Coutaz M
Rev Med Suisse. 2014 Nov 5;10(449):2087-9.
Hip fracture management by the geriatrician demands a close cooperation with orthopedic surgeons and a interdisciplinary approach with the implementation of protocole-driven care to standardize the care of most patients. From admission to discharge this orthogeriatric management is based on the comprehensive geriatric assessment to reduce the delays in surgery, the occurence of delirium or the most postoperative complications. This collaborative model of care seems to have the potential to improve function, admissions to nursing homes and mortality outcomes compared with usual care of geriatric patient with hip fracture.
老年科医生对髋部骨折的管理需要与骨科医生密切合作，并采用跨学科方法，实施基于协议的护理，以规范大多数患者的护理。从入院到出院，这种骨科-老年科联合管理基于全面的老年综合评估，以减少手术延迟、谵妄的发生或大多数术后并发症。与髋部骨折老年患者的常规护理相比，这种协作式护理模式似乎有可能改善功能、减少入住养老院的情况并改善死亡率结局。
