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Post-fracture management of patients with hip fracture: a perspective

Bruyere, O.; Brandi, M. -L.; Burlet, N.; Harvey, N.; Lyritis, G.; Minne, H.; Boonen, S.; Reginster, J. -Y.; Rizzoli, R. and Åkesson, Kristina LU (2008) Working Group Meeting of the European-Society-on-Clinical-and-Economic-Aspects-of-Osteoporosis-Ostroa rthritis In CURRENT MEDICAL RESEARCH AND OPINION 24(10). p.2841-2851
Abstract
Background: Hip fracture creates a worldwide morbidity, mortality and economic burden. After surgery, many patients experience long-term disability or die as a consequence of the fracture. A fracture is a major risk factor for a subsequent fracture, which may occur within a short interval. Methods: A literature search on post-fracture management of patients with hip fracture was performed on the Medline database. Key experts convened to develop a consensus document. Findings: Management of hip-fracture patients to optimize outcome after hospital discharge requires several stages of care co-ordinated by a multidisciplinary team from before admission through to discharge. Further studies that specifically assess prevention and post-fracture... (More)
Background: Hip fracture creates a worldwide morbidity, mortality and economic burden. After surgery, many patients experience long-term disability or die as a consequence of the fracture. A fracture is a major risk factor for a subsequent fracture, which may occur within a short interval. Methods: A literature search on post-fracture management of patients with hip fracture was performed on the Medline database. Key experts convened to develop a consensus document. Findings: Management of hip-fracture patients to optimize outcome after hospital discharge requires several stages of care co-ordinated by a multidisciplinary team from before admission through to discharge. Further studies that specifically assess prevention and post-fracture management of hip fracture are needed, as only one study to date has assessed an osteoporosis medication in patients with a recent hip fracture. Proper nutrition is vital to assist bone repair and prevent further falls, particularly in malnourished patients. Vitamin D, calcium and protein supplementation is associated with an increase in hip BMD and reduction in falls. Rehabilitation is essential to improve functional disabilities and survival rates. Fall prevention and functional recovery strategies should include patient education and training to improve balance and increase muscle strength and mobility. Appropriate management can prevent further fractures and it is critical that high-risk patients are identified and treated. To foster this process, clinical pathways have been established to support orthopaedic surgeons. Conclusion: Although hip fracture is generally associated with poor outcomes, appropriate management can ensure optimal recovery and survival, and should be prioritized after a hip fracture to avoid deterioration of health and prevent subsequent fracture. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
Rehabilitation, Postoperative care, Hip fracture, Optimal management
in
CURRENT MEDICAL RESEARCH AND OPINION
volume
24
issue
10
pages
2841 - 2851
publisher
Informa Healthcare
conference name
Working Group Meeting of the European-Society-on-Clinical-and-Economic-Aspects-of-Osteoporosis-Ostroa rthritis
external identifiers
  • wos:000260261100014
  • scopus:55549141193
ISSN
1473-4877
0300-7995
DOI
10.1185/03007990802381430
language
English
LU publication?
yes
id
e8421fce-932a-477e-88d7-11c6e7e6b502 (old id 1284943)
date added to LUP
2009-02-10 14:09:29
date last changed
2017-06-08 11:23:51
@inproceedings{e8421fce-932a-477e-88d7-11c6e7e6b502,
  abstract     = {Background: Hip fracture creates a worldwide morbidity, mortality and economic burden. After surgery, many patients experience long-term disability or die as a consequence of the fracture. A fracture is a major risk factor for a subsequent fracture, which may occur within a short interval. Methods: A literature search on post-fracture management of patients with hip fracture was performed on the Medline database. Key experts convened to develop a consensus document. Findings: Management of hip-fracture patients to optimize outcome after hospital discharge requires several stages of care co-ordinated by a multidisciplinary team from before admission through to discharge. Further studies that specifically assess prevention and post-fracture management of hip fracture are needed, as only one study to date has assessed an osteoporosis medication in patients with a recent hip fracture. Proper nutrition is vital to assist bone repair and prevent further falls, particularly in malnourished patients. Vitamin D, calcium and protein supplementation is associated with an increase in hip BMD and reduction in falls. Rehabilitation is essential to improve functional disabilities and survival rates. Fall prevention and functional recovery strategies should include patient education and training to improve balance and increase muscle strength and mobility. Appropriate management can prevent further fractures and it is critical that high-risk patients are identified and treated. To foster this process, clinical pathways have been established to support orthopaedic surgeons. Conclusion: Although hip fracture is generally associated with poor outcomes, appropriate management can ensure optimal recovery and survival, and should be prioritized after a hip fracture to avoid deterioration of health and prevent subsequent fracture.},
  author       = {Bruyere, O. and Brandi, M. -L. and Burlet, N. and Harvey, N. and Lyritis, G. and Minne, H. and Boonen, S. and Reginster, J. -Y. and Rizzoli, R. and Åkesson, Kristina},
  booktitle    = {CURRENT MEDICAL RESEARCH AND OPINION},
  issn         = {1473-4877},
  keyword      = {Rehabilitation,Postoperative care,Hip fracture,Optimal management},
  language     = {eng},
  number       = {10},
  pages        = {2841--2851},
  publisher    = {Informa Healthcare},
  title        = {Post-fracture management of patients with hip fracture: a perspective},
  url          = {http://dx.doi.org/10.1185/03007990802381430},
  volume       = {24},
  year         = {2008},
}