Key result
Multidisciplinary treatment for hip fractures in older people reduces morbidity, mortality, and subsequent fractures, while increasing the likelihood of returning to their previous living location.
Why the study?
Does multidisciplinary treatment improve outcomes in elderly patients with hip fractures?
Does multidisciplinary treatment improve outcomes in elderly patients with hip fractures?
A multidisciplinary team approach for elderly patients with hip fractures reduces morbidity, mortality, and subsequent fractures while improving functional recovery.
May support multidisciplinary hip fracture care in older adults; leaves open confirmation in randomized trials.
» Patients with hip fractures are best managed by a multidisciplinary team. » The multidisciplinary team consists of an orthogeriatrician, orthopaedic surgeon, aanesthesiologist, orthopaedic and/or geriatric nurse, occupational therapist, physical therapist, and clinical pharmacologist and may also include other professions, such as endocrinologist, nutritional therapist, and social worker. » Key factors include perioperative assessment and minimal delay to surgery; comprehensive geriatric assessment; multidisciplinary in-ward assessment including discharge planning, treatment, and rehabilitation; and secondary fracture prevention. » Current evidence shows that older people receiving multidisciplinary treatment for a hip fracture, comprehensive geriatric assessment, and systematic secondary fracture prevention have reduced morbidity and mortality and a lower risk of subsequent fractures and are more likely to return to the same location in which they lived before hospital admission.
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Figved et al. (2019) conducted a review in Hip fractures. Multidisciplinary treatment was evaluated on Morbidity, mortality, subsequent fractures, and return to pre-admission living location. Multidisciplinary treatment for hip fractures in older people reduces morbidity, mortality, and subsequent fractures, while increasing the likelihood of returning to their previous living location.
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