Management of hip fracture in the older people: rationale and design of the Italian consensus on the orthogeriatric co-management

Antonio De Vincentis, Astrid Ursula Behr, Giuseppe Bellelli, Marco Bravi, Anna Castaldo, Claudio Cricelli, Lucia Galluzzo, Giovanni Iolascon, Stefania Maggi, Emilio Martini, Alberto Momoli, Graziano Onder, Marco Paoletta, Mauro Roselli, Mauro Ruggeri, Fabio Santacaterina, Luigi Tritapepe, Amedeo Zurlo, Raffaele Antonelli Incalzi

Research output: Contribution to journalEditorial

Abstract

Background: Hip fracture (HF) is a burdening health problem in older people. The orthogeriatric approach has been shown to favour functional recovery and reduce mortality, but its implementation in clinical practice cannot rely upon shared management protocols and greatly varies among different healthcare systems. Here, we present the rationale and design of the Italian consensus document on the management of HF in older people. Methods: A panel of multidisciplinary experts from ten Italian scientific societies involved in the care of HF and including geriatricians, orthopaedics, anaesthesiologists, physiatrists and general practitioners, will join to establish the content validity of a list of statements. A Delphi consensus methodology will be applied to obtain the opinions of the panel and to provide the final recommendations. Objectives: The document will include indications on the following relevant topics: (1) optimal care path of older subjects with HF; (2) management of comorbidities and pre-operative alteration of physiological parameters; (3) management of selected categories of patients at expected increased risk of adverse outcomes; (4) continuity of care out of hospital; (5) screening and correction of risk factors for HF in older subjects; (6) information and divulgation of shared management strategies. The objective of the consensus will be to inform clinicians, patients, researchers, and health policy makers about the best management strategies for HF in older people and their inherent limitations, thus facilitating communication between stakeholders and promoting the most cost/effective models of care.

Original languageEnglish
JournalAging clinical and experimental research
DOIs
Publication statusAccepted/In press - Jan 1 2020

Keywords

  • Elderly
  • Hip fracture
  • Orthogeriatric co-management

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology

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    De Vincentis, A., Behr, A. U., Bellelli, G., Bravi, M., Castaldo, A., Cricelli, C., Galluzzo, L., Iolascon, G., Maggi, S., Martini, E., Momoli, A., Onder, G., Paoletta, M., Roselli, M., Ruggeri, M., Santacaterina, F., Tritapepe, L., Zurlo, A., & Antonelli Incalzi, R. (Accepted/In press). Management of hip fracture in the older people: rationale and design of the Italian consensus on the orthogeriatric co-management. Aging clinical and experimental research. https://doi.org/10.1007/s40520-020-01574-4