Abstract
Elderly People with hip fractures are among the most frail and medically complex of all hospital inpatients. In one sense, the fracture itself is merely a marker of frailty, and many of these patients would have found themselves on an acute medical ward if they had not broken a bone. Despite this, many centres still expect the orthopaedic team to manage these cases with only token input from physicians. This article explores other models of care for elderly hip fracture patients and looks at the evidence base to support the proposition that physicians should be managing hip fractures.
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References
- Department Of Health . National Service Framework for Older People. April 2001
- Vaughan B. Re-audit Elderly Trauma; Fractured Neck of Femur. Clinical Audit : Portsmouth Hospitals NHS Trust. March 2004
- British Orthopaedic Association, The Care of Fragility Fracture Patients. Sept 2003
- Scottish Intercollegiate Guidelines Network. SIGN 56. Prevention and Management of Hip Fracture in Older People. January 2002
- Audit Commission. United they Stand. Coordinating Care for Elderly Patients with Hip Fracture. 1995
- Swanson CE, Day GA et al; The management of elderly patients with femoral fractures. Med J Aust 1998: 169; 515-518
- Elliot JR, Wilkinson TJ, et al; The added effectiveness of early geriatrician involvement on acute orthopaedic wards to orthogeriatric rehabilitation. NZ Med J 1996 Mar 8; 109 (1017): 72-3
- Hempsall VJ, Robertson DR, et al; Orthopaedic geriatric care - is it effective? JR Coll Physicians Lond 1990; 24(1):47-50
- Naglie G, Tansey C, et al; Interdisciplinary inpatient care for elderly people with hip fracture: a randomized control. CMAJ 2002 July 9; 167 (1): 25-32
- Parker MJ, Pryor GA, Myles G, et al; 11 year results in 2 846 patients of the Peterborough Hip Fracture Project. Reduced morbidity, mortality and hospital stay. Acta Orthop Scand 2000; 71 (1): 34-38
