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Improving hip fracture care: striving for excellence

Published online by Cambridge University Press:  01 July 2013

N Nandi ,
M Maddula  and
O Sahota
N Nandi
Affiliation:
Nottingham University Hospitals NHS Trust, Nottingham, UK
M Maddula
Affiliation:
Nottingham University Hospitals NHS Trust, Nottingham, UK
O Sahota*
Affiliation:
Nottingham University Hospitals NHS Trust, Nottingham, UK
*
Address for correspondence: Professor Opinder Sahota, Health Care for the Older Person, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham NG7 2UH. Email: Opinder.sahota@nuh.nhs.uk
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Summary

Hip fracture is a common and potentially devastating injury that occurs mainly in older people. The incidence is predicted to rise by 30% in the next 10 years alone. Many of those who recover suffer a loss of mobility and independence. There is growing emphasis to improve the care of patients sustaining hip fracture, especially in those with concurrent cognitive impairment. This review focuses on current best practice as well as several key areas of management, including analgesia, anaemia and nutrition. In doing so, we hope to identify interventions that may form the basis of a future Enhanced Recovery Pathway dedicated to hip fracture care.

Keywords

hip fractureenhanced recovery after surgeryanaemiaanalgesianutritioncarbohydrate loadingdementiadeliriummultidisciplinary rehabilitation
Type
Review Article
Information
Reviews in Clinical Gerontology , Volume 23 , Issue 3 , August 2013 , pp. 223 - 233
Copyright
Copyright © Cambridge University Press 2013 

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