Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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De Vincentis Antonio, Behr Astrid Ursula, Bellelli Giuseppe, Bravi Marco, Castaldo Anna, Galluzzo Lucia, Iolascon Giovanni, Maggi Stefania, Martini Emilio, Momoli Alberto, Onder Graziano, Paoletta Marco, Pietrogrande Luca, Roselli Mauro, Ruggeri Mauro, Ruggiero Carmelinda, Santacaterina Fabio, Tritapepe Luigi, Zurlo Amedeo, Antonelli Incalzi Raffaele, Società Italiana Geriatria e Gerontologia (SIGG),, Associazione Italiana di Psicogeriatria (AIP),, Società Italiana di Geriatria Ospedale e Territorio (SIGOT),, Società Italiana di Medicina Generale (SIMG),, Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI),, Società Italiana di Ortopedia e Traumatologia (SIOT),, Fragility Fracture Network-Italia (FFN-I),, Società Italiana di Medicina Fisica e Riabilitativa (SIMFER),, Società Italiana di Fisioterapia (SIF),, Consiglio Nazionale delle Ricerche (CNR),, Associazione Italiana di Fisioterapia (AIFI),, Istituto Superiore Sanità (ISS)
Аннотация
AIM: To develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF.
METHODS: A 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra- and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence.
RESULTS: A total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics).
CONCLUSION: These recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.