Effectiveness of Multidisciplinary Care development in Geriatric Hip Fractures.

Authors

  • ธำรงค์ศักดิ์ คงมั่น โรงพยาบาลสระบุรี

Keywords:

Geriatric; Hip fracture; Multidisciplinary care

Abstract

Background and Objectives: Geriatic patients with hip fracture is one of the common causes of injury-related complication, morbidity and mortality if inappropriate care. The development of multidisciplinary care were effectiveness for geriatric hip fracture  more securely.                                                                                                                                                                                                                                                                       Methods: The research and development study was conducted in participants who had geriatric hip fracture and admitted to the orthopaedic department of Saraburi Hospital from February 2017 to January     2019. A purposive sampling of 124 patient for retrospective and 124 patient for prospective group were recruited for the study. Both groups were evaluated for age, gender, type of fracture , and treatment. Descriptive statistics, Independent t-test and Chi-Square were used to analyze data.                                                              Results: The results showed the prospective group had time from admission to surgery was 5.9±2 days (retrospective group 11.1±4), the length of stay in hospital was 14.5±4 days (retrospective group 21.2±5 ) then followed up of 1 year mortality rate was measured to be 9.6% (retrospective group 17.7% ) less than the retrospective group with statistic significantly. (p<0.05)                                                                                                                                                                                                                                                                                         Conclusions: Multidisciplinary care development were effectiveness for decreased  morbidity and mortality rate in geriatric hip fracture.                                                                                                                                          Keyword: Geriatric; Hip fracture; Multidisciplinary care

References

1.Kanis JA, Oden A, McCloskey EV. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012;23:2239–2256.
2.Colum Downey, Martin Kelly, John F Quinlan. Changing trends in the mortality rate at 1-year post hip fracture - a systematic review. World J Orthop. 2019 Mar 18; 10(3): 166–175.
3.Schnell S, Friedman SM, Mendelson DA, Bingham KW, Kates SL.The 1-year mortality of patients treated in a hip fracture program for elders. Geriatr Orthop Surg Rehabil. 2010;1(1):6–14
4.Wolinsky FD, Fitzgerald JF, Stump TE. The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study. Am J Public Health. 1997;87(3):398–403.
5.Johnell O, Kanis JA. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int. 2004;15(11):897–902.
6.Uzoigwe CE, Burnand HG, Cheesman CL, Aghedo DO, Faizi M, Middleton RG. Early and ultra-early surgery in hip fracture patients improves survival. Injury. 2013;44(6):726–729.
7.Kovel, K. J., & Zuckerman, J. D. Hip fracture management. New York: Spinger-Verlag.(2000)
8. Lewis, C. B., & Knortz.Orthopedic assessment of the geriatric. St. Louis: Mosby-Year Book. (1993)
9.Thomas Klestil, Christoph Röder, Christoph Stotter. Impact of timing of surgery in elderly hip fracture patients: a systematic review and meta-analysis. Scientific Reports.2018;(8):1-14.
10.Anna H K Riemen, Jame D Hutchison. The multidisciplinary management of hip fractures in older patients.Orthopaedics and Trauma.2016;30(2):117-122
11.Daniachi D, Netto Ados S, Ono NK, Guimaraes RP, Polesello GC, Honda EK. Epidemiology of fractures of the proximal third of the femur in elderly patients. Rev Bras Ortop. 2015;50(4):371–377.
12.Guerra MT, Viana RD, Feil L, Feron ET, Maboni J, Vargas AS. One-year mortality of elderly patients with hip fracture surgically treated at a hospital in Southern Brazil. Rev Bras Ortop. 2016;52(1):17–23.
13.Choi HJ, Kim E, Shin YJ, Choi BY, Kim YH, Lim TH. The timing of surgery and mortality in elderly hip fractures: a retrospective, multicenteric cohort study. Indian J Orthop. 2014;48(6):599–604.
14.Wang X, Zhao BJ, Su Y. Can we predict postoperative complications in elderly Chinese patients with hip fractures using the surgical risk calculator? Clin Interv Aging. 2017;12:1515–1520.
15.Jain D, Sidhu GS, Selhi HS. Early results of a geriatric hip fracture program in India for femoral neck fracture. Geriatr Orthop Surg Rehabil. 2015;6(1):42–46.
16.Lefaivre KA, Macadam SA, Davidson DJ, Gandhi R, Chan H, Broekhuyse HM. Length of stay, mortality, morbidity and delay to surgery in hip fractures. J Bone Joint Surg Br. 2009;91(7):922–927.

Published

2021-01-19

How to Cite

1.
คงมั่น ธ. Effectiveness of Multidisciplinary Care development in Geriatric Hip Fractures. SRIMEDJ [Internet]. 2021 Jan. 19 [cited 2024 Sep. 1];36(1):55-60. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/247253

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Original Articles