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A comparison between two co-managed geriatric programmes for hip fractured elderly patients

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Abstract

Background and aims: Hip fracture in older people is an event associated with a high incidence of morbidity and mortality. In this study we compared the clinical outcomes of two groups of orthogeriatric patients in an orthogeriatric care (OC) programme. The OC course, developed into the GeriatricWard, starts from the Emergency Department (OC-1, n=174) or from the Orthopaedic Department after surgery (OC-2, n=87). Methods: For this purpose, OC patients were prospectively enrolled from March 2007 to June 2009, following OC criteria. Door-to-bed time, time to surgery, mobilisation time, length of stay, and post-operative complications were compared between the OC groups. Results: OC-1 patients differ from OC-2 ones only for residence at admission (14.4% vs 4.6% lived in nursing homes, p=0.02). Concerning outcomes, in the OC-1 group only mobilization time was significantly lower (p=0.01). No differences were observed in post-operative complications. Conclusions: In frail older people, hip fracture co-management, with the geriatrician as primary attendant, leads to satisfying outcomes. The OC-1 and OC-2 courses exhibit similar clinical results. An improvement in several organisational aspects, including coordination between hospital and rehabilitation services, is warranted.

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Authors and Affiliations

  1. Geriatric Clinic, S. Gerardo Hospital, University of Milano-Bicocca, Floor 7 C, Via Pergolesi 33, 20052, Monza, Italy

    Paolo Mazzola, Francesco De Filippi, Paola Galetti & Giorgio Annoni MD

  2. Orthopaedic and Traumatologic Clinic, S. Gerardo Hospital, University of Milano-Bicocca, Monza, Italy

    Giuseppe Castoldi & Giovanni Zatti

Authors
  1. Paolo Mazzola
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  2. Francesco De Filippi
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  3. Giuseppe Castoldi
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  4. Paola Galetti
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  5. Giovanni Zatti
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  6. Giorgio Annoni MD
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Correspondence to Giorgio Annoni MD.

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Mazzola, P., De Filippi, F., Castoldi, G. et al. A comparison between two co-managed geriatric programmes for hip fractured elderly patients. Aging Clin Exp Res 23, 431–436 (2011). https://doi.org/10.1007/BF03337767

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  • DOI: https://doi.org/10.1007/BF03337767

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