ArticleGeriatric orthopaedic surgery & rehabilitation2019
Comprehensive Hip Fracture Care Program: Successive Implementation in 3 Hospitals.
Article in Geriatric orthopaedic surgery & rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluation of Systemwide Improvement Programs to Optimize Time to Surgery for Patients With Hip Fractures: A Systematic Review.JAMA network open · 2022Pooled it
- Effects of Protocol-driven Care by Internists on Adherence to Clinical Practice Guidelines for Hip Fracture Surgery Patients: An Interrupted Time Series Study Using a Nationwide Inpatient Database.Internal medicine (Tokyo, Japan) · 2025Article
- Are We Getting Better? Trends in 30-Day Readmission and Length of Stay Following Hip Fracture Surgery Among Older Adults: A Five-Year ACS-NSQIP Analysis.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Inpatient or Outpatient: Does Initial Disposition Affect Outcomes in Trimalleolar Ankle Fractures?Cureus · 2024Article
- Protocol-based interdisciplinary co-management for hip fracture care: 3 years of experience at an academic medical center.Archives of orthopaedic and trauma surgery · 2022Article
- Key Service Improvements After the Introduction of an Integrated Orthogeriatric Service.Geriatric orthopaedic surgery & rehabilitation · 2019Article
- Analysis of the experience of the geriatric fracture program in two institutions in Colombia: a reproducible model?Colombia medica (Cali, Colombia)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHip fractures are common and costly in the elderly population, often contributing to loss of function and independence. Prompt, coordinated surgical care may improve clinical and economic outcomes for this population. MATERIALS AND
methodsWe created an interdisciplinary care program focused on minimizing time spent immobilized awaiting surgery and streamlining the care pathway for hip fracture. Patients older than 65 years with any hip fracture type including hip fracture repair Diagnosis-Related Group codes (MS-DRG 480, 481, or 482) and MS-DRG 469 and 470 with a hip fracture diagnosis were included in the study. The Hip Fracture Care program (HFCP) was implemented on a staggered basis in 3 hospitals in the HonorHealth system. Time to surgery, length of stay, and discharge location (home/skilled nursing facility) were compared pre- and post-intervention, utilizing an interrupted time series analysis to account for background trends.
resultsMore than 2000 patients across the 3 facilities received HFCP care; demographics were similar for the 826 patients serving as the pre-implementation comparison group. Mean (standard deviation [SD]) length of stay decreased from 5.6 (4.0) to 4.7 (2.9) days (mean difference 0.9 days; DISCUSSION: Optimal care of this vulnerable population can significantly reduce the time to surgery and length of stay.
conclusionsLength of stay was reduced by nearly 1 day with implementation of a multifactorial program for hip fracture care.
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