TY - JOUR PY - 2019// TI - Improved outcomes following implementation of a multidisciplinary care pathway for elderly hip fractures JO - Aging clinical and experimental research A1 - Wallace, Raina A1 - Angus, L. D. George A1 - Munnangi, Swapna A1 - Shukry, Sally A1 - DiGiacomo, Jody C. A1 - Ruotolo, Charles SP - 273 EP - 278 VL - 31 IS - 2 N2 - 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.

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.

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).

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.

CONCLUSIONS: Elderly patients with hip fractures treated at our trauma center had improved clinical outcomes after the implementation of a multidisciplinary care pathway.

Language: en

LA - en SN - 1594-0667 UR - http://dx.doi.org/10.1007/s40520-018-0952-7 ID - ref1 ER -