Bibliographic Details
| Title: |
Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus. |
| Authors: |
De Vincentis, Antonio, Behr, Astrid Ursula, Bellelli, Giuseppe, Bravi, Marco, Castaldo, Anna, Galluzzo, Lucia, Iolascon, Giovanni, Maggi, Stefania, Martini, Emilio, Momoli, Alberto, Onder, Graziano, Paoletta, Marco, Pietrogrande, Luca, Roselli, Mauro, Ruggeri, Mauro, Ruggiero, Carmelinda, Santacaterina, Fabio, Tritapepe, Luigi, Zurlo, Amedeo, Antonelli Incalzi, Raffaele |
| Source: |
Aging Clinical & Experimental Research; Sep2021, Vol. 33 Issue 9, p2405-2443, 39p |
| Subject Terms: |
PERIOPERATIVE care, CONSENSUS (Social sciences), MEDICAL care for older people, EVIDENCE-based medicine, HIP fractures, HEALTH care teams, INTEGRATED health care delivery, ELDER care, DELPHI method, OLD age |
| Company/Entity: |
U.S. Preventive Services Task Force |
| Abstract: |
Background: Health outcomes of older subjects with hip fracture (HF) may be negatively influenced by multiple comorbidities and frailty. An integrated multidisciplinary approach (i.e. the orthogeriatric model) is, therefore, highly recommended, but its implementation in clinical practice suffers from the lack of shared management protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues. Aim: To develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF. Methods: A 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra- and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence. Results: A total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics). Conclusion: These recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
