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Review

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

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Department of Geriatric Medicine, Hospital Universitario de la Ribera, Alzira, 46600 Valencia, Spain
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CIBERFES, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable, Instituto Carlos III, 28029 Madrid, Spain
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Department of Orthopaedic Surgery and Traumatology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain
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Department of Physical Medicine and Rehabilitation, Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain
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Department of Anaesthesiology, Hospital Universitario Miguel Servet, 50009 Zaragoza, Spain
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Department of Orthopaedics and Traumatology, Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(6), 3049; https://doi.org/10.3390/ijerph18063049
Received: 20 February 2021 / Revised: 5 March 2021 / Accepted: 12 March 2021 / Published: 16 March 2021
(This article belongs to the Special Issue Health Care for Older Adults)
Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Quality of care in orthogeriatric co-management units has increased, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery. View Full-Text
Keywords: hip fractures; geriatric assessment; orthogeriatric care; functional recovery; geriatric syndromes; mortality; hip fracture surgery; multidisciplinary care hip fractures; geriatric assessment; orthogeriatric care; functional recovery; geriatric syndromes; mortality; hip fracture surgery; multidisciplinary care
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MDPI and ACS Style

Tarazona-Santabalbina, F.J.; Ojeda-Thies, C.; Figueroa Rodríguez, J.; Cassinello-Ogea, C.; Caeiro, J.R. Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture. Int. J. Environ. Res. Public Health 2021, 18, 3049. https://doi.org/10.3390/ijerph18063049

AMA Style

Tarazona-Santabalbina FJ, Ojeda-Thies C, Figueroa Rodríguez J, Cassinello-Ogea C, Caeiro JR. Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture. International Journal of Environmental Research and Public Health. 2021; 18(6):3049. https://doi.org/10.3390/ijerph18063049

Chicago/Turabian Style

Tarazona-Santabalbina, Francisco J., Cristina Ojeda-Thies, Jesús Figueroa Rodríguez, Concepción Cassinello-Ogea, and José R. Caeiro 2021. "Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture" International Journal of Environmental Research and Public Health 18, no. 6: 3049. https://doi.org/10.3390/ijerph18063049

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