Erschienen in:
06.03.2018 | Points of View
Hip fracture unit: beyond orthogeriatrics
verfasst von:
Carlo Rostagno, Alessandro Cartei, Roberto Civinini, Domenico Prisco
Erschienen in:
Internal and Emergency Medicine
|
Ausgabe 5/2018
Einloggen, um Zugang zu erhalten
Excerpt
Worldwide fragility fractures, and in particular hip fracture, represent a clinical and social emergency [
1]. It has been estimated, due to progressive population ageing, that the incidence will increase by nearly 60% over the next 20 years. Most patients with hip fracture are aged > 85 years, have two or more severe comorbidities, and about 50% suffer from moderate to severe functional impairment [
2]. Surgery in these patients is associated with a 30-day mortality that approaches, and often exceeds 10% [
3]. One year mortality after surgery for hip fracture is near 30% in comparison to 6.3% expected 1-year mortality in a healthy age-matched population at the time of the fracture [
4]. A recent paper reports that in centenarians, the risk of death in the group of patients who sustain hip fracture HF significantly exceeds that of the control cohort, especially in the 3 months after surgery [
5]. In addition, more than 60% of surviving patients do not recover full autonomy in basic daily life activities after hip fracture. …
