Why the study?
Patients with dementia face a 3-fold higher risk of hip fractures along with higher morbidity and mortality, amid an aging population where US dementia cases are projected to reach 10 million by 2050.
Multidisciplinary care including early surgery, analgesia, and rehabilitation improves outcomes and decreases mortality in dementia patients with hip fractures.
Supports coordinated care in this population; leaves open confirmation via randomized trials.
» The elderly population is the fastest growing demographic, and the number of dementia cases in the United States is expected to double to 10 million by 2050.» Patients with dementia are at 3× higher risk of hip fractures and have higher morbidity and mortality after hip fractures.» Hip fracture patients with dementia benefit from early analgesia and timely surgical fixation of fracture.» Early and intensive inpatient rehabilitation is associated with improved postoperative outcomes in patients with dementia.» Coordination of care within a "orthogeriatric" team decreases mortality, and fracture liaison services show potential for improving long-term outcomes in hip fracture patients with dementia.
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Zabawa et al. (2023) studied this question.
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