1. Perioperative Implications of Surgery in Elderly Patients with Hip Fractures: An Evidence-Based Review
- Author
-
Wasim S. Khan, Jonathan J E White, and Peter Smitham
- Subjects
medicine.medical_specialty ,Standard of care ,Population ,Comorbidity ,Perioperative Care ,Postoperative Complications ,Humans ,Medicine ,education ,Geriatric Assessment ,Aged ,Pressure Ulcer ,Older person ,Pain, Postoperative ,education.field_of_study ,Hip fracture ,Hip Fractures ,business.industry ,Delirium ,Venous Thromboembolism ,General Medicine ,Perioperative ,Evidence based review ,medicine.disease ,United Kingdom ,Surgery ,Physical therapy ,medicine.symptom ,business - Abstract
Hip fracture is a major cause of morbidity, mortality and loss of independence for the elderly. Surgical fixation of the fractured hip remains the standard of care to allow for early mobilisation and a return to independence. Operative management in this population carries its own set of problems. The altered physiological state of the older person, often coupled with significant co-morbidity, can present challenges for the anaesthetist, the surgeon and the rest of the perioperative team. This article provides an evidence-based review of the important perioperative factors associated with hip fractures in the older person and their management.
- Published
- 2011