Hip fracture unit: beyond orthogeriatrics
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Worldwide fragility fractures, and in particular hip fracture, represent a clinical and social emergency . It has been estimated, due to progressive population ageing, that the incidence will increase by nearly 60% over the next 20 years. Most patients with hip fracture are aged > 85 years, have two or more severe comorbidities, and about 50% suffer from moderate to severe functional impairment . Surgery in these patients is associated with a 30-day mortality that approaches, and often exceeds 10% . One year mortality after surgery for hip fracture is near 30% in comparison to 6.3% expected 1-year mortality in a healthy age-matched population at the time of the fracture . A recent paper reports that in centenarians, the risk of death in the group of patients who sustain hip fracture HF significantly exceeds that of the control cohort, especially in the 3 months after surgery . In addition, more than 60% of surviving patients do not recover full autonomy in basic daily...
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Conflict of interest
The authors declare that they have no conflict of interest.
Statement of human and animal rights
The study is part of a project of Italian Health Ministry and Regione Toscana –RF-2010-2316600- and was approved by Ethical Committee of Regione Toscana.
All patients gave written informed consent to treatment and collection of clinical data for research purposes at admission.
- 1.Sanders KM, Nicholson GC, Ugoni AM et al (2000) Health burden of hip and other fractures in Australia beyond 2000. Projections based on the Geelong osteoporosis study. Med J Aust 170:467–470Google Scholar
- 10.Hawley S, Javad MK, Prieto-Alhambra D, Lippet J, Sheard S, Arden NK, Cooper C, Judge A, The Refresch study group (2016) Clinical effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: population-based longitudinal study. Age Ageing 45:236–242CrossRefPubMedPubMedCentralGoogle Scholar
- 14.Kristoffersen DT, Helgeland J, Clench-Aas J, Laake P, Veierød MB (2012) Comparing hospital mortality—how to count does matter for patients hospitalized for acute myocardial infarction (AMI), stroke and hip fracture. BMC Health Serv Res 12(1):364 (Epub ahead of print) CrossRefPubMedPubMedCentralGoogle Scholar
- 18.Stenqvist C, Madsen CM, Riis T, Jørgensen HL, Duus BR, Lauritzen JB, van der Mark S (2016) Orthogeriatric service reduces mortality in patients with hip fracture. Geriatr Orthop Surg Rehabil. 7(2):67–73. https://doi.org/10.1177/2151458515625296 (Epub 2016 Mar 2) CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Rostagno C, Cammilli A, Di Cristo A, Polidori GL, Ranalli C, Cartei A, Buzzi R, Prisco D (2016) Acute coronary syndromes with significant troponin increase in patients with hip fracture prior to surgical repair: differential diagnosis and clinical implications. Intern Emerg Med 11(2):219–224. https://doi.org/10.1007/s11739-0151348-8 (Epub 2015 Nov 12) CrossRefPubMedGoogle Scholar