| Guideline | Resources |
| Hip Fracture Tx in the Elderly: 2014 AAOS Guideline | epocrates Guideline Synopsis |
Key Points
Operative repair w/in 48h of admit, pre-op regional analgesia, osteoporosis eval/tx, transfuse only if Hgb <8 in asymptomatic pts, team-based approach, avoid post-op delirium.
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AAOS. Management of Hip Fractures in the Elderly. Evidence-Based Clinical Practice Guideline. Adopted September 5, 2014.
Epocrates Guideline Synopsis Last Update:
Feb 17, 2017
Publication Year:
2014
Source:
AAOS
- American Academy of Orthopaedic Surgeons
Evidence Grade
| [S] | Strong—Evidence from ≥2 high-strength studies w/ consistent findings |
| [M] | Moderate—Evidence from ≥2 mod-strength studies w/ consistent findings or evidence from single, high-quality study |
| [L] | Limited—Evidence from ≥1 low-strength studies w/ consistent findings, or evidence from a single, mod-strength study, or evidence is insufficient/conflicting |
| [C] | Consensus—No supporting evidence; recommendation based on clinical opinion |
Abbreviations
| ASA | aspirin |
| Ca++ | calcium |
| Hgb | hemoglobin |
| MRI | magnetic resonance imaging |
| OT | occupational therapy |
| ORIF | open reduction, internal fixation |
| OR | operating room |
| PT | physical therapy |
| VTE | venous thromboembolism |
Evidence Grade
| S | = | Strong—Evidence from ≥2 high-strength studies w/ consistent findings |
| M | = | Moderate—Evidence from ≥2 mod-strength studies w/ consistent findings or evidence from single, high-quality study |
| L | = | Limited—Evidence from ≥1 low-strength studies w/ consistent findings, or evidence from a single, mod-strength study, or evidence is insufficient/conflicting |
| C | = | Consensus—No supporting evidence; recommendation based on clinical opinion |