Author: Judy Thomas, M.D. & Kathleen Pace Murphy, PhD., M.S.
In 2010, there were approximately 258,000 persons admitted to hospitals with a diagnosis of fractured hips (National Hospital Discharge Survey, 2010).
The most common etiology for fractured hips is falls.
One out five older adults diagnosed with hip fractures will die within the first year of their injury (Farahmand, Michaelsson, Ahlbom et al. 2005).
Incidence of hip fractures is bimodal distribution with one peak represented by hip fractures due to high energy trauma in young adults and the larger peak seen in elderly population due to low-energy injury.The term “hip fractures” encompasses five subtypes of fractures of the proximal femur. The subtypes are:
Surgical repair for a hip fracture is usually very effective.
Without surgery, many patients are left with significant pain, a shortened leg and immobility which can lead to complications such as pneumonia, DVT and pressure ulcers.
A conservative approach may be an option in severely demented, very ill, or terminal patients if they are comfortable. In certain cases, internal fixation with pinning can be considered palliative.
Complications following hip fractures include deep vein thrombosis and pulmonary embolism, urinary tract infections, pressure ulcers, pneumonia, and delirium.
Delirium is the most common complication following hip fracture.
Common causes of delirium in post-operative hip fracture patients include:
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National Hospital Discharge Survey (NHDS), National Center for Health Statistics. Available at: http://184.108.40.206/hdi/ReportFolders/ReportFolders.aspx?IF_ActivePath=P,18 Accessed August 29, 2013.