SHM's Clinical Quick Talks-Hospital Management of Hip Fractures, an Evidenced Based Algorithm

Hospital Management of Hip Fractures, an Evidenced Based Algorithm

Pdf Summary

Hip fractures in the elderly population are a common and serious issue, leading to high rates of hospitalization and mortality. To manage these cases effectively, hospital teams must follow evidenced-based algorithms to provide appropriate care. Key points to consider include the evaluation of syncope, management of diagnosed osteoporosis and secondary causes, timely surgical intervention for improved outcomes, DVT prophylaxis post-hip fracture surgery, multimodal pain control strategies, and Vitamin D supplementation. Notably, interventions such as echocardiograms for syncope, identifying fragility fractures as evidence of osteoporosis, and early surgical treatment to reduce mortality risk are highlighted. Furthermore, DVT prophylaxis with agents like apixaban or rivaroxaban showed superiority over enoxaparin, and multimodal pain control methods have been effective for post-operative pain management. Vitamin D supplementation, along with calcium, is recommended to reduce falls and fractures in older adults. Following these recommendations can lead to better outcomes for patients with hip fractures, reducing complications and improving overall quality of care.

Asset Subtitle

Ian Gleaner

Keywords

Hip fractures

Elderly population

Hospitalization

Mortality

Evidenced-based algorithms

Osteoporosis

Surgical intervention

DVT prophylaxis

Multimodal pain control

Vitamin D supplementation