Hip Fractures: Management

Description

Professor Matthew Costa gives his expert insights and discusses the management of patients with hip fractures, emphasizing the relative importance of surgical interventions compared to other factors affecting patient outcomes. Professor Costa asserts that surgery is only a small part of patient management and highlights that achieving timely surgical intervention, enabling rapid mobilization, and conducting comprehensive geriatric assessments are critical to improving patient mortality rates and health-related quality of life.



He identifies three key performance indicators: 1) reducing time to surgery to facilitate faster recovery, 2) promoting unrestricted weight-bearing mobilization soon after surgery, and 3) implementing thorough assessments of geriatric patients, covering aspects like falls, medication reviews, and nutrition. Professor Costa notes that the establishment of the Hip Fracture Database in the UK is a significant advancement in monitoring and improving care through real-time feedback of data, fostering collaboration among multidisciplinary teams.



Moreover, Professor Costa discusses the impact of payment-for-performance models on patient care, concluding that while financial incentives can enhance quality of care, the primary driver of better outcomes lies in effective data utilization and teamwork among healthcare professionals.




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DOI: 10.1302/3114-251096

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