ArticleThe Permanente journal2019
Fixing a Fragmented System: Impact of a Comprehensive Geriatric Hip Fracture Program on Long-Term Mortality.
Article in The Permanente journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Mortality Rates and Forensic Causes after Hip Fracture: A Retrospective Observational Study.The archives of bone and joint surgery · 2024Article
- Design and Evaluation of a Hospital-Based Educational Event on Fracture Care for Older Adult.Geriatric orthopaedic surgery & rehabilitation · 2021Article
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Authors and funding
9 authors.
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Abstract
contextGeriatric hip fractures are increasingly common and confer substantial morbidity and mortality. Fragmentation in geriatric hip fracture care remains a barrier to improved outcomes.
objectiveTo evaluate the impact of a comprehensive geriatric hip fracture program on long-term mortality.
designWe conducted a retrospective cohort study of patients aged 65 years and older admitted to our academic medical center between January 1, 2012, and March 31, 2016 with an acute fragility hip fracture. Mortality data were obtained for in-state residents from the state public health department.
main outcome measuresMortality within 1 year of index admission and overall survival based on available follow-up data.
resultsWe identified 243 index admissions during the study period, including 135 before and 108 after program implementation in October 2014. The postintervention cohort trended toward a lower unadjusted 1-year mortality rate compared with the preintervention cohort (15.7% vs 24.4%, p = 0.111), as well as lower adjusted mortality at 1 year (relative risk = 0.73, 95% confidence interval = 0.46-1.16, p = 0.18), although the differences were not statistically significant. The postintervention cohort had significantly higher overall survival than did the preintervention cohort (hazard ratio for death = 0.43, 95% confidence interval = 0.25-0.74, p = 0.002).
conclusionFixing fragmentation in geriatric hip fracture care such as through an orthogeriatric model is essential to improving overall survival for this patient population.
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