Implementation of a clinical pathway for elderly patients with hip fractures was associated with significant decreases in acute care hospital length of stay, in-hospital mortality, and 1-year mortality.
Cohort (n=1,065)
No
Does a clinical pathway reduce hospital length of stay and mortality in elderly patients with hip fractures?
Implementation of a clinical pathway for elderly patients with hip fractures significantly reduces hospital length of stay and mortality.
Hip fractures are common injuries in the elderly and are associated with considerable morbidity and mortality. Although technical advances in the treatment of the elderly have resulted in improved fracture fixation and surgical outcomes, clinical pathways have been developed to further improve patient outcome while shortening hospital length of stay after hip fracture. We describe the clinical pathway used since 1990 at the Hospital for Joint Diseases. The outcomes of 747 patients treated before 1990 were compared with outcomes of 318 patients treated at our hospital after initiation of the clinical pathway. Use of the clinical pathway was associated with significant decreases in the acute care hospital length of stay, in-hospital mortality, and 1-year mortality.
Koval et al. (Sun,) conducted a cohort in Hip fractures (n=1,065). Clinical pathway vs. Standard care before 1990 was evaluated on Acute care hospital length of stay, in-hospital mortality, and 1-year mortality. Implementation of a clinical pathway for elderly patients with hip fractures was associated with significant decreases in acute care hospital length of stay, in-hospital mortality, and 1-year mortality.