To explore the effectiveness of applying geriatric comprehensive assessment(CGA) techniques and holistic integrative medicine concepts to the management of geriatric hip fracture.

A total of 84 patients with geriatric hip fracture who visited Changzhou Jintan First People's Hospital from April 1 to December 31, 2024 were selected. They were randomly divided into the observation group and the control group using a random number table, with 42 cases in each group. The observation group was treated with a management model based on comprehensive geriatric assessment techniques and holistic integrative medicine concepts, while the control group received traditional hip fracture diagnosis and treatment. The general information, preoperative waiting time, postoperative rehabilitation start time, length of hospital stay, medical expenses, incidence of complications, as well as Harris hip scores and Barthel Index at 4, 8, and 12 weeks after the operation were compared between the two groups. T test was used to compare measurement data, chi-square test or Fisher's exact probability method was used to compare count data, and repeated measures analysis of variance was used to compare the Harris hip scores and Barthel Index between the two groups at different time points.

The preoperative waiting time, hospital stay, postoperative rehabilitation start time, and hospitalization cost of the patients in the observation group were significantly better than those in the control group, and the differences were statistically significant (t=-2.649, 2.062, -2.352, -2.004; P < 0.05). During the hospitalization period, the incidence rates of pneumonia, constipation and hypoproteinemia in the observation group were significantly lower than those in the control group, and the differences were statistically significant (χ² = 4.141, 4.043, 3.967; P < 0.05); and there were no statistically significant differences in the incidence rates of pressure ulcers, delirium, deep vein thrombosis, incision infection and perioperative mortality between the two groups (P > 0.05). The inter-group and time effects of the Harris score and Barthel index in the two groups of patients after surgery were statistically significant (F=4.256, 5.103, 48.732, 56.847; P < 0.05 or P < 0.01), and the differences between groups at each time point were also statistically significant (P < 0.05).

Applying the CGA technology and the holistic integrated medical concept to the entire process management of elderly hip fractures is conducive to promoting the early postoperative rehabilitation of elderly patients with hip fractures, reducing the occurrence of perioperative complications, and facilitating the recovery of hip joint function and daily living ability after surgery.