Internal and Emergency Medicine

, Volume 13, Issue 5, pp 637–639 | Cite as

Hip fracture unit: beyond orthogeriatrics

  • Carlo RostagnoEmail author
  • Alessandro Cartei
  • Roberto Civinini
  • Domenico Prisco
Points of View

Worldwide fragility fractures, and in particular hip fracture, represent a clinical and social emergency [1]. 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 [2]. Surgery in these patients is associated with a 30-day mortality that approaches, and often exceeds 10% [3]. 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 [4]. 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 [5]. In addition, more than 60% of surviving patients do not recover full autonomy in basic daily...


Compliance with ethical standards

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.

Informed consent

All patients gave written informed consent to treatment and collection of clinical data for research purposes at admission.


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Copyright information

© SIMI 2018

Authors and Affiliations

  • Carlo Rostagno
    • 1
    Email author
  • Alessandro Cartei
    • 2
  • Roberto Civinini
    • 3
  • Domenico Prisco
    • 1
  1. 1.Dipartimento Medicina Sperimentale e Clinica Università di FirenzeFlorenceItaly
  2. 2.SOD medicina interna e post-chirurgica AOU CareggiFlorenceItaly
  3. 3.SOD traumatologia ed Ortopedia AOU CareggiFlorenceItaly

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