Akademik Veri Yönetim Sistemi
Palgrave Encyclopedia of Disability, Gabriel Bennett,Emma Goodall, Editör, Palgrave Macmillan, Zug, ss.1-13, 2025
Frailty is a common geriatric syndrome that increases with age, causing cognitive and functional decline, reducing patient comfort, and raising healthcare costs. It is a leading cause of severe morbidity and mortality. In frail individuals, as a clinical consequence of osteoporosis, fragility fractures can occur after lowenergy trauma. These fractures are a leading cause of orthopedic geriatric emergency department visits, with hip fractures constituting a significant portion. More than half of elderly patients with hip fractures have comorbidities, which increase the risk of surgical complications. Studies have shown that after hip fracture surgery, patients experience significant functional losses, have difficulty returning to their previous lifestyle, and face high mortality risks. Managing frailty and associated hip fractures requires interventions targeting multiple systems and a multidimensional approach. Identifying risk factors for fragility fractures and implementing personalized interventions are critical. Health system interactions for individuals at risk of frailty —those aged 60 and over with chronic diseases, and those from low socioeconomic and sociocultural backgrounds—should be viewed as opportunities. These individuals should be assessed for frailty using valid and reliable screening tools, and preventive measures should be taken based on modifiable risk factors identified through comprehensive geriatric assessments. Specifically, personalized nutritional programs should be designed to address malnutrition by correcting micronutrient deficiencies and ensuring adequate energy and protein intake. Multicomponent physical activity programs aimed at improving balance and muscle strength should be recommended to prevent low-energy trauma. Preoperative optimization should be carried out to manage surgical complications postoperatively. A holistic approach that addresses the physical, mental, and social needs of individuals can enhance quality of life and prevent fractures. The implementation of personalized care plans by a multidisciplinary team supports individuals in leading a healthy, active, and independent life while providing an effective solution for preventing fractures.