Article: The BOAST recommendations for care of the older or frail orthopaedic trauma patient.
British journal of hospital medicine (London, England : 2005)
2020 Volume 81, Issue 7, Page(s) 1–8
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 ... ...
| 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. |
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| MeSH term(s) | Aged ; Aged, 80 and over ; Cardiovascular Diseases/epidemiology ; Cognition ; Coma ; Comorbidity ; Female ; Fractures, Bone ; Frailty/epidemiology ; Health Status ; Humans ; Male ; Nutritional Status ; Orthopedic Procedures/methods ; Orthopedic Procedures/rehabilitation ; Orthopedic Procedures/standards ; Patient Care Planning ; Physical Therapy Modalities ; Practice Guidelines as Topic ; United Kingdom |
| Language | English |
| Publishing date | 2020-07-29 |
| Publishing country | England |
| Document type | Journal Article |
| ISSN | 1750-8460 |
| ISSN | 1750-8460 |
| DOI | 10.12968/hmed.2020.0028 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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