Importance of orthogeriatric care in patients with hip fracture. About a case.

Abstract

Hip fracture is a serious social health problem, the prevalence increases with age and susceptibility to the female sex. It increases the risk of mortality, dependency and institutionalization in older adults. The case of an 80-year-old woman who comes to the emergency room of a second-level hospital with a left intertrochanteric fracture, associated with controlled cardiac comorbidity, good family relationship, without alteration in the cognitive sphere, independent for basic and instrumental activities is reported. of daily life. Left hip arthroplasty was performed, without pre and post-surgical evaluation by Geriatrics, or physiotherapy intervention, she was discharged from hospital 48 hours after surgery, without a home intervention plan. Patient died at 6 months at home, with functional deterioration, pressure ulcers and bedridden. The importance of orthogeriatrics as a model of care with an interdisciplinary approach aims to reduce hospital stay, avoid pre and postoperative complications, recover previous functionality with treatments in relation to the need of the elderly, achieving autonomy and social reintegration.