Prevention and Clinical Management of Hip Fractures in Patients With Dementia
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 fra...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2010-11-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/2151458510389465 |
| _version_ | 1811328045505576960 |
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| author | Isaura B. Menzies MD, MPH Daniel A. Mendelson MS, MD Stephen L. Kates MD Susan M. Friedman MD, MPH |
| author_facet | Isaura B. Menzies MD, MPH Daniel A. Mendelson MS, MD Stephen L. Kates MD Susan M. Friedman MD, MPH |
| author_sort | Isaura B. Menzies MD, MPH |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T15:18:25Z |
| format | Article |
| id | doaj.art-d3d3482f7b7d48beb4ef63e0a3c3af9a |
| institution | Directory Open Access Journal |
| issn | 2151-4585 2151-4593 |
| language | English |
| last_indexed | 2024-04-13T15:18:25Z |
| publishDate | 2010-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-d3d3482f7b7d48beb4ef63e0a3c3af9a2022-12-22T02:41:46ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45852151-45932010-11-01110.1177/2151458510389465Prevention and Clinical Management of Hip Fractures in Patients With DementiaIsaura B. Menzies MD, MPH0Daniel A. Mendelson MS, MD1Stephen L. Kates MD2Susan M. Friedman MD, MPH3 University of Rochester School of Medicine and Dentistry, Rochester, NY, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USA University of Rochester School of Medicine and Dentistry, Rochester, NY, USAHip 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.https://doi.org/10.1177/2151458510389465 |
| spellingShingle | Isaura B. Menzies MD, MPH Daniel A. Mendelson MS, MD Stephen L. Kates MD Susan M. Friedman MD, MPH Prevention and Clinical Management of Hip Fractures in Patients With Dementia Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Prevention and Clinical Management of Hip Fractures in Patients With Dementia |
| title_full | Prevention and Clinical Management of Hip Fractures in Patients With Dementia |
| title_fullStr | Prevention and Clinical Management of Hip Fractures in Patients With Dementia |
| title_full_unstemmed | Prevention and Clinical Management of Hip Fractures in Patients With Dementia |
| title_short | Prevention and Clinical Management of Hip Fractures in Patients With Dementia |
| title_sort | prevention and clinical management of hip fractures in patients with dementia |
| url | https://doi.org/10.1177/2151458510389465 |
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