Important perioperative factors, guidelines and outcomes in the management of hip fracture.
Harry Kyriacou, Wasim S Khan
PMID 32301387WHAT IT FOUND
This review summarises perioperative care for hip fracture patients.
It highlights the need for early surgery, prompt mobilisation, and awareness of physical and psychosocial complications. It notes that current risk prediction tools do not yet account for social factors.
Key findings
01Guidelines advise hip fracture surgery as soon as possible, ideally on the day of presentation or within 36 hours.
02Prompt mobilisation reduces the rate of physical complications, but requires good postoperative pain control to be achievable.
03Existing multifactor tools for predicting hip fracture outcomes do not currently consider social factors, which may influence mortality.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs
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What it does not show
This is a narrative review, not a systematic review, so the selection of cited studies may be biased. It does not report new data or a meta-analysis of effect sizes. The review states it may not be exhaustive.
Declared interests
No competing interests declared.
The easy way to misread this
Do not treat this as evidence for a specific new intervention. It is a summary of existing guidelines and observational data, not a trial testing a new treatment.