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The approach to patients with cognitive impairment and hip fracture: the role of orthogeriatric care

Published online by Cambridge University Press:  11 August 2014

Francisco J Tarazona-Santabalbina ,
Juan R Doménech-Pascual ,
Ángel Belenguer-Varea A  and
Eduardo Rovira Daudi
Francisco J Tarazona-Santabalbina*
Affiliation:
Department of Geriatrics, Hospital Universitario de la Ribera, Valencia, Spain
Juan R Doménech-Pascual
Affiliation:
Department of Geriatrics, Hospital Universitario de la Ribera, Valencia, Spain
Ángel Belenguer-Varea A
Affiliation:
Department of Geriatrics, Hospital Universitario de la Ribera, Valencia, Spain
Eduardo Rovira Daudi
Affiliation:
Department of Internal Medicine, Hospital Universitario de la Ribera, Valencia, Spain
*
Address for correspondence: Dr Francisco J. Tarazona-Santabalbina, Servicio de Geriatría, Hospital Universitario de la Ribera, Carretera de Corbera 1, 46600 – Alzira, Valencia, Spain. Email: [email protected]
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Summary

Hip fracture is very common among older patients, who are characterized by increased co-morbidities, including cognitive impairment. These patients have an increased risk of falls and fractures, poorer functional recovery and lower survival both in hospital and 12 months after discharge. We review the survival and functional outcomes of older patients with cognitive impairment and hip fracture managed in orthogeriatric units, and highlight the gaps in our knowledge of the efficacy and efficiency of specific orthogeriatric programmes for such patients and the future research perspectives in this field.

Keywords

hip fracturedementiageriatric assessmentfunctional recoverymortality
Type
Review Article
Information
Reviews in Clinical Gerontology , Volume 24 , Issue 3 , August 2014 , pp. 219 - 227
Copyright
Copyright © Cambridge University Press 2014 

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