Evidence map›Paper›PMID 31764791›Full record

Observational studyMedicine2019

Impact of orthogeriatric care, comorbidity, and complication on 1-year mortality in surgical hip fracture patients: An observational study.

Chung-Hwan Chen, Peng-Ju Huang, Hsuan-Ti Huang, Sung-Yen Lin, Hui-Yu Wang, Tzu-Jung Fang, Yi-Chieh Lin, Cheng-Jung Ho, Tien-Ching Lee, Yen-Mou Lu and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Does early surgery within 48 hours improve clinical outcomes in elderly hip fractures? A matched cohort study of 1776 hip fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Osteoprotective Roles of Green Tea Catechins.Antioxidants (Basel, Switzerland) · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Chung-Hwan ChenOrthopaedic Research Center.
Peng-Ju HuangDivision of Adult Reconstruction Surgery, Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University.
Hsuan-Ti HuangOrthopaedic Research Center.
Sung-Yen LinOrthopaedic Research Center.
Hui-Yu WangDepartment of Nursing.
Tzu-Jung FangDivision of Geriatrics and Gerontology, Department of Internal Medicine, Kaohsiung Medical University Hospital.
Yi-Chieh LinDepartment of Healthcare Administration and Health Informatics.
Cheng-Jung HoOrthopaedic Research Center.
Tien-Ching LeeOrthopaedic Research Center.
Yen-Mou LuDepartment of Orthopaedics, College of Medicine, Kaohsiung Medical University.
Herng-Chia ChiuDepartment of Healthcare Administration and Health Informatics.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After acute hip surgery, the 1-year mortality rate is high. Therefore, this study evaluated the risk factors for 1-year mortality. The purposes of this study was first to examine the effect of integrated care on 1-year mortality in surgical patients and secondly to explore magnitude of comorbidity and complication on mortality.This retrospective cohort study included 313 patients received surgery for hip fragility fracture. Patients with multiple fractures or combined trauma were excluded. The patients were grouping into integrated (n = 106) and non-integrated care group (n = 207) models. Univariate and multiple Cox regression were used to examine effect of care model, comorbidity, and complication event.One-year mortality in integrated and non-integrated patients was 4.7% and 14.0% respectively. After adjustments, patients in non-integrated care, have 2.89 times (95% confidence interval [CI] 1.07-7.81) likely to die 1-year after discharged.Patients had elevated comorbidity or postoperative complications contributed to the mortality. Our study found the effect of patients treated by integrated care models, compared with usual model, significantly reduced 1-year mortality rate. Appropriated treatment of comorbidities during hospitalization and after discharge is critical to post-surgical survival. The findings imply that the co-care for hip fracture of hip surgical patients with orthogeriatricians is strongly recommended, particularly for those with >3 comorbidities.

Indexed as

AgedAged, 80 and overCohort StudiesFemaleHip FracturesHumansMalePostoperative ComplicationsRetrospective StudiesRisk FactorsTime Factors

Identifiers

PMID31764791
PMCPMC6882582

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.