Key result
Optimizing perioperative care for elderly patients with hip fractures requires addressing frailty and evaluating the impact of analgesic interventions on cognition, function, and autonomy.
Optimizing perioperative care and pain management in frail elderly patients with hip fractures is crucial for improving postoperative recovery and quality of life.
The annual prevalence of hip fractures rises to more than 1.5 million worldwide and ranges between 307 to 1269/ 100 000 in European countries 1 . In Belgium, around 15 000 hip fractures are recorded each year, associated with significant morbidity and mortality rates 2 . The prevalence is expected to increase with the aging population, making it a growing public health issue as mentioned by the World Health Organisation,WHO ("decade of healthy ageing"; https://www.who.int/ageing) 1 . Hip fractures principally concern the elderly population with 80% of patients aged 70 and over and reporting at least one comorbidity 1 . More, at least two-thirds of elderly patients with a hip fracture fulfill criteria for American Society of Anesthesiologists (ASA) status III and 10% have criteria of ASA status IV (life-threatening comorbidities). By consequence, anesthesia that is necessary to fix the fracture in these fragile patients may be challenging.
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Manczak et al. (2024) conducted an editorial in Hip fracture. Perioperative pain management was evaluated. Optimizing perioperative care for elderly patients with hip fractures requires addressing frailty and evaluating the impact of analgesic interventions on cognition, function, and autonomy.
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