(Preoperative considerations in the geriatric population with hip fractures: When is the right time to operate?
DOI:
https://doi.org/10.51481/amc.v66i3.1436Keywords:
Hip Fractures, Geriatric Popolation, Interdisciplinary Patient Team Care, Presirurgical optimizationAbstract
Hip fractures in the geriatric population represent a challenge for healthcare systems due to the increased morbidity and mortality associated with them, as well as the rising incidence observed in recent times. Many of these patients, present with comorbidities such as cardiac or renal diseases, or are on anticoagulant therapy, which requires expedited preoperative management and optimization. At the same time, the urgency of performing early surgery to enable rapid mobilization is crucial for minimizing morbidity and mortality in this population. Therefore, multidisciplinary management is essential. This review explores the up to date preoperative orthopedic and anesthetic considerations for optimal management of these patients.
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1. Dong Y, Zhang Y, Song K, Kang H, Ye D, Li F. What was the Epidemiology and Global Burden of Disease of Hip Fractures From 1990 to 2019? Results From and Additional Analysis of the Global Burden of Disease Study 2019. Clin Orthop. 2023;481:1209-1220. doi: 10.1097/CORR.0000000000002465
2. López G, Chacón K, Rivera Á. INCIDENCIA DE FRACTURA DE CADERA EN COSTA RICA.
3. Dobre R, Niculescu DA, Cirstoiu C, Popescu G, Poiana C. Mortality rates and risk factors after low-trauma hip fracture in the largest university center in Romania. Arch Osteoporos. 2021;16:64. doi: 10.1007/s11657-021-00934-5
4. Yong EL, Ganesan G, Kramer MS, Howe TS, Koh JSB, Thu WP, et al. Risk Factors and Trends Associated With Mortality Among Adults With Hip Fracture in Singapore. JAMA Netw Open. 2020;3:e1919706. doi: 10.1001/jamanetworkopen.2019.19706
5. Buzkova P, Cauley JA, Fink HA, Robbins JA, Mukamal KJ, Barzilay JI. Age-Related Factors Associated With The Risk of Hip Fracture. Endocr Pract. 2023;29:478-483. doi: 10.1016/j.eprac.2023.03.001
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