Update on medical management of acute hip fracture.

Hip Fractures / surgery Humans Pain Pain Management Preoperative Care Venous Thromboembolism

Journal

Cleveland Clinic journal of medicine
ISSN: 1939-2869
Titre abrégé: Cleve Clin J Med
Pays: United States
ID NLM: 8703441

Informations de publication

Date de publication:
01 04 2021
Historique:
entrez: 2 4 2021
pubmed: 3 4 2021
medline: 26 11 2021
Statut: epublish

Résumé

Morbidity and mortality rates associated with acute hip fracture remain high. Over the past decade, the management of hip fracture has shifted to emphasize prompt surgical treatment, multimodal analgesia to reduce opioid use, and incorporation of enhanced recovery pathways. Preoperative evaluation focuses on acutely correctable problems, with the understanding that delaying surgery may worsen the outcome. Prophylaxis of venous thromboembolism, treatment of preoperative anemia and acute kidney injury, and cardiac stabilization are important measures to reduce morbidity. Multimodal analgesia incorporating regional anesthesia techniques may help prevent delirium and facilitate early participation in physical therapy to reduce complications.

Identifiants

DOI: 10.3949/ccjm.88a.20149 PMID: 33795248
pubmed: 33795248
pii: 88/4/237
doi: 10.3949/ccjm.88a.20149
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

237-247

Informations de copyright

Copyright © 2021 The Cleveland Clinic Foundation. All Rights Reserved.

Auteurs

Lily Ackermann (L)

Clinical Assistant Professor of Medicine, and Section Leader for Specialty Services, Division of Hospital Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA lily.ackermann@jefferson.edu.

Eric S Schwenk (ES)

Associate Professor of Anesthesiology and Orthopedic Surgery, and Director, Orthopedic Anesthesia, Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.

Yair Lev (Y)

Clinical Assistant Professor of Cardiology, and Medical Director, Inpatient Cardiology Unit, Department of Medicine, Division of Cardiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.

Howard Weitz (H)

Bernard L. Segal Professor of Clinical Cardiology, Senior Associate Dean, and Associate Chairman, Department of Medicine; Master Clinician, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.

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Classifications MeSH

questionsmedicales.fr › Plaies et blessures › Traumatismes de la jambe › Fractures du fémur › Fractures de la hanche › Update on medical management of acute hip fracture.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Update on medical management of acute hip fracture.
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Update on medical management of acute hip fracture.
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Prise en charge de la maladie › Gestion de la douleur › Update on medical management of acute hip fracture.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins périopératoires › Soins préopératoires › Update on medical management of acute hip fracture.
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Embolie et thrombose › Thromboembolie › Thromboembolisme veineux › Update on medical management of acute hip fracture.