Prospective study of surgical delay for hip fractures: impact of an orthogeriatrician and increased trauma capacity
Daniel Marsland,Carolyn Chadwick +1 more
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TLDR
The impact on surgical delay following the introduction of an orthogeriatrician and the addition of one extra trauma list per week at a centre for hip fracture patients is described.Abstract:
Most health services in the United Kingdom provide unacceptable in-hospital care for hip fracture patients. We describe the impact on surgical delay following the introduction of an orthogeriatrician and the addition of one extra trauma list per week at our centre. Prospective data were collected on 101 consecutive patients followed by a second cohort of 105 patients. Mean time to surgery in cohorts 1 and 2 was 4.08 and 4.05 days, respectively (p = 0.71). Diagnosis of medical comorbidity increased with input from the orthogeriatrician from 69.7% to 74.2% (p = 0.24). Length of stay and mortality were comparable in the two groups. A full trauma list accounted for the most frequent orthopaedic delay, which decreased from 18.1% to 12.9% (p = 0.09). Increased recognition of medical comorbidity has financial implications for hospital remuneration. However, lack of orthopaedic provisions accounts for significant avoidable surgical delay requiring further investment if national standards are to be achieved.read more
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Hip fracture: effectiveness of early surgery to prevent 30-day mortality
Elisa Carretta,Valerio Bochicchio,Paola Rucci,Giuliana Fabbri,Massimo Laus,Maria Pia Fantini +5 more
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Effectiveness of in-hospital geriatric co-management: a systematic review and meta-analysis.
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Orthogeriatric care: improving patient outcomes.
Francisco José Tarazona-Santabalbina,Ángel Belenguer-Varea,Eduardo Rovira,David Cuesta-Peredo +3 more
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Improving hip fracture outcomes with integrated orthogeriatric care: a comparison between two accepted orthogeriatric models
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References
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TL;DR: This guideline has been assessed for its likely impact on the six equality groups defined by age, disability, gender, race, religion/belief, and sexual orientation.
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