The geriatric patient who entered the hospital with a diagnosis of hip fracture presents a surgical,anesthetics, clinical management and rehabilitation challenges that requires a specific, specialized, interdisciplinaryand coordinated perioperative care. To this end, in the late fifties of the twentieth century the first specificunits served by geriatricians and orthopedic surgeons were articulated. Hospital Universitario de la Ribera has amodel orthogeriatric attention, that in a protocolized way, serves geriatric patients diagnosed with hip fracture,trying to provide a comprehensive and early care, emphasizing the urgency in the geriatric assessment, interventionsurgical and early initiation of rehabilitation treatment. Published data describes the hospital mortality of4.7%, an average stay of 8.9 (SD 4.26) days and a preoperative stay of 2.4 (SD 1.9) days. Readmissions amountedto 2.3%. High wandered to 64% of patients, a figure that increased to 77.4% the month and 80.2% at 6 months.Regain the ability to roam was associated with prior functional status, cognitive status and age and survival withfunctional status, heart failure, cognitive status, age and being male. Data compared with the average length ofstay of those published by the Spanish Ministry of Health for the same process, a savings of more than 480,000euros per year was estimated.

The geriatric patient who entered the hospital with a diagnosis of hip fracture presents a surgical,anesthetics, clinical management and rehabilitation challenges that requires a specific, specialized, interdisciplinaryand coordinated perioperative care. To this end, in the late fifties of the twentieth century the first specificunits served by geriatricians and orthopedic surgeons were articulated. Hospital Universitario de la Ribera has amodel orthogeriatric attention, that in a protocolized way, serves geriatric patients diagnosed with hip fracture,trying to provide a comprehensive and early care, emphasizing the urgency in the geriatric assessment, interventionsurgical and early initiation of rehabilitation treatment. Published data describes the hospital mortality of4.7%, an average stay of 8.9 (SD 4.26) days and a preoperative stay of 2.4 (SD 1.9) days. Readmissions amountedto 2.3%. High wandered to 64% of patients, a figure that increased to 77.4% the month and 80.2% at 6 months.Regain the ability to roam was associated with prior functional status, cognitive status and age and survival withfunctional status, heart failure, cognitive status, age and being male. Data compared with the average length ofstay of those published by the Spanish Ministry of Health for the same process, a savings of more than 480,000euros per year was estimated.