Optimal setting and care organization in the management of older adults with hip fracture: a narrative review
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...
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doaj-e11629fac8104ad1ab34dd11ec44f8a52020-11-25T02:55:16ZengPAGEPress PublicationsGeriatric Care2465-11092465-13972015-11-011110.4081/gc.2015.56024538Optimal setting and care organization in the management of older adults with hip fracture: a narrative reviewAndrea Giusti0Antonella Barone1Monica Razzano2Rita Raiteri3Andrea Del Rio4Viviana Bassoli5Ernesto Palummeri6Mauro Oliveri7Alberto Pilotto8Department of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaDepartment of Orthogeriatrics, Rehabilitation and Stabilization, Frailty Area, Galleria Hospital, National Relevance and Specialization Hospital, GenoaHip 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.http://www.pagepressjournals.org/index.php/gc/article/view/5602Hip fractureorthogeriatricaged. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrea Giusti Antonella Barone Monica Razzano Rita Raiteri Andrea Del Rio Viviana Bassoli Ernesto Palummeri Mauro Oliveri Alberto Pilotto |
spellingShingle |
Andrea Giusti Antonella Barone Monica Razzano Rita Raiteri Andrea Del Rio Viviana Bassoli Ernesto Palummeri Mauro Oliveri Alberto Pilotto Optimal setting and care organization in the management of older adults with hip fracture: a narrative review Geriatric Care Hip fracture orthogeriatric aged. |
author_facet |
Andrea Giusti Antonella Barone Monica Razzano Rita Raiteri Andrea Del Rio Viviana Bassoli Ernesto Palummeri Mauro Oliveri Alberto Pilotto |
author_sort |
Andrea Giusti |
title |
Optimal setting and care organization in the management of older adults with hip fracture: a narrative review |
title_short |
Optimal setting and care organization in the management of older adults with hip fracture: a narrative review |
title_full |
Optimal setting and care organization in the management of older adults with hip fracture: a narrative review |
title_fullStr |
Optimal setting and care organization in the management of older adults with hip fracture: a narrative review |
title_full_unstemmed |
Optimal setting and care organization in the management of older adults with hip fracture: a narrative review |
title_sort |
optimal setting and care organization in the management of older adults with hip fracture: a narrative review |
publisher |
PAGEPress Publications |
series |
Geriatric Care |
issn |
2465-1109 2465-1397 |
publishDate |
2015-11-01 |
description |
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. |
topic |
Hip fracture orthogeriatric aged. |
url |
http://www.pagepressjournals.org/index.php/gc/article/view/5602 |
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