What question did this study set out to answer?

To assess the effect of an integrated orthopedic and geriatric medicine cocare model on clinical outcomes in older patients hospitalized with hip fractures.

March 1, 2006Journal of Orthopaedic TraumaOpen Access

Outcomes for Older Patients With Hip Fractures: The Impact of Orthopedic and Geriatric Medicine Cocare

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Authors

AFAlexander A. FisherUniversity Hospital Regensburg MDMichael W. DavisSouthwest Research Institute SRS. E. RubenachAct Health

Discussion

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Implication

Observational study shows orthopedic-geriatric cocare reduces complications and mortality in older hip fracture patients, highlighting the value of collaborative care.

Key Points

To assess the effect of an integrated orthopedic and geriatric medicine cocare model on clinical outcomes in older patients hospitalized with hip fractures.
Conducted a prospective observational study with a retrospective historical control including 951 consecutive patients aged 60 and older with nonpathologic hip fractures over a 7-year period (1995–2002) at a level I trauma center.
Compared outcomes between a consultation-only baseline period (no GM; n=504, 1995–1997) and a proactive cocare intervention involving daily geriatric registrar management and weekly geriatrician review (GM; n=447, 1998–2002).
Introduction of geriatric cocare significantly decreased total postoperative medical complications (49.5% vs. 71.0%, P < 0.001) and overall mortality (4.7% vs. 7.7%, P < 0.01).
Six-month medical rehospitalization rates dropped from 28.0% to 7.6%, accompanied by substantial increases in specific thromboprophylaxis (94% vs. 63%) and antiosteoporotic medication use (69% vs. 12%).
Median length of hospital stay remained virtually unchanged between the cocare and consultation-only cohorts (10.8 vs. 11.0 days), with no significant differences observed in discharge destination.

Cite This Study

Fisher et al. (2006) studied this question.

synapsesocial.com/papers/6a02a3db4f17ebd438650c0a https://doi.org/10.1097/01.bot.0000202220.88855.16

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Implication

Observational study shows orthopedic-geriatric cocare reduces complications and mortality in older hip fracture patients, highlighting the value of collaborative care.

Outcomes for Older Patients With Hip Fractures: The Impact of Orthopedic and Geriatric Medicine Cocare

Discussion

Member takes

Implication

Key Points

Cite This Study

Outcomes for Older Patients With Hip Fractures: The Impact of Orthopedic and Geriatric Medicine Cocare

Discussion

Member takes

Implication

Key Points

Cite This Study

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