title: [Geriatric fracture centers. Improved patient care and economic benefits].
abstract: The world's population is aging resulting in changes in the way we manage geriatric care. Furthermore, this population has a considerable risk of fragility fractures, most notably hip fractures. Hip fractures are associated with significant morbidity and mortality and have large economic consequences. It is due to these factors that the concept of an elderly trauma center was developed. These trauma centers utilize the expertise in orthopedic and geriatric disciplines to provide coordinated care to the elderly hip fracture patient. As a result, studies have demonstrated improvements in clinical outcomes within the hospital stay, a reduction in iatrogenic complications, and improvements in 1-year mortality rates compared to the usual care given at a similar facility. Furthermore, economic models have demonstrated that there is a role for regionalized hip fracture centers that can be both profitable and provide more efficient care to these patients.
authors.affiliation: Department of Orthopaedic Surgery, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, 14642, Box 665, Rochester, NY, USA. Stephenkates12@gmail.com.
authors.forename: S L
authors.initials: SL
authors.lastname: Kates
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017046:Cost Savings / Q000191:economics* / Q000706:statistics & numerical data; D050723:Fractures, Bone / Q000401:mortality* / Q000628:therapy*; D005858:Germany / Q000453:epidemiology; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006299:Health Services for the Aged / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D038622:Internationality; D008297:Male; D008875:Middle Aged; D058996:Quality Improvement / Q000191:economics / Q000706:statistics & numerical data; D015996:Survival Rate; D014193:Trauma Centers / Q000191:economics* / Q000706:statistics & numerical data; D016896:Treatment Outcome
keywords: Fragility fracture program; Geriatric fracture center; Geriatrics; Hip fractures; Outcomes