The multidisciplinary management of hip fractures in older patients
Abstract Older patients presenting with hip fractures are some of the frailest and sickest patients in hospital. In addition to complex medical problems and comorbidities, they have to overcome the additional physiological challenges posed by the hip fracture itself, and subsequent surgery. Hip frac...
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Veröffentlicht in: | Orthopaedics and trauma 2016-04, Vol.30 (2), p.117-122 |
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description | Abstract Older patients presenting with hip fractures are some of the frailest and sickest patients in hospital. In addition to complex medical problems and comorbidities, they have to overcome the additional physiological challenges posed by the hip fracture itself, and subsequent surgery. Hip fracture associated morbidity and mortality at one year remains high. Published guidelines stress the need for a multidisciplinary approach and the importance of the care environment for good outcomes. A combined management approach identifies and addresses not only the surgical but also the complex analgesic, medical, cognitive, nutritional, social and rehabilitation needs of our patients, thereby improving outcome for our patients. |
doi_str_mv | 10.1016/j.mporth.2016.03.006 |
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In addition to complex medical problems and comorbidities, they have to overcome the additional physiological challenges posed by the hip fracture itself, and subsequent surgery. Hip fracture associated morbidity and mortality at one year remains high. Published guidelines stress the need for a multidisciplinary approach and the importance of the care environment for good outcomes. A combined management approach identifies and addresses not only the surgical but also the complex analgesic, medical, cognitive, nutritional, social and rehabilitation needs of our patients, thereby improving outcome for our patients.</description><identifier>ISSN: 1877-1327</identifier><identifier>EISSN: 1877-1335</identifier><identifier>DOI: 10.1016/j.mporth.2016.03.006</identifier><identifier>PMID: 27418950</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Hip fracture ; Hip Fractures ; multidisciplinary ; occupational therapy ; orthogeriatrician ; Orthopedics ; patient centred care ; physiotherapy</subject><ispartof>Orthopaedics and trauma, 2016-04, Vol.30 (2), p.117-122</ispartof><rights>The Author(s)</rights><rights>2016 The Author(s)</rights><rights>2016 The Author(s) 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4996-17b6544087756efd96c0f9d4ce0f2da4e8c99cc27bc28505e322a94d5008abdc3</citedby><cites>FETCH-LOGICAL-c4996-17b6544087756efd96c0f9d4ce0f2da4e8c99cc27bc28505e322a94d5008abdc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1877132716300252$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27418950$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Riemen, Anna H.K</creatorcontrib><creatorcontrib>Hutchison, James D</creatorcontrib><title>The multidisciplinary management of hip fractures in older patients</title><title>Orthopaedics and trauma</title><addtitle>Orthop Trauma</addtitle><description>Abstract Older patients presenting with hip fractures are some of the frailest and sickest patients in hospital. In addition to complex medical problems and comorbidities, they have to overcome the additional physiological challenges posed by the hip fracture itself, and subsequent surgery. Hip fracture associated morbidity and mortality at one year remains high. Published guidelines stress the need for a multidisciplinary approach and the importance of the care environment for good outcomes. A combined management approach identifies and addresses not only the surgical but also the complex analgesic, medical, cognitive, nutritional, social and rehabilitation needs of our patients, thereby improving outcome for our patients.</description><subject>Hip fracture</subject><subject>Hip Fractures</subject><subject>multidisciplinary</subject><subject>occupational therapy</subject><subject>orthogeriatrician</subject><subject>Orthopedics</subject><subject>patient centred care</subject><subject>physiotherapy</subject><issn>1877-1327</issn><issn>1877-1335</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFkk1r3DAQhkVpSNI0_6AUH3tZZyTLsnUJlKVfEOgh6XnQSuOstrblSHYg_75aNt02vfQkiXnnnZlHw9g7DiUHrq525TCFOG9LkV8lVCWAesXOeds0K15V9evjXTRn7E1KuyxQOXLKzkQjeatrOGfruy0Vw9LP3vlk_dT70cSnYjCjuaeBxrkIXbH1U9FFY-clUir8WITeUSwmM_usSG_ZSWf6RJfP5wX78fnT3frr6ub7l2_rjzcrK7VWK95sVC0l5KZqRZ3TykKnnbQEnXBGUmu1tlY0GyvaGmqqhDBauhqgNRtnqwt2ffCdls1Azuba0fQ4RT_knjEYjy8jo9_ifXhEqQVXbZMNPjwbxPCwUJpxyENT35uRwpKQt0I1gksts1QepDaGlCJ1xzIccM8fd3jgj3v-CBVmvDnt_d8tHpN-A_8zA2VQj54iZuo0WnI-kp3RBf-_Cv8a2Pxn3pr-Jz1R2oUljvkTkGMSCHi734H9CnBVAYhaVL8At4avOg</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Riemen, Anna H.K</creator><creator>Hutchison, James D</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160401</creationdate><title>The multidisciplinary management of hip fractures in older patients</title><author>Riemen, Anna H.K ; Hutchison, James D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4996-17b6544087756efd96c0f9d4ce0f2da4e8c99cc27bc28505e322a94d5008abdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Hip fracture</topic><topic>Hip Fractures</topic><topic>multidisciplinary</topic><topic>occupational therapy</topic><topic>orthogeriatrician</topic><topic>Orthopedics</topic><topic>patient centred care</topic><topic>physiotherapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Riemen, Anna H.K</creatorcontrib><creatorcontrib>Hutchison, James D</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedics and trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Riemen, Anna H.K</au><au>Hutchison, James D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The multidisciplinary management of hip fractures in older patients</atitle><jtitle>Orthopaedics and trauma</jtitle><addtitle>Orthop Trauma</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>30</volume><issue>2</issue><spage>117</spage><epage>122</epage><pages>117-122</pages><issn>1877-1327</issn><eissn>1877-1335</eissn><abstract>Abstract Older patients presenting with hip fractures are some of the frailest and sickest patients in hospital. 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subjects | Hip fracture Hip Fractures multidisciplinary occupational therapy orthogeriatrician Orthopedics patient centred care physiotherapy |
title | The multidisciplinary management of hip fractures in older patients |
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