Orthogeriatric care: improving patient outcomes

Francisco José Tarazona-Santabalbina,1,2 Ángel Belenguer-Varea,1,2 Eduardo Rovira,1,2 David Cuesta-Peredó1,21Geriatric Medicine Unit, Internal Medicine Department, Hospital Universitario de la Ribera, 2Medical School, Universidad Católica de Valencia San v...

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Autores principales:	Tarazona-Santabalbina FJ, Belenguer-Varea Á, Rovira E, Cuesta-Peredo D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Hip fractures geriatric assessment orthogeriatric care recovery of function mortality. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/0d65c8986c2848f3816d530e37c0fcee
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spelling	oai:doaj.org-article:0d65c8986c2848f3816d530e37c0fcee2021-12-02T04:07:39ZOrthogeriatric care: improving patient outcomes1178-1998https://doaj.org/article/0d65c8986c2848f3816d530e37c0fcee2016-06-01T00:00:00Zhttps://www.dovepress.com/orthogeriatric-care-improving-patient-outcomes-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Francisco José Tarazona-Santabalbina,1,2 Ángel Belenguer-Varea,1,2 Eduardo Rovira,1,2 David Cuesta-Peredó1,21Geriatric Medicine Unit, Internal Medicine Department, Hospital Universitario de la Ribera, 2Medical School, Universidad Católica de Valencia San vicente Mártir, Valencia, SpainAbstract: Hip fractures are a very serious socio-economic problem in western countries. Since the 1950s, orthogeriatric units have introduced improvements in the care of geriatric patients admitted to hospital because of hip fractures. During this period, these units have reduced mean hospital stays, number of complications, and both in-hospital mortality and mortality over the middle term after hospital discharge, along with improvements in the quality of care and a reduction in costs. Likewise, a recent clinical trial has reported greater functional gains among the affected patients. Studies in this field have identified the prognostic factors present upon admission or manifesting themselves during admission and that increase the risk of patient mortality or disability. In addition, improved care afforded by orthogeriatric units has proved to reduce costs. Nevertheless, a number of management issues remain to be clarified, such as the optimum anesthetic, analgesic, and thromboprophylactic protocols; the type of diagnostic and therapeutic approach best suited to patients with cognitive problems; or the efficiency of the programs used in convalescence units or in home rehabilitation care. Randomized clinical trials are needed to consolidate the evidence in this regard. Keywords: hip fractures, geriatric assessment, orthogeriatric care, recovery of function, mortalityTarazona-Santabalbina FJBelenguer-Varea ÁRovira ECuesta-Peredo DDove Medical PressarticleHip fracturesgeriatric assessmentorthogeriatric carerecovery of functionmortality.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 843-856 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hip fractures geriatric assessment orthogeriatric care recovery of function mortality. Geriatrics RC952-954.6
spellingShingle	Hip fractures geriatric assessment orthogeriatric care recovery of function mortality. Geriatrics RC952-954.6 Tarazona-Santabalbina FJ Belenguer-Varea Á Rovira E Cuesta-Peredo D Orthogeriatric care: improving patient outcomes
description	Francisco José Tarazona-Santabalbina,1,2 Ángel Belenguer-Varea,1,2 Eduardo Rovira,1,2 David Cuesta-Peredó1,21Geriatric Medicine Unit, Internal Medicine Department, Hospital Universitario de la Ribera, 2Medical School, Universidad Católica de Valencia San vicente Mártir, Valencia, SpainAbstract: Hip fractures are a very serious socio-economic problem in western countries. Since the 1950s, orthogeriatric units have introduced improvements in the care of geriatric patients admitted to hospital because of hip fractures. During this period, these units have reduced mean hospital stays, number of complications, and both in-hospital mortality and mortality over the middle term after hospital discharge, along with improvements in the quality of care and a reduction in costs. Likewise, a recent clinical trial has reported greater functional gains among the affected patients. Studies in this field have identified the prognostic factors present upon admission or manifesting themselves during admission and that increase the risk of patient mortality or disability. In addition, improved care afforded by orthogeriatric units has proved to reduce costs. Nevertheless, a number of management issues remain to be clarified, such as the optimum anesthetic, analgesic, and thromboprophylactic protocols; the type of diagnostic and therapeutic approach best suited to patients with cognitive problems; or the efficiency of the programs used in convalescence units or in home rehabilitation care. Randomized clinical trials are needed to consolidate the evidence in this regard. Keywords: hip fractures, geriatric assessment, orthogeriatric care, recovery of function, mortality
format	article
author	Tarazona-Santabalbina FJ Belenguer-Varea Á Rovira E Cuesta-Peredo D
author_facet	Tarazona-Santabalbina FJ Belenguer-Varea Á Rovira E Cuesta-Peredo D
author_sort	Tarazona-Santabalbina FJ
title	Orthogeriatric care: improving patient outcomes
title_short	Orthogeriatric care: improving patient outcomes
title_full	Orthogeriatric care: improving patient outcomes
title_fullStr	Orthogeriatric care: improving patient outcomes
title_full_unstemmed	Orthogeriatric care: improving patient outcomes
title_sort	orthogeriatric care: improving patient outcomes
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/0d65c8986c2848f3816d530e37c0fcee
work_keys_str_mv	AT tarazonasantabalbinafj orthogeriatriccareimprovingpatientoutcomes AT belenguervareaa orthogeriatriccareimprovingpatientoutcomes AT rovirae orthogeriatriccareimprovingpatientoutcomes AT cuestaperedod orthogeriatriccareimprovingpatientoutcomes
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Orthogeriatric care: improving patient outcomes

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