Prevention and Clinical Management of Hip Fractures in Patients With Dementia
Open Access
- 1 November 2010
- journal article
- research article
- Published by SAGE Publications in Geriatric Orthopaedic Surgery & Rehabilitation
- Vol. 1 (2), 63-72
- https://doi.org/10.1177/2151458510389465
Abstract
Hip fractures and dementia increase exponentially with age, and patients who are afflicted by both conditions suffer significant morbidity and mortality. The aging of our population heightens the need to recognize the interaction of these conditions in order to improve our efforts to prevent hip fractures, provide acute care that improves outcomes, and provide secondary prevention and rehabilitation that returns patients to their previous level of functioning. Identification and treatment of vitamin D deficiency and osteoporosis and assessment and interventions to reduce falls in patients with dementia can significantly impact the incidence of first and subsequent hip fractures. Acute management of hip fractures that focuses on comanagement by orthopedic surgeons and geriatricians and uses protocol-driven geriatric-focused care has been shown to decrease mortality, length of hospitalization, readmission rates, and complications including delirium. Patients with mild-to-moderate dementia benefit from intensive geriatric rehabilitation to avoid nursing home placement. Recognizing the need to optimize primary and secondary prevention of hip fractures in patients with dementia and educating providers and families will lead to improved quality of life for patients affected by dementia and hip fractures.Keywords
This publication has 99 references indexed in Scilit:
- Missed Opportunities for Osteoporosis Treatment in Patients Hospitalized for Hip FractureJournal of the American Geriatrics Society, 2010
- Risk factors for second hip fractures among elderly patientsJournal of Orthopaedic Science, 2010
- Incidence and Prediction of Falls in Dementia: A Prospective Study in Older PeoplePLOS ONE, 2009
- Recurrent and Injurious Falls in the Year Following Hip Fracture: A Prospective Study of Incidence and Risk Factors From the Sarcopenia and Hip Fracture StudyThe Journals of Gerontology: Series A, 2009
- Incidence and Economic Burden of Osteoporosis-Related Fractures in the United States, 2005–2025Journal of Bone and Mineral Research, 2007
- A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fractureOsteoporosis International, 2006
- The impact of cognitive impairment on short-term outcomes of hip fracture patientsArchives of Gerontology and Geriatrics, 2006
- Early Ambulation After Hip FractureArchives of Internal Medicine, 2006
- Effect of Vitamin D on FallsJAMA, 2004
- Risk Factors for Falls among Elderly Persons Living in the CommunityNew England Journal of Medicine, 1988