Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program
Abstract With the advent of global aging, the incidence, mortality, and medical costs of hip fracture among aged patients are increasing annually. The number of controlled clinical studies and health economics analyses that conform to evidence-based medicine principles is growing day by day. However...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Oxford University Press
2019-08-01
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| Series: | Burns & Trauma |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41038-019-0159-y |
| _version_ | 1818127569305731072 |
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| author | Zaiyang Liu Jun Zhang Kaiqi He Yumei Zhang Yuan Zhang |
| author_facet | Zaiyang Liu Jun Zhang Kaiqi He Yumei Zhang Yuan Zhang |
| author_sort | Zaiyang Liu |
| collection | DOAJ |
| description | Abstract With the advent of global aging, the incidence, mortality, and medical costs of hip fracture among aged patients are increasing annually. The number of controlled clinical studies and health economics analyses that conform to evidence-based medicine principles is growing day by day. However, unfortunately, no specific recommendations regarding the procedures for the treatment of hip fracture are available. Meanwhile, the existence of both traditional treatment systems and new treatment theories means that most doctors confront difficult choices in their daily practice. These factors make the therapeutic approach for aged patients, especially among superaged patients with hip fracture, extremely challenging. This study focuses on superaged patients (> 80 years as defined by the World Health Organization) with hip fracture and includes their preoperative pathological condition; therapeutic decision-making in terms of the benefit and risk ratio, damage control theory, and enhanced recovery after surgery were also investigated. These patients were discussed specifically by combining the current treatment strategies from several experts and the results of a meta-analysis published recently. The study presents some new ideas and approaches currently recognized in the field, such as preoperative assessment, surgical planning, safety consideration, complication intervention, and enhanced recovery implementation, and further presents some clear interpretations regarding misunderstandings in clinical practice. Finally, optimized treatment according to damage control principles and enhanced recovery after surgery during the perioperative period among superaged hip fracture patients is defined. |
| first_indexed | 2024-12-11T07:19:26Z |
| format | Article |
| id | doaj.art-f84b55644b6243c8bdfdafab8c244a4d |
| institution | Directory Open Access Journal |
| issn | 2321-3876 |
| language | English |
| last_indexed | 2024-12-11T07:19:26Z |
| publishDate | 2019-08-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Burns & Trauma |
| spelling | doaj.art-f84b55644b6243c8bdfdafab8c244a4d2022-12-22T01:16:08ZengOxford University PressBurns & Trauma2321-38762019-08-017111010.1186/s41038-019-0159-yOptimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery programZaiyang Liu0Jun Zhang1Kaiqi He2Yumei Zhang3Yuan Zhang4Department of Orthopedics, Xinqiao Hospital, Army Medical UniversityDepartment of Orthopedics, Xinqiao Hospital, Army Medical UniversityDepartment of Orthopedics, Xinqiao Hospital, Army Medical UniversityDepartment of Orthopedics, Xinqiao Hospital, Army Medical UniversityDepartment of Orthopedics, Xinqiao Hospital, Army Medical UniversityAbstract With the advent of global aging, the incidence, mortality, and medical costs of hip fracture among aged patients are increasing annually. The number of controlled clinical studies and health economics analyses that conform to evidence-based medicine principles is growing day by day. However, unfortunately, no specific recommendations regarding the procedures for the treatment of hip fracture are available. Meanwhile, the existence of both traditional treatment systems and new treatment theories means that most doctors confront difficult choices in their daily practice. These factors make the therapeutic approach for aged patients, especially among superaged patients with hip fracture, extremely challenging. This study focuses on superaged patients (> 80 years as defined by the World Health Organization) with hip fracture and includes their preoperative pathological condition; therapeutic decision-making in terms of the benefit and risk ratio, damage control theory, and enhanced recovery after surgery were also investigated. These patients were discussed specifically by combining the current treatment strategies from several experts and the results of a meta-analysis published recently. The study presents some new ideas and approaches currently recognized in the field, such as preoperative assessment, surgical planning, safety consideration, complication intervention, and enhanced recovery implementation, and further presents some clear interpretations regarding misunderstandings in clinical practice. Finally, optimized treatment according to damage control principles and enhanced recovery after surgery during the perioperative period among superaged hip fracture patients is defined.http://link.springer.com/article/10.1186/s41038-019-0159-yHip fractureSuperaged patientFemoral neck fractureFemoral intertrochanteric fractureDamage controlElderly orthopedic care |
| spellingShingle | Zaiyang Liu Jun Zhang Kaiqi He Yumei Zhang Yuan Zhang Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program Burns & Trauma Hip fracture Superaged patient Femoral neck fracture Femoral intertrochanteric fracture Damage control Elderly orthopedic care |
| title | Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program |
| title_full | Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program |
| title_fullStr | Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program |
| title_full_unstemmed | Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program |
| title_short | Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program |
| title_sort | optimized clinical practice for superaged patients with hip fracture significance of damage control and enhanced recovery program |
| topic | Hip fracture Superaged patient Femoral neck fracture Femoral intertrochanteric fracture Damage control Elderly orthopedic care |
| url | http://link.springer.com/article/10.1186/s41038-019-0159-y |
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