Guideline | Resources |
Hip Fracture in Older Adults | 2023 AAOS Appropriate Use Criteria |
Key Points
Use multimodal analgesia incorporating pre-op nerve block to treat pain. Surgery w/in 48h of admission associated w/ better outcomes. Use intensive rehab post-d/c. Access the AAOS Appropriate Use Criteria for Hip Fractures in Older Adults: Acute Treatment and Post-op Rehab.
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American Academy of Orthopaedic Surgeons Management of Hip Fractures in Older Adults Evidence-Based Clinical Practice Guideline. Published December 3, 2021.
Epocrates Guideline Synopsis Last Update:
May 13, 2024
Publication Year:
2023
Source:
AAOS
- American Academy of Orthopaedic Surgeons
Endorsed By:
AAHKS, OTA, APTA, AAPM&R
Recommendation Strength
[S] | Strong (≥2 high-quality studies w/ consistent findings) |
[M] | Moderate (≥2 mod-quality studies w/ consistent findings or 1 high-quality study) |
[L] | Limited (≥2 low-quality studies w/ consistent findings or 1 mod-quality study) |
[C] | Consensus opinion (1 low-quality study, no supporting evidence) |
Abbreviations
AAHKS | American Association of Hip and Knee Surgeons |
AAOS | American Academy of Orthopaedic Surgeons |
AAPM&R | American Academy of Physical Medicine and Rehabilitation |
APTA | American Physical Therapy Association |
AUC | Appropriate Use Criteria |
fx | fracture |
IRF | Inpatient Rehab Facility |
MMSE | Mini-Mental State Examination |
OTA | Orthopaedic Trauma Association |
SNF | Skilled Nursing Facility |
Recommendation Strength
S | = | Strong (≥2 high-quality studies w/ consistent findings) |
M | = | Moderate (≥2 mod-quality studies w/ consistent findings or 1 high-quality study) |
L | = | Limited (≥2 low-quality studies w/ consistent findings or 1 mod-quality study) |
C | = | Consensus opinion (1 low-quality study, no supporting evidence) |