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- Title
The BOAST recommendations for care of the older or frail orthopaedic trauma patient.
- Authors
Sacks, Ben; Mughal, Hanaa N; Ahluwalia, Aashish; Rudran, Branavan; Parmar, Kishan R
- Abstract
Safe and effective care for the elderly or physiologically frail patient in cases of trauma requires a multidisciplinary perioperative approach. This article expands upon the British Orthopaedic Association Standards for Trauma and Orthopaedics guidelines for the management of the older or frail orthopaedic trauma patient. Optimisation of the patient is key to a successful surgical outcome, because these patients often have significant comorbidities involving bone health, nutrition, cognitive function and cardiovascular stability. This article discusses the evidence base for tailoring the management of these patients and the importance of doing so in an ageing population. It considers the requisite preoperative procedures and investigations, guidelines for specific cases such as comatose patients or those with complex fractures, and ceiling of care discussions, and then focuses on the postoperative period, including physiotherapy, rehabilitation goals and medical management.
- Subjects
WOUND care; ELDER care; GERIATRIC assessment; COGNITION; EMERGENCY medical services; FRACTURE fixation; HEALTH care teams; MEDICAL quality control; MEDICAL protocols; OCCUPATIONAL therapy; ORTHOPEDICS; PATIENTS; PATIENT safety; PHYSICAL therapy; POSTOPERATIVE period; PREOPERATIVE care; OLD age
- Publication
British Journal of Hospital Medicine (17508460), 2020, Vol 81, Issue 7, p1
- ISSN
1750-8460
- Publication type
Article
- DOI
10.12968/hmed.2020.0028