Antonio De Vincentis1, Astrid Ursula Behr2, Giuseppe Bellelli3,4, Marco Bravi5, Anna Castaldo6, Claudio Cricelli7, Lucia Galluzzo8, Giovanni Iolascon9, Stefania Maggi10, Emilio Martini11, Alberto Momoli12, Graziano Onder8, Marco Paoletta9, Mauro Roselli13, Mauro Ruggeri14, Fabio Santacaterina5, Luigi Tritapepe15, Amedeo Zurlo16, Raffaele Antonelli Incalzi17. 1. Geriatric and Gerontology Department, Campus Bio-Medico University of Rome, via Alvaro del Portillo, 200, 00128, Rome, Italy. a.devincentis@unicampus.it. 2. Operative Unit of Anesthesia and Resuscitation, Hospital of Camposampiero, Padua, Italy. 3. Acute Geriatric and Orthogeriatric Unit, S. Gerardo Hospital, Monza, Italy. 4. Milano-Bicocca University, Milan, Italy. 5. Physical and Rehabilitation Medicine Department, Campus Bio-Medico University of Rome, Rome, Italy. 6. IRCCS SMN Fondazione Don Gnocchi, Milano, Italy. 7. Italian College of General Practitioners, Florence, Italy. 8. Department of Cardiovascular, Endocrine-Metabolic Diseases and Ageing, Istituto Superiore di Sanità, Rome, Italy. 9. Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy. 10. Neuroscience Institute, Aging Branch, CNR, Padua, Italy. 11. Orthogeriatric Unit, Azienda Ospedaliero Universitaria di Modena, Ospedale Civile Di Baggiovara, Modena, Italy. 12. Orthopedic and Traumatology Unit, San Bortolo Hospital, Vicenza, Italy. 13. Orthopedic and Traumatology Unit, "Maria Vittoria" Hospital, Torino, Italy. 14. Società Italiana Di Medicina Generale (SIMG), Firenze, Italy. 15. Operative Unit of Anesthesia and Intensive Care Medicine, San Camillo-Forlanini Hospital, Rome, Italy. 16. Geriatric and Orthogeriatric Unit, Arcispedale S. Anna, University of Ferrara, Ferrara, Italy. 17. Geriatric and Gerontology Department, Campus Bio-Medico University of Rome, via Alvaro del Portillo, 200, 00128, Rome, Italy.
Abstract
BACKGROUND: Hip fracture (HF) is a burdening health problem in older people. The orthogeriatric approach has been shown to favour functional recovery and reduce mortality, but its implementation in clinical practice cannot rely upon shared management protocols and greatly varies among different healthcare systems. Here, we present the rationale and design of the Italian consensus document on the management of HF in older people. METHODS: A panel of multidisciplinary experts from ten Italian scientific societies involved in the care of HF and including geriatricians, orthopaedics, anaesthesiologists, physiatrists and general practitioners, will join to establish the content validity of a list of statements. A Delphi consensus methodology will be applied to obtain the opinions of the panel and to provide the final recommendations. OBJECTIVES: The document will include indications on the following relevant topics: (1) optimal care path of older subjects with HF; (2) management of comorbidities and pre-operative alteration of physiological parameters; (3) management of selected categories of patients at expected increased risk of adverse outcomes; (4) continuity of care out of hospital; (5) screening and correction of risk factors for HF in older subjects; (6) information and divulgation of shared management strategies. The objective of the consensus will be to inform clinicians, patients, researchers, and health policy makers about the best management strategies for HF in older people and their inherent limitations, thus facilitating communication between stakeholders and promoting the most cost/effective models of care.
BACKGROUND:Hip fracture (HF) is a burdening health problem in older people. The orthogeriatric approach has been shown to favour functional recovery and reduce mortality, but its implementation in clinical practice cannot rely upon shared management protocols and greatly varies among different healthcare systems. Here, we present the rationale and design of the Italian consensus document on the management of HF in older people. METHODS: A panel of multidisciplinary experts from ten Italian scientific societies involved in the care of HF and including geriatricians, orthopaedics, anaesthesiologists, physiatrists and general practitioners, will join to establish the content validity of a list of statements. A Delphi consensus methodology will be applied to obtain the opinions of the panel and to provide the final recommendations. OBJECTIVES: The document will include indications on the following relevant topics: (1) optimal care path of older subjects with HF; (2) management of comorbidities and pre-operative alteration of physiological parameters; (3) management of selected categories of patients at expected increased risk of adverse outcomes; (4) continuity of care out of hospital; (5) screening and correction of risk factors for HF in older subjects; (6) information and divulgation of shared management strategies. The objective of the consensus will be to inform clinicians, patients, researchers, and health policy makers about the best management strategies for HF in older people and their inherent limitations, thus facilitating communication between stakeholders and promoting the most cost/effective models of care.
Entities:
Keywords:
Elderly; Hip fracture; Orthogeriatric co-management
Authors: Antonio De Vincentis; Astrid Ursula Behr; Giuseppe Bellelli; Marco Bravi; Anna Castaldo; Lucia Galluzzo; Giovanni Iolascon; Stefania Maggi; Emilio Martini; Alberto Momoli; Graziano Onder; Marco Paoletta; Luca Pietrogrande; Mauro Roselli; Mauro Ruggeri; Carmelinda Ruggiero; Fabio Santacaterina; Luigi Tritapepe; Amedeo Zurlo; Raffaele Antonelli Incalzi Journal: Aging Clin Exp Res Date: 2021-07-21 Impact factor: 3.636
Authors: T Chevalley; M L Brandi; E Cavalier; N C Harvey; G Iolascon; C Cooper; D Hannouche; J-F Kaux; A Kurth; S Maggi; G Maier; K Papavasiliou; N Al-Daghri; M Sosa-Henríquez; N Suhm; U Tarantino; J-Y Reginster; R Rizzoli Journal: Osteoporos Int Date: 2021-05-20 Impact factor: 4.507
Authors: Chiara Marocco; Giovanna Zimatore; Edoardo Mocini; Rachele Fornari; Giovanni Iolascon; Maria Chiara Gallotta; Viviana Maria Bimonte; Carlo Baldari; Andrea Lenzi; Silvia Migliaccio Journal: Int J Environ Res Public Health Date: 2021-02-10 Impact factor: 3.390