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European Journal of Trauma and Emergency Surgery

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01-04-2021 | Care | Original Article

Different approaches towards geriatric trauma care for hip fracture patients: an inter-hospital comparison

Authors: Jip Kusen, Puck van der Vet, Frans-Jasper Wijdicks, Marijn Houwert, Marcel Dijkgraaf, Marije Hamaker, Olivia Geraghty, Egbert-Jan Verleisdonk, Detlef van der Velde

Published in: European Journal of Trauma and Emergency Surgery | Issue 2/2021

Abstract

Purpose

Hip fractures in geriatric patients have high morbidity and mortality rates. The implementation of a multidisciplinary geriatric care pathway (GCP) may improve treatment for this patient population. This study focusses on two level II hospitals with a different treatment protocols. A comparison was made between a multidisciplinary GCP and extensive standard care with a focus on geriatric hip fracture patients to assess if a multidisciplinary GCP leads to lower mortality and morbidity.

Methods

This retrospective cohort study included patients aged 70 years or older with a unilateral proximal hip fracture who underwent surgery between January 2014 and December 2015. The primary outcome measures complications and 30-day mortality. Secondary outcome measures were time to surgery, hospital length of stay (HLOS) and secondary surgical interventions.

Results

This study included a total of 898 patients. No differences were found between major postoperative complications, 30-day mortality, HLOS or the amount of secondary surgical interventions.

Conclusions

Mortality, major complications, HLOS and the amount of secondary surgical interventions showed no differences between both hospitals. This inter-hospital comparison of two types of geriatric care models showed no outcome that favours one specific geriatric care model over another. This provides opportunities for future studies to get a better understanding of what specific factors of geriatric care models contribute most to an improvement in the treatment of this patient population and decide which approach is most cost effective.

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Title: Different approaches towards geriatric trauma care for hip fracture patients: an inter-hospital comparison
Authors: Jip Kusen
Puck van der Vet
Frans-Jasper Wijdicks
Marijn Houwert
Marcel Dijkgraaf
Marije Hamaker
Olivia Geraghty
Egbert-Jan Verleisdonk
Detlef van der Velde
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keyword: Care
Published in: European Journal of Trauma and Emergency Surgery / Issue 2/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-019-01129-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Different approaches towards geriatric trauma care for hip fracture patients: an inter-hospital comparison

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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