), though none have been prospectively tested.
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