Background: Older adults with dementia are at increased risk of sustaining hip fractures. Hip fra... more Background: Older adults with dementia are at increased risk of sustaining hip fractures. Hip fractures are significant causes of morbidity and mortality, prolonged hospitalization, high risk of care home placement, and increased cost of care. Aims: To study the interactions between hip fractures and dementia, rehabilitation interventions or programmes after hip fractures in older adults with dementia, and dementia-focused interventions aimed at improving functional independence and outcomes. Method: Relevant literature published up to April 2023 was searched from electronic databases, mainly PubMed and Google Scholar. References of articles collected from these databases were also searched for suitable articles. Results: The review found considerable interplay between hip fractures and dementia. The majority of older adults with dementia who sustain hip fractures require hip surgery to reduce pain, enable early mobilization with full weight-bearing, increase functional independence, and promote good outcomes. Rehabilitation post hip surgery involving multidisciplinary team effort mostly led to improved functional independence, better walking ability, and reduced post-operative complications; although older adults with hip fractures and dementia are frequently underrepresented in clinical trials. Conclusions: Enhanced multidisciplinary, properly coordinated , orthogeriatric rehabilitation service is imperative to achieve the best possible outcomes following hip fractures in older adults with dementia. This should be done by taking into consideration the specific peculiarities of older adults with dementia and should focus on physical, mental, social, and cognitive well-being to improve outcomes.
Background: Older adults with dementia are at increased risk of sustaining hip fractures. Hip fra... more Background: Older adults with dementia are at increased risk of sustaining hip fractures. Hip fractures are significant causes of morbidity and mortality, prolonged hospitalization, high risk of care home placement, and increased cost of care. Aims: To study the interactions between hip fractures and dementia, rehabilitation interventions or programmes after hip fractures in older adults with dementia, and dementia-focused interventions aimed at improving functional independence and outcomes. Method: Relevant literature published up to April 2023 was searched from electronic databases, mainly PubMed and Google Scholar. References of articles collected from these databases were also searched for suitable articles. Results: The review found considerable interplay between hip fractures and dementia. The majority of older adults with dementia who sustain hip fractures require hip surgery to reduce pain, enable early mobilization with full weight-bearing, increase functional independence, and promote good outcomes. Rehabilitation post hip surgery involving multidisciplinary team effort mostly led to improved functional independence, better walking ability, and reduced post-operative complications; although older adults with hip fractures and dementia are frequently underrepresented in clinical trials. Conclusions: Enhanced multidisciplinary, properly coordinated , orthogeriatric rehabilitation service is imperative to achieve the best possible outcomes following hip fractures in older adults with dementia. This should be done by taking into consideration the specific peculiarities of older adults with dementia and should focus on physical, mental, social, and cognitive well-being to improve outcomes.
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