Abstract
Background: With increasing geriatric patient population worldwide, hip fracture exists as a major health-care issue with its high mortality, morbidity, and financial liability. Anesthetists play a very important role in the perioperative care of these patients.
 Methods: The present study was a prospective observational study and was registered prospectively in the clinical trials registry- India (CTRI) with registration number of CTRI/2018/03/012853. Duration of study was from August 2017 to November 2018.
 Results: A maximum of (n=43) patients had a mobility scale of 7 at 30 days. (n=46) had a mobility scale of 6 at 60 days. Bimodal peaks were seen at 90 days with (n=27) had a mobility scale of 4 and (n=28) had a mobility score of 6 at 90 days. The median mobility score was 7(7-9), 6(6-7), 4.5(4-6) at 30, 60 and 90 day postoperatively.
 Keywords: Outcome, Neck, Femur.
Highlights
Background: With increasing geriatric patient population worldwide, hip fracture exists as a major health-care issue with its high mortality, morbidity, and financial liability
Bimodal peaks were seen at 90 days with (n=27) had a mobility scale of 4 and (n=28) had a mobility score of 6 at 90 days
Improving the patient outcome represents a challenge and improved rehabilitation programs and dedicated geriatric centers are needed for quality care after hip surgeries including a dedicated thromboprophylaxis protocol from admission to discharge
Summary
With increasing geriatric patient population worldwide, hip fracture exists as a major health-care issue with its high mortality, morbidity, and financial liability. Anesthetists play a very important role in the perioperative care of these patients. Proximal femoral fractures carry distinctive challenges for the anesthetists as geriatric patients might harbor significant comorbidities.[1] period ended in November 2018. Study was started after approval of the protocol by the Institute Ethics Committee (NK/3836/MD/499). A minimum sample size of 80 patients (approved by the Institute Ethics Committee) was chosen based on the monthly audit reports which recorded a median number of cases of proximal femur fractures in elderly (>65years) to be 9/month. Individual organ evaluation cannot be ignored in the geriatric patient, recognition of preoperative markers depicting the unique vulnerability of the geriatric patient (e.g., frailty, disability, and comorbidity) may provide additional insight in predicting perioperative complications and poor outcomes, aiding preoperative decisionmaking. Frailty index may estimate physiologic reserves its use is not fully evaluated in Indians with fractured hip.[2]
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