Narrative review: Orthogeriatrics unit, the proposal to reduce adverse outcomes in older adults with fragility fractures
DOI:
https://doi.org/10.1016/j.rccot.2022.04.010Keywords:
spontaneous fractures, orthogeriatric, postoperative complications, hip fractureAbstract
Introduction: Hip fracture is a public health problem due to its association with high mortality rates at one year, functional decline and worsening of quality of life. A multidisciplinary approach improves outcomes for elderly patients with fragility fracture.
Objective: To carry out a narrative review to evaluate the evidence of orthogeriatric units as a strategy to reduce adverse outcomes in older adults with fragility hip fractures. Material and Methods: A literature search was carried out in the following databases: PubMed, Cochrane and Scielo, with the terms: "hip fracture" or "fragility fracture" AND "multidisciplinary team" or ‘‘Geriatric co management’’ or AND "orthogeriatric" or "orthogeriatric".
Results: Care by orthogeriatrics reduces pre-operative surgical time, postoperative complications and hospital stay. Interdisciplinary assessment has been shown to be effective in reducing functional decline, in-hospital mortality, 30-day mortality, and the risk of institutionalization compared to other models of care. These factors impact on the optimization of resources, reducing health costs.
Conclusion: Orthogeriatric services are the ideal model to treat fragility fractures in older adults. In Colombia, more orthogeriatric units should be implemented to improve in-hospital care, create follow-up and rehabilitation programs.
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References
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