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Editor's Correspondence
February 22, 2010

Comanagement of Elderly Patients Admitted to a Hospital for Hip Fracture

Author Affiliations

Author Affiliations: Department of Internal Medicine and Geriatrics, Poliambulanza Hospital (Dr Rozzini), and the Geriatric Research Group (Dr Trabucchi), Brescia, Italy.

Arch Intern Med. 2010;170(4):392-393. doi:10.1001/archinternmed.2009.526

We read with great interest the article on the impact of comanagement of elderly patients admitted to a hospital for hip fracture.1 In support of the results, we would like to stress the importance that the geriatric assessment likely played in the success of the geriatric fracture center.

The geriatric assessment focuses on mental status and function. Both are independent predictors of poor outcomes: cognition and disability predict delirium; disability predicts in-hospital infections. When a multifunctional team is engaged in a shared enterprise such as providing care for an elderly person in a hospital, having a shared representation may help to facilitate interdisciplinary communication and the consequent definition of common goals.