Improving the management of hip fractures in the elderly: A role for the perioperative surgical home?

摘要

THE accelerating growth in the world's elderly population is staggering. The U. S. Census Bureau estimates that the world's population, over 65 yr of age, grew by 870,000 per month in 2008.* By 2018, the world population is projected to have a net monthly gain of 1.9 million people over 65 yr of age. By 2040, more than one of every four Europeans will be at least 65 yr of age, and one in seven will be at least 75 yr old. In 2040, one in five North Americans will be at least 65. Vaupel and Jeune estimate that over the course of human history, the odds of living from birth to age 100 may have risen from 1 in 20 million to 1 in 50 for low mortality nations such as Japan and Sweden.1 Oeppen and Vaupel2 calculate that, if the past 160-yr trends continue for another 60 yr, people in low mortality countries will live an average of 100 yr!