文章基本信息

标题：Optimal setting and care organization in the management of older adults with hip fracture: a narrative review
本地全文：下载
作者：Andrea Giusti ; Antonella Barone ; Monica Razzano 等
期刊名称：Geriatric Care
印刷版ISSN：2465-1109
电子版ISSN：2465-1397
出版年度：2015
卷号：1
期号：1
语种：English
出版社：PAGEPress Publications
摘要：Hip fracture (HF) is a common event in older adults and is associated with significant morbidity, mortality, reduction of quality of life and costs for the healthcare systems. The expected rise in the total number of HF worldwide, due to improvements in life expectancy, and the growing awareness of HF detrimental consequences have led to the development and implementation of models of care alternative to the traditional ones for the acute and post-acute management of HF older adults. These services were set to streamline hospital care, minimize inhospital complications, provide early discharge, improve short- and long-term functional and clinical outcomes, and reduce healthcare costs associated with hip and other fragility fractures. The main feature that distinguishes these models is the different healthcare professional that retains the responsibility and leadership during the acute and post-acute phases. This narrative review has been conceived to provide a brief description of the models implemented in the last twenty years, to describe their potential beneficial effects on the shortand long-term outcomes, and to define the strengths and limitations of these models. On the basis of available studies, it seems that the more complex and sophisticated services, characterized by a multidisciplinary approach with a co-leadership (geriatrician and orthopedic surgeon) or a geriatrician leadership demonstrated to produce better outcomes compared to the traditional or simplest models.
关键词：Hip fracture;orthogeriatric;aged.