Multidisciplinary care in the treatment of the elderly with fractures: an integrative review

Introduction: Injuries involving hip and femur are one of the main causes of morbidity and mortality in the elderly, affecting both physical and functional capacity. The introduction of multidisciplinary programs in fracture management is being used more and more and has shown a positive outcome in senile fractures. Objective: To assess the impact of multidisciplinary care in elderly patients with fractures in terms of mortality, time elapsed until surgery, length of hospital stays, quality of life, ability to walk in the postoperative period and prevention of falls. Methods: Integrative literature review based on the bibliography of two search platforms - PUBMED and VHL - regarding the influence of multidisciplinary action in the treatment of elderly people with orthopedic fractures. Discussion and Results: The presence of the multidisciplinary team in the hospital context showed a reduction in the waiting time until surgery and hospital stay, generating financial benefits for the service. It also decreased in-hospital mortality within 30 days and within one year. In addition, it significantly improved the quality of life. In the long term, the role of fall prevention played by the multidisciplinary team generated a reduction in the recurrence of falls and fractures, improving physical and mental conditioning.