ArticleGeriatric orthopaedic surgery & rehabilitation2016
Orthogeriatric Service Reduces Mortality in Patients With Hip Fracture.
Article in Geriatric orthopaedic surgery & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of Orthogeriatric Care Models on Outcomes of Hip Fracture Patients: A Systematic Review and Meta-Analysis.Calcified tissue international · 2022Pooled it
- Hemoglobin and transferrin saturation are associated with mobility and physical function two months after hip fracture surgery: an observational cohort study.European geriatric medicine · 2026Observational
- Unveiling the hidden risks: 90-day mortality and complications in older adults with proximal femur fractures.Aging clinical and experimental research · 2025Article
- Preoperative Thyroid-Stimulating Hormone Levels and Three-Year Mortality in Elderly Hip Fracture Patients: Insights from a Prospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Mortality after major lower extremity amputation and association with index level: a cohort study based on 11,205 first-time amputations from nationwide Danish databases.Acta orthopaedica · 2024Observational
- Development and Internal Validation of a Multivariable Prediction Model for Mortality After Hip Fracture with Machine Learning Techniques.Calcified tissue international · 2024Article
- Patients risk for mortality at 90 days after proximal femur fracture - a retrospective study in a tertiary care hospital.BMC geriatrics · 2024Article
- Perioperative myocardial injury and infarction after noncardiac surgery: a review of pathophysiology, diagnosis, and management.Frontiers in cardiovascular medicine · 2024Review
- Evaluation of costs, osteoporosis treatment, and re-fractures in German collaborative orthogeriatric care after fragility fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Orthogeriatric co-managements lower early mortality in long-lived elderly hip fracture: a post-hoc analysis of a prospective study.BMC geriatrics · 2023Article
- Complex organisational factors influence multidisciplinary care for patients with hip fractures: a qualitative study of barriers and facilitators to service delivery.BMC musculoskeletal disorders · 2023Article
- Review
- Association between pre-operative complications, comorbidities, and in-hospital mortality in a hip fracture cohort: a register study in a tertiary hospital in Brazil.International orthopaedics · 2022Article
- Thyroid-stimulating hormone (TSH) is associated with 30-day mortality in hip fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Health-economic evaluation of collaborative orthogeriatric care for patients with a hip fracture in Germany: a retrospective cohort study using health and long-term care insurance claims data.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Incidence of and risk factors for hip fracture in Nagasaki, Japan from 2005 to 2014.Archives of osteoporosis · 2021Article
- Orthogeriatrics prevents functional decline in hip fracture patients: report from two randomized controlled trials.BMC geriatrics · 2021Article
- Prognostic factors for discharge to home and residing at home 12 months after hip fracture: an Anoia hip study.Aging clinical and experimental research · 2020Article
- The Association Between Orthogeriatric Co-Management and Mortality Following Hip Fracture.Deutsches Arzteblatt international · 2020Observational
- Calculated parenteral initial therapy of bacterial infections: Antibiotic treatment in the elderly.GMS infectious diseases · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOrthogeriatric service has been shown to improve outcomes in patients with hip fracture. The purpose of this study is to evaluate the effect of orthogeriatrics at Bispebjerg University Hospital, Denmark. The primary outcome is mortality inhospital and after 1, 3, and 12 months for patients with hip fracture. The secondary outcome is mortality for home dwellers and nursing home inhabitants. MATERIALS AND
methodsThis is a retrospective clinical cohort study with an historic control group including all patients with hip fracture admitted from 2007 to 2011. Patients with hip fracture are registered in a local database, and data are retrieved retrospectively using the Danish Civil Registration Number.
resultsWe included 993 patients in the intervention group and 989 patients in the control group. A univariate analysis showed only significantly decreased mortality inhospital 6.3% vs 3.1% (P = .009) after orthogeriatrics. However, when adjusting for age, gender, and American Society of Anaesthesiologists (ASA) score in a multivariate analysis, including all patients with hip fracture, we find significantly reduced mortality inhospital (odds ratio [OR] 0.35), after 30 [OR 0.66] and 90 days [OR 0.72] and 1 year [OR 0.79]). When using a univariate analysis for home-dwelling patients, we found significantly reduced mortality inhospital (8.3-2.0%, P < .0001), after 30 days (12.2-6.8%, P = .004) and 90 days (20.5-13.0%, P = .002). One-year mortality was not significant. Patients from nursing homes had no significant decreasing mortality at any point of time in the univariate analysis.
conclusionWe have shown significant decreases for inhospital, 30 day, 90 day, and 1-year mortality after implementation of orthogeriatric service at Bispebjerg Hospital when adjusting for age, gender, and ASA score. Future trials should include frail patients with other fracture types who can benefit from orthogeriatrics.
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