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

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 adver...

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Autores principales: Tarazona-Santabalbina, Francisco José, Ojeda-Thies, Cristina, Figueroa Rodríguez, Jesús, Cassinello-Ogea, Concepción, Caeiro, José Ramón
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999190/
https://www.ncbi.nlm.nih.gov/pubmed/33809573
http://dx.doi.org/10.3390/ijerph18063049
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author Tarazona-Santabalbina, Francisco José
Ojeda-Thies, Cristina
Figueroa Rodríguez, Jesús
Cassinello-Ogea, Concepción
Caeiro, José Ramón
author_facet Tarazona-Santabalbina, Francisco José
Ojeda-Thies, Cristina
Figueroa Rodríguez, Jesús
Cassinello-Ogea, Concepción
Caeiro, José Ramón
author_sort Tarazona-Santabalbina, Francisco José
collection PubMed
description 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.
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spelling pubmed-79991902021-03-28 Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture Tarazona-Santabalbina, Francisco José Ojeda-Thies, Cristina Figueroa Rodríguez, Jesús Cassinello-Ogea, Concepción Caeiro, José Ramón Int J Environ Res Public Health Review 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. MDPI 2021-03-16 /pmc/articles/PMC7999190/ /pubmed/33809573 http://dx.doi.org/10.3390/ijerph18063049 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Tarazona-Santabalbina, Francisco José
Ojeda-Thies, Cristina
Figueroa Rodríguez, Jesús
Cassinello-Ogea, Concepción
Caeiro, José Ramón
Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture
title Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture
title_full Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture
title_fullStr Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture
title_full_unstemmed Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture
title_short Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture
title_sort orthogeriatric management: improvements in outcomes during hospital admission due to hip fracture
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999190/
https://www.ncbi.nlm.nih.gov/pubmed/33809573
http://dx.doi.org/10.3390/ijerph18063049
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