Interdisciplinary care of hip fractures.: Orthogeriatric models, alternative models, interdisciplinary teamwork

Best Pract Res Clin Rheumatol. 2019 Apr;33(2):205-226. doi: 10.1016/j.berh.2019.03.015. Epub 2019 Apr 30.

Abstract

Hip fractures are common among older people, and the prognosis is serious in terms of mobility, independence in daily life activities, and cognition, with 42% of patients never achieving the same function as before the fracture. Norway has the highest incidence of hip fractures, and the important tasks are to improve patient care and prevent new fractures. The aim was to develop Norwegian Guidelines for Interdisciplinary Care for Hip Fractures, which included models of care, organization, and clinical issues. These guidelines were based on review of the literature, including existing guidelines such as the NICE guidelines, as well as clinical experience of the members of the group, where consensus was reached after discussions. The guidelines focus on interdisciplinary patient management through a clinical pathway from admission to discharge. Here, we will present a shortened and internationally adapted version of these guidelines, which has newly been released.

Keywords: Guidelines; Hip fracture; Interdisciplinary.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Health Services for the Aged / organization & administration
  • Hip Fractures / epidemiology
  • Hip Fractures / therapy*
  • Humans
  • Male
  • Models, Biological
  • Models, Organizational
  • Norway / epidemiology
  • Orthopedics
  • Patient Care Team*
  • Practice Guidelines as Topic