The impact of an orthogeriatric intervention in patients with fragility fractures: a cohort study
| Title: | The impact of an orthogeriatric intervention in patients with fragility fractures: a cohort study |
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| Authors: | Charlotte Abrahamsen, Birgitte Nørgaard, Eva Draborg, Morten Frost Nielsen |
| Source: | BMC Geriatrics, Vol 19, Iss 1, Pp 1-11 (2019) |
| Publisher Information: | BMC, 2019. |
| Publication Year: | 2019 |
| Collection: | LCC:Geriatrics |
| Subject Terms: | Frail elderly, Fragility fracture, Osteoporotic fractures, Orthogeriatric, Postoperative complications, Geriatrics, RC952-954.6 |
| More Details: | Abstract Background While orthogeriatric care to patients with hip fractures is established, the impact of similar intervention in patients with fragility fractures in general is lacking. Therefore, we aimed to assess the impact of an orthogeriatric intervention on postoperative complications and readmissions among patients admitted due to and surgically treated for fragility fractures. Methods A prospective observational cohort study with a retrospective control was designed. A new orthogeriatric unit for acute patients of sixty-five years or older with fragility fractures in terms of hip, vertebral or appendicular fractures was opened on March 1, 2014. Patients were excluded if the fracture was cancer-related or caused by high-energy trauma, if the patient was operated on at another hospital, treated conservatively with no operation, or had been readmitted within the last month due to fracture-related complications. Results We included 591 patients; 170 in the historical cohort and 421 in the orthogeriatric cohort. No significant differences were found between the two cohorts with regard to the proportion of participants experiencing complications (24.5% versus 28.3%, p = 0.36) or readmission within 30 days after discharge (14.1% vs 12.1%, p = 0.5). With both cohorts collapsed and adjusting for age, gender and CCI, the odds of having postoperative complications as a hip fracture patient was 4.45, compared to patients with an appendicular fracture (p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1471-2318 89540395 |
| Relation: | http://link.springer.com/article/10.1186/s12877-019-1299-4; https://doaj.org/toc/1471-2318 |
| DOI: | 10.1186/s12877-019-1299-4 |
| Access URL: | https://doaj.org/article/318c895403954e209ec082cf3dceeebf |
| Accession Number: | edsdoj.318c895403954e209ec082cf3dceeebf |
| Database: | Directory of Open Access Journals |
| ISSN: | 14712318 89540395 |
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| DOI: | 10.1186/s12877-019-1299-4 |
| Published in: | BMC Geriatrics |
| Language: | English |