Key result
Orthogeriatric assessment and management as part of a formal hip fracture program is recommended to improve outcomes in elderly patients with hip fractures.
Orthogeriatricians play a key role in the multidisciplinary management of elderly patients with hip fractures to improve outcomes.
May support orthogeriatric models in hip fracture pathways; leaves open confirmation via randomized trials.
Summary Published literature shows that evidence-based medical care can improve hip fracture outcomes. The orthogeriatrician plays a key role in providing this care, in collaboration with surgical and multidisciplinary professionals, managing pre-operative conditions and post-operative complications that may affect functional recovery, and ensuring co-ordinated effective management of hip fractures right from admission to discharge. Several management guidelines are available for this vulnerable group of elderly patients. Recent UK guidelines recommend that, from time of admission, hip fracture patients should be offered a formal acute orthogeriatric or orthopaedic ward-based ‘Hip Fracture Programme’, which includes orthogeriatric assessment as an essential key component.
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Abhaya Gupta (2012) conducted a review in Hip fractures. Orthogeriatric assessment and management was evaluated. Orthogeriatric assessment and management as part of a formal hip fracture program is recommended to improve outcomes in elderly patients with hip fractures.
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