Family Med Medical News

Become a Member Today!
Register

Most Viewed Abstracts

1. AHA Guidelines on Cardiac CT for Assessing Coronary Artery Disease

2. Omega-3 fatty acids for bipolar disorder

3. Is folic acid good for everyone

4. ACS Releases Guidelines for HPV Vaccination

5. Vitamin D - A review Free full text

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Impact of a comanaged geriatric fracture center on short-term hip fracture outcomes
Archives of Internal Medicine, 10/14/09

Friedman SM et al. – Hip fractures are associated with substantial morbidity and mortality for older adults. Patients sustaining hip fractures usually have comorbid conditions that may benefit from comanagement by geriatricians and orthopedic surgeons.Comanagement by geriatricians and orthopedic surgeons, combined with standardized care, leads to improved processes and outcomes for patients with hip fractures.

Methods

Patients comanaged daily by geriatrician and orthopedic surgeon, emphasizing total quality management, timely treatment, and standardized care
medical records reviewed to compare process and outcome measures in GFC with local institution that did not have fracture management service
Patients 60 years or older admitted for proximal femur fracture from May 1, 2005, to April 30, 2006, included
Pathological, recurrent, high-energy, periprosthetic, and nonoperative fractures excluded

Results

Geriatric Fracture Center patients (n = 193) significantly older, less likely to reside in community, and had more comorbid conditions and dementia than usual care patients (n = 121)
Despite baseline differences, GFC patients, compared with usual care patients, had shorter times to surgery (24.1 vs 37.4 hours), fewer postoperative infections (2.3% vs 19.8%), fewer complications overall (30.6% vs 46.3%), and shorter length of stay (4.6 vs 8.3 days)
Compared with GFC patients, physical restraint use significantly higher in usual care patients (0% vs 14.1%)
After adjustment for baseline characteristics, patients treated in the GFC had shorter times to surgery, shorter length of stay, fewer cardiac complications, and fewer cases of thromboembolism, delirium, and infection
No difference in in-hospital mortality or 30-day readmission rate

<< Previous
Atrial Arrhythmias in Adults With Congenital Heart Disease

Next >>
Medical history, body size, and cigarette smoking in relation to...