Geriatric hip fracture contributes significant morbidity and mortality to older people. The number of fragility hip fracture is expected to increase exponentially over the next 30 years as a result of increased life expectancy and population growth. Older adults with fragility fractures tend to have frailty and multiple comorbidities. Treatment is not only focusing on the orthopaedic problem, but also the geriatric issues associated with the fracture. To improve treatment outcomes, multidisciplinary treatment approaches with involvement of different healthcare professionals in the care pathway has been implemented. In this talk, the role of geriatrician, in particular, the comprehensive geriatric assessment (CGA) of patients with fragility fractures will be highlighted. CGA is a multidimensional and interdisciplinary process that seeks to determine the medical problems, functional and mental capacity, nutritional status and social situation of older patients in order to develop a coordinated and integrated care plan for treatment and long-term follow-up. In patients with fragility hip fracture, CGA and management emphasizes on collateral history, assessment of co-morbidities, medication review, optimization of medical conditions, peri-operative care and discharge planning. Furthermore, the importance of continuity of care when discharged from hospital, namely community rehabilitation, fall prevention, bone health, secondary prevention of fractures and follow-up, will also be emphasized.
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