Invited Commentary

Commentary on “Relation Between Prefracture Characteristics and Perioperative Complications in the Elderly Adult Patient With Hip Fracture”

Authors: Richard J. Lin, MD, PhD

Abstract

Hip fractures in elderly adults are associated with a staggeringly high short- and long-term mortality rate that cannot be explained by a fracture alone. Furthermore, the functional limitations of survivors can be pronounced.1 Many issues, including preoperative medical evaluation, timing of surgery, perioperative management of chronic medical problems, deep venous thrombosis prophylaxis, pain, delirium, nutrition, fluid status, and urinary tract management, are essential for the optimal care of these patients.2 Given the increased mortality rate associated with delay in surgery, timely medical optimization both before and after surgery is paramount, as illustrated in an analysis of surgical delay in patients with hip fracture.3

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