Role of comprehensive geriatric assessment in the management of osteoporotic hip fracture in the elderly: an overview

Disabil Rehabil. 2013 May;35(9):758-65. doi: 10.3109/09638288.2012.707747. Epub 2012 Aug 10.


Purpose: To highlight the advantages of comprehensive geriatric assessment (CGA) over usual care in the management of elderly patients with fragility hip fractures in terms of reducing the related mortality and disability.

Method: An overview of publications on the topic was conducted using the MEDLINE and EMBASE databases.

Results: Several models of geriatric and orthopedic comanagement have been developed in recent years, all characterized by a variable degree of integration, and they have been shown to reduce complications, disability and mortality in elderly hip-fracture patients. Preoperatively, CGA should identify the comorbidities that need to be treated in view of surgery, so as to reduce the related risks. After surgery, CGA should deal with medical complications and assure patients an early mobilization in order to reduce short-term mortality and contain functional decline. Before discharge, the orthogeriatric team should draw up a tailored program to promote the patient's functional recovery and satisfactory quality of life, also covering the secondary prevention of fragility fractures by improving bone quality and reducing the risk of falls.

Conclusions: Fragility hip fractures in the elderly people need to be managed by different professionals working in close cooperation and adopting a CGA.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Comprehensive Health Care / methods*
  • Geriatric Assessment / methods*
  • Health Services for the Aged / organization & administration*
  • Hip Fractures / rehabilitation*
  • Hip Fractures / surgery
  • Humans
  • Length of Stay
  • Osteoporosis / complications
  • Osteoporotic Fractures / rehabilitation*
  • Osteoporotic Fractures / surgery
  • Patient Care Planning*
  • Patient Care Team / organization & administration
  • Recovery of Function