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.
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