Key result
Perioperative factors, including analgesia, timing of surgery, and emerging psychosocial elements, are key considerations in the management and outcome prediction of hip fractures in the elderly.
Why the study?
Hip fractures in the elderly carry significant morbidity and mortality, requiring consideration of multiple perioperative factors alongside updated guidelines and emerging psychosocial factors.
This review summarizes the evidence for key perioperative factors and predictive tools in the management of hip fractures in the elderly.
Psychosocial factors may influence hip fracture outcomes; leaves open their integration into updated guidelines pending prospective data.
Hip fractures are common injuries in the elderly and are associated with significant morbidity and mortality. There are multiple perioperative factors that must be considered when managing these patients. These include analgesia, timing of surgery, choice of operation, type of anaesthesia, postoperative complications and comorbidities. Guidelines from The National Institute for Health and Care Excellence and the National Hip Fracture Database have been updated to reflect many of the above, but the importance of psychosocial factors is still emerging. This article focuses on the evidence for the key perioperative factors in hip fracture management and the tools available to predict hip fracture outcome.
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Kyriacou et al. (2020) conducted a review in Hip fracture. Perioperative factors was evaluated. Perioperative factors, including analgesia, timing of surgery, and emerging psychosocial elements, are key considerations in the management and outcome prediction of hip fractures in the elderly.
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