ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016
Geriatric hip fracture management: keys to providing a successful program.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Trial
- Trends and Complications of Hip Fracture Fixation Among Early Career Orthopaedic Surgeons: An Analysis of the American Board of Orthopaedic Surgery Part II Oral Examination Database.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Integrated 3D printing and case-based learning in orthopedic residency education for geriatric hip fracture management.Frontiers in surgery · 2025Article
- Treatment of Simultaneous Femoral Supracondylar Nonunion and Tibial Plateau Malunion along with Stiff Knee in a Young Patient: A Case Report.The archives of bone and joint surgery · 2023Article
- Usage of a Value-based Triaging Methodology for Assessing Improvements in Value for Hip Fracture Inpatient Episodes of Care From 2014 to 2019: A Pilot Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Preoperative Risk Factor Analysis and Dynamic Online Nomogram Development for Early Infections Following Primary Hip Arthroplasty in Geriatric Patients with Hip Fracture.Clinical interventions in aging · 2022Article
- Design and Evaluation of a Hospital-Based Educational Event on Fracture Care for Older Adult.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- The Ability of the Nottingham Hip Fracture Score to Predict Mobility, Length of Stay and Mortality in Hospital, and Discharge Destination in Patients Admitted with a Hip Fracture.Calcified tissue international · 2020Article
- Megaprosthesis in distal femur nonunions in elderly patients-experience from twenty four cases.International orthopaedics · 2020Article
- A three-year retrospective multi-center study on time to surgery and mortality for isolated geriatric hip fractures.Journal of clinical orthopaedics and trauma · 2020Article
- Does Comanagement of Patients With Hip Fracture Influence 30-Day Outcomes.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- POSSUM and P-POSSUM Scoring in Hip Fracture Mortalities.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- The implementation of a clinical pathway enhancing early surgery for geriatric hip fractures: how to maintain a success story?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Patient and Caregiver Understanding of Prognosis After Hip Fracture.Canadian geriatrics journal : CGJ · 2018Article
- Delivering high quality hip fracture rehabilitation: the perspective of occupational and physical therapy practitioners.Disability and rehabilitation · 2018Article
- Predicting Discharge Location among Low-Energy Hip Fracture Patients Using the Score for Trauma Triage in the Geriatric and Middle-Aged (STTGMA).Advances in orthopedics · 2018Article
- Focus on co-management in geriatric fracture care.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip fractures are a common event in older adults and are associated with significant morbidity, mortality and costs. This review examines the necessary elements required to implement a successful geriatric fracture program and identifies some of the barriers faced when implementing a successful program.
interventionThe Geriatric Fracture Center (GFC) is a treatment model that standardizes the approach to the geriatric fracture patient. It is based on five principles: surgical fracture management; early operative intervention; medical co-management with geriatricians; patient-centered, standard order sets to employ best practices; and early discharge planning with a focus on early functional rehabilitation. Implementing a geriatric fracture program begins with an assessment of the hospital's data on hip fractures and standard care metrics such as length of stay, complications, time to surgery, readmission rates and costs. Business planning is essential along with the medical planning process.
conclusionTo successfully develop and implement such a program, strong physician leadership is necessary to articulate both a short- and long-term plan for implementation. Good communication is essential-those organizing a geriatric fracture program must be able to implement standardized plans of care working with all members of the healthcare team and must also be able to foster relationships both within the hospital and with other institutions in the community. Finally, a program of continual quality improvement must be undertaken to ensure that performance outcomes are improving patient care.
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Registered trials
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