Challenges in Delivering Effective Care for Older Persons with Fragility Fractures

IF 3.6 3区医学

Clinical Interventions in Aging Pub Date : 2024-01-24 DOI:10.2147/cia.s433999

Yesid Hurtado, Odismar Andrea Hernández, Diana Patricia Atencio De Leon, Gustavo Duque

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引用次数: 0

Abstract

Abstract: Fragility fractures occur because of low-impact trauma or even spontaneously in individuals with osteoporosis. Caring for older persons with fragility fractures can present several challenges due to the unique needs and vulnerabilities of this population. Older individuals commonly have multiple medical conditions, such as osteoporosis, arthritis, cardiovascular diseases, and diabetes. These comorbidities can complicate fracture management and increase the risk of complications. Fracture repair through surgery may be more complex in older patients due to poor bone quality, decreased tissue elasticity, and higher chances of anesthesia complications. In addition, mobility and functional limitations post-fracture are highly prevalent in this population, affecting their independence and increasing their risk of institutionalization. Addressing these challenges requires a multidisciplinary approach involving orthopedic surgeons, geriatricians, physical and rehabilitation physicians, physiotherapists, occupational therapists, dieticians, social workers, and caregivers. Preventive measures, such as fall prevention strategies and osteoporosis management, can also play a vital role in reducing the incidence of fragility fractures in older persons.

Keywords: osteoporosis, fragility fractures, older persons, osteosarcopenia, rehabilitation

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为患有脆性骨折的老年人提供有效护理所面临的挑战

摘要：脆性骨折发生于低冲击性创伤，甚至是骨质疏松症患者的自发性骨折。由于老年人群的特殊需求和脆弱性，护理脆性骨折老年人可能会面临一些挑战。老年人通常患有多种疾病，如骨质疏松症、关节炎、心血管疾病和糖尿病。这些合并症会使骨折治疗复杂化，增加并发症的风险。由于骨质较差、组织弹性降低以及麻醉并发症的几率较高，老年患者通过手术进行骨折修复可能会更加复杂。此外，骨折后行动不便和功能受限在这一人群中非常普遍，影响了他们的独立性，增加了他们入院治疗的风险。要应对这些挑战，需要骨科医生、老年病学家、物理和康复医师、理疗师、职业治疗师、营养师、社工和护理人员等多学科人员的参与。预防措施，如跌倒预防策略和骨质疏松症管理，在降低老年人脆性骨折的发生率方面也能发挥重要作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.20

自引率

2.80%

发文量

193

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.