Key result
The orthogeriatric model significantly increased the likelihood of sitting postoperatively (28.6% vs 2.9%) and shortened hospital stay (5.5 vs 7.5 days) compared to the traditional model in older patients with hip fracture.
Why the study?
Hip fracture is a health problem and orthogeriatric models improve care indicators, motivating determination of care indicators in older people with hip fracture due to frailty in an orthogeriatric model.
Does an orthogeriatric co-management model improve care indicators in older people with hip fracture due to frailty compared to a traditional orthopedic model?
Cohort (n=38)
No
Does an orthogeriatric co-management model improve care indicators in older people with hip fracture due to frailty compared to a traditional orthopedic model?
Implementation of an orthogeriatric co-management model in a second-level hospital in Mexico improved early mobilization, rehabilitation access, and shortened hospital stay for older patients with hip fractures.
Orthogeriatric models may improve HF care indicators in frail older adults; leaves open need for larger randomized confirmation.
Hip fracture (HF) is a health problem and orthogeriatric models improve care indicators.Objective: The objective of this study was to determine the indicators of care in older people (OP) with HF due to frailty in an orthogeriatric model.Materials and methods: This study was a longitudinal, prospective, and comparative study.The orthogeriatric model included a multidisciplinary team.Results: Thirty-eight cases were analyzed.The mean age was 79.6 ± 9.2 years, 78.9% were women (n = 30).The orthogeriatric model was more likely to sit postoperatively (28.6% vs. 2.9%, p < 0.001), has post-operative rehabilitation (34.3% vs. 5.7%, p = 0.00), and receives secondary prevention at discharge (38.9% vs. 22.2%, p = 0.00).Hospital stay was shorter in the orthogeriatric model (5.5 vs. 7.5 days, p = 0.04).Conclusions: Cases with HF due to frailty in the orthogeriatric model were more likely of sitting down in the post-surgical period, having rehabilitation, shortening the hospital stay, and receiving secondary prevention.
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Duarte-Flores et al. (2023) conducted a cohort in Hip fracture due to frailty (n=38). Orthogeriatric co-management model vs. Traditional model was evaluated on Sitting postoperatively (p=<0.001). The orthogeriatric model significantly increased the likelihood of sitting postoperatively (28.6% vs 2.9%) and shortened hospital stay (5.5 vs 7.5 days) compared to the traditional model in older patients with hip fracture.
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