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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-7999190 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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