Dementia and Hip Fractures

» The elderly population is the fastest growing demographic, and the number of dementia cases in the United States is expected to double to 10 million by 2050. » Patients with dementia are at 3× higher risk of hip fractures and have higher morbidity and mortality after hip fractures. » Hip fracture patients with dementia benefit from early analgesia and timely surgical fixation of fracture. » Early and intensive inpatient rehabilitation is associated with improved postoperative outcomes in patients with dementia. » Coordination of care within a “orthogeriatric” team decreases mortality, and fracture liaison services show potential for improving long-term outcomes in hip fracture patients with dementia.