The Practice and Effectiveness of Multidisciplinary Collaboration in the Perioperative Nursing of Elderly Patients with Hip Fractures
Journal: Advanced Journal of Nursing DOI: 10.32629/ajn.v7i1.5041
Abstract
Hip fractures in the elderly, as a prevalent trauma-related condition in the context of an aging population, present significant clinical challenges in perioperative (preoperative, intraoperative, and postoperative) care. This is due to the complexity of patients' underlying diseases, distinct risk factors at each stage, and prolonged recovery periods, making perioperative nursing a key focus and a difficult aspect of clinical practice. The Multidisciplinary Team (MDT) model, which integrates cross-disciplinary resources and enables personalized diagnosis, treatment, and care throughout the perioperative period, has gradually been applied to perioperative nursing for elderly patients with hip fractures. This article focuses on the core priorities at each stage of the perioperative period, analyzing and discussing the current status of perioperative care for elderly hip fracture patients, the practical application of the MDT model across different stages, existing issues in its implementation, and directions for optimization. It aims to provide reference for clinically precise management of perioperative phases, optimization of nursing services, and improvement in the quality of perioperative care for elderly patients with hip fractures.
Keywords
Multidisciplinary Team; elderly patients; hip fracture; perioperative nursing; current status of nursing care
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[5] GOH E L, PNG M E, METCALFE D, et al. The utilisation and cost of social care after hip fracture: a prospective observational cohort study [J]. Age Ageing, 2026, 55(1).
[6] DOMB B G, BRUNING R E, CURLEY A J, et al. Minimum 10-Year Survivorship and Outcomes of Arthroscopic Treatment of Hip Labral Tears in Young Adults [J]. Am J Sports Med, 2026: 3635465251395292.
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[9] LEMME N J, HU E Y, CERVANTES J E, et al. Patient-Reported Outcomes and Conversion to Total Hip Arthroplasty Rates 10 Years After Hip Arthroscopy in Patients With Severe Chondrolabral Junction Breakdown [J]. Am J Sports Med, 2026, 54(1): 82-8.
[10] MAZARELLO PAES V, TING A, PAES M V I, et al. What is the association between time to surgery and patient outcome after hip fracture? : a systematic review [J]. Bone Joint J, 2026, 108-B(1): 30-8.
[11] STETTER B J, DULLY J, STIEF F, et al. Explainable machine learning for orthopedic decision-making: predicting functional outcomes of total hip replacement from gait biomechanics [J]. Arthritis Res Ther, 2025, 27(1): 229.
[12] DANDAMUDI S, JONES C M, MAJJI I, et al. Aseptic Revision Total Hip Arthroplasty in the Elderly: Is There a Higher Incidence of Early Complications? [J]. J Arthroplasty, 2025.
[13] SCHWARZ O, CHOMIAK J, DUNGL P. Long-term results after modified Steel s triple pelvic osteotomy [J]. Sci Rep, 2025, 16(1): 1663.
[14] KELLY M, HEGDE V, ZANILETTI I, et al. Cemented Femoral Stem Design Is Not Associated With Risk of Revision After Total Hip Arthroplasty in Patients Aged >/= 65 Years: An Analysis of the American Joint Replacement Registry [J]. J Arthroplasty, 2025.
[15] GUAN Y, ZHENG L, WANG Y, et al. Risk factors for death or serious adverse events within 3-month after surgery in frail older persons with hip fractures and development and validation of a risk prediction model: Based on LASSO-logistic regression [J]. BMC Geriatr, 2025, 25(1): 463.
[16] AHN A, FERRER C, PARK C, et al. Defining and Optimizing Value in Total Joint Arthroplasty From the Patient, Payer, and Provider Perspectives [J]. J Arthroplasty, 2019, 34(10): 2290-6 e1.
[17] OWENS J M, CALLAGHAN J J, DUCHMAN K R, et al. Short-term Morbidity and Readmissions Increase With Skilled Nursing Facility Discharge After Total Joint Arthroplasty in a Medicare-Eligible and Skilled Nursing Facility-Eligible Patient Cohort [J]. J Arthroplasty, 2018, 33(5): 1343-7.
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