Key result
Interdisciplinary geriatric models of care and patient blood management principles are necessary to improve outcomes in older adult patients undergoing orthopaedic procedures.
Why the study?
Specific orthopaedic procedures necessitate more intensive care in older adult patients with co-morbidities than in younger patients, requiring consideration of peri-operative management and new interdisciplinary care models.
Highlights the need for specialized, interdisciplinary peri-operative management, including blood management, for geriatric patients undergoing orthopaedic procedures.
May enhance perioperative outcomes in comorbid elderly patients; leaves open prospective validation of interdisciplinary models.
This article offers a German perspective on orthopaedic management of geriatric populations in higher-income countries. Specific orthopaedic procedures necessitate a more intensive level of care in older adult patients, especially with co-morbidities, than in younger patients. During the pre-, peri- and post-operative periods, several aspects such as patient blood management principles improve the outcomes of geriatric patients. New interdisciplinary geriatric models of care including geriatric and orthopaedic specialties have to be established to take care of the special needs of geriatric patients. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180087
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Wirtz et al. (2019) conducted a review in Orthopaedic conditions in geriatric patients. Interdisciplinary geriatric models of care and peri-operative management was evaluated. Interdisciplinary geriatric models of care and patient blood management principles are necessary to improve outcomes in older adult patients undergoing orthopaedic procedures.
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