The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Management of Hip Fractures in the Elderly

Brox, W. Timothy; Roberts, Karl C.; Taksali, Sudeep; Wright, Douglas G.; Wixted, John J.; Tubb, Creighton C.; Patt, Joshua C.; Templeton, Kimberly; Dickman, Eitan; Adler, Robert A.; Macaulay, William; Jackman, James M.; Annaswamy, Thiru M.; Adelman, Alan; Hawthorne, Catherine G.; Olson, Steven A.; Mendelson, Daniel A.; LeBoff, Meryl S.; Camacho, Pauline A.; Jevsevar, David S.; Shea, Kevin G.; Bozic, Kevin J.; Shaffer, William O.; Cummins, Deborah; Murray, Jayson; Donnelly, Patrick; Shores, Peter; Woznica, Anne; Martinez, Yasseline; Boone, Catherine; Gross, Leeaht; Sevarino, Kaitlyn

doi:10.2106/jbjs.o.00229

Cited by 161 publications

(145 citation statements)

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“…[26][27][28][29][30][31] Therefore, surgery within 48 hours of admission is the usual recommendation that is proposed by most medical societies. 32,33 Delays are mainly due to operating room or personnel availability and acute medical illness that requires optimization or secondary referrals. 27 …”

Section: Surgical Timingmentioning

confidence: 99%

Hip Fracture in the Elderly

Urrutia¹,

Zamora²,

Klaber³

2017

CMGer

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Hip fractures in elderly patients are the most severe form of fragility fractures. They can lead to significant morbidity and mortality; additionally, they have an enormous economic and social burden. Treatment of hip fractures in elderly patients should be based on a prompt initial evaluation, followed by surgical treatment without unnecessary delays under a collaborative effort of a multidisciplinary team. Postoperative care should be started immediately after surgery, and it must include an intensive rehabilitation, as well as treatment of osteoporosis and any other metabolic imbalance. This review incorporates current literature on initial evaluation and definitive management of hip fractures in the elderly and is intended to assist practitioners of different specialties treating these patients.

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Section: Surgical Timingmentioning

confidence: 99%

Hip Fracture in the Elderly

Urrutia¹,

Zamora²,

Klaber³

2017

CMGer

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“…11 Similar to risk stratifying a patient's risk for pulmonary embolism, a clinician using his or her judgment and experience may determine that an individual patient's risk for an occult fracture may be higher than the incidence of occult hip fractures. 4,5 In terms of timing of surgery, the AAOS recommends hip fracture surgery within 48 hours of admission. 3,11,16,32 Using the Centers for Disease Control and Prevention, the baseline annual mortality for a 70-year-old was 0.021 (Table 1).…”

Section: Model Assumptionsmentioning

confidence: 99%

“…4,5 With a sensitivity of 100% and specificity of 100%, MRI is considered the reference standard test. 4,5 With a sensitivity of 100% and specificity of 100%, MRI is considered the reference standard test.…”

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confidence: 99%

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Diagnostic Imaging Strategies for Occult Hip Fractures: A Decision and Cost–Effectiveness Analysis

Yun

Hunink

Prabhakar

et al. 2016

Academic Emergency Medicine

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“…Background : Pain associated with acute hip fracture is strongly linked with adverse outcomes . Although regional anesthesia is recommended to control preoperative pain, it is not widely administered …”

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confidence: 99%

Geriatrics Literature 2016 Year in Review

Willham

Covinsky

Widera

2017

J American Geriatrics Society

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We present 10 of the most effective articles from 2016 in geriatric medicine. They address wide-ranging topics including the use of antipsychotics for delirium in palliative care, fall prevention and mobility interventions, efficacy and potential risks of testosterone, cranberry capsules and their effect on bacteriuria and pyuria, beta-blockers after acute myocardial infarction in a nursing home population, the effect of a healthy lifestyle on disability, a goals-of-care intervention in individuals with advanced dementia, the benefits of regional anesthesia in hip repair, and mindfulness in chronic pain management.

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The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Management of Hip Fractures in the Elderly

Abstract: Guideline contains a list of the recommendations and the rating of strength based on the quality of the supporting evidence. Discussion of how each recommendation was developed and the complete evidence report are contained in the full guideline at www.aaos.org/ guidelines.

Cited by 161 publications

References 0 publications

Hip Fracture in the Elderly

Hip Fracture in the Elderly

Diagnostic Imaging Strategies for Occult Hip Fractures: A Decision and Cost–Effectiveness Analysis

Geriatrics Literature 2016 Year in Review

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