Update on medical management of acute hip fracture.
Publication/Presentation Date
4-1-2021
Abstract
Morbidity and mortality rates associated with acute hip fracture remain high. Over the past decade, the management of hip fracture has shifted to emphasize prompt surgical treatment, multimodal analgesia to reduce opioid use, and incorporation of enhanced recovery pathways. Preoperative evaluation focuses on acutely correctable problems, with the understanding that delaying surgery may worsen the outcome. Prophylaxis of venous thromboembolism, treatment of preoperative anemia and acute kidney injury, and cardiac stabilization are important measures to reduce morbidity. Multimodal analgesia incorporating regional anesthesia techniques may help prevent delirium and facilitate early participation in physical therapy to reduce complications.
Volume
88
Issue
4
First Page
237
Last Page
247
ISSN
1939-2869
Published In/Presented At
Ackermann, L., Schwenk, E. S., Lev, Y., & Weitz, H. (2021). Update on medical management of acute hip fracture. Cleveland Clinic journal of medicine, 88(4), 237–247. https://doi.org/10.3949/ccjm.88a.20149
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
33795248
Department(s)
Administration and Leadership
Document Type
Article