Reviews in Clinical Gerontology

Review Article

Improving hip fracture care: striving for excellence

N Nandia1, M Maddulaa1 and O Sahotaa1 c1

a1 Nottingham University Hospitals NHS Trust, Nottingham, UK


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.

(Online publication July 01 2013)

Key words:

  • hip fracture;
  • enhanced recovery after surgery;
  • anaemia;
  • analgesia;
  • nutrition;
  • carbohydrate loading;
  • dementia;
  • delirium;
  • multidisciplinary rehabilitation


c1 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: