@article{ref1,
title="Improved outcomes following implementation of a multidisciplinary care pathway for elderly hip fractures",
journal="Aging clinical and experimental research",
year="2019",
author="Wallace, Raina and Angus, L. D. George and Munnangi, Swapna and Shukry, Sally and DiGiacomo, Jody C. and Ruotolo, Charles",
volume="31",
number="2",
pages="273-278",
abstract="BACKGROUND: Hip fractures in patients 65 years and older are associated with significant morbidity and mortality. With the steady increase in the elderly population, we implemented an evidence-based clinical practice guideline for the management of hip fractures to optimize patient care and surgical outcomes. AIMS: To evaluate the effects of a multidisciplinary hip fracture care pathway on patient outcomes in the care of elderly patients. <br><br>METHODS: A retrospective analysis of the differences in outcomes prior to (January-October 2014) and after (November 2014-April 2016) implementation of a hip fracture care pathway at a regional Level I trauma center was performed. <br><br>RESULTS: There were 80 patients in the pre-pathway group and 191 patients in the post-pathway group with an average age of 83.18 ± 8.24 years. The analysis demonstrated that the post-pathway group had a lower incidence of in-hospital complications (9.95 vs 30.00%; p ≤ 0.001), shorter emergency room length of stay (3.76 ± 2.43 vs 6.78 ± 2.88 h; p ≤ 0.0001), and shorter overall hospital length of stay (5.03 ± 3.46 vs 7.44 ± 6.66 days; p = 0.0028). The in-hospital mortality rate was similar between groups (4.71 vs 6.25%; p = 0.6018). <br><br>DISCUSSION: The development of a multidisciplinary approach to the care of elderly patients with hip fractures improved morbidity and showed a downward trend in mortality. <br><br>CONCLUSIONS: Elderly patients with hip fractures treated at our trauma center had improved clinical outcomes after the implementation of a multidisciplinary care pathway.<p /> <p>Language: en</p>",
language="en",
issn="1594-0667",
doi="10.1007/s40520-018-0952-7",
url="http://dx.doi.org/10.1007/s40520-018-0952-7"
}