ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2020
Impact of an orthogeriatrician on length of stay of elderly patient with hip fracture.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Treatment of femoral neck fractures: sliding hip screw or cannulated screws? A meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Effect of the orthogeriatric co-management on older hip fracture patients with multimorbidity: a post-hoc exploratory subgroup analysis of a non-randomised controlled trial.Journal of orthopaedic surgery and research · 2024Trial
- Increasing mobility while in hospital after hip fracture: even the best evidence may not translate to all national health services.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Review
- Clinical Audit to Assess Orthogeriatrician Input to the Management of Elderly Trauma Patients.Cureus · 2024Article
- A real-world analysis of 1,823 hospitalized osteoporotic fractures in Northeast China.Frontiers in endocrinology · 2024Article
- Small interfering RNAs in the management of human osteoporosis.British medical bulletin · 2023Review
- D-dimer-albumin ratio (DAR) as a new biomarker for predicting preoperative deep vein thrombosis after geriatric hip fracture patients.Journal of orthopaedic surgery and research · 2023Observational
- Delayed surgery after hip fracture affects the incidence of venous thromboembolism.Journal of orthopaedic surgery and research · 2023Article
- Orthogeriatric Assessment of the Elderly Patient with Fragility Hip Fracture: Preliminary Results of a Prospective Study.Journal of personalized medicine · 2023Article
- Proximal Femoral Fractures in the Elderly: A Few Things to Know, and Some to Forget.Medicina (Kaunas, Lithuania) · 2022Review
- Orthogeriatric co-management: differences in outcome between major and minor fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Differences in hospital length of stay and total hospital charge by income level in patients hospitalized for hip fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Incidence and risk factors for postoperative pneumonia following surgically treated hip fracture in geriatric patients: a retrospective cohort study.Journal of orthopaedic surgery and research · 2022Article
- Secular trends of incidence and hospitalization cost of hip fracture in Tangshan, China.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Development of a prognostic model for 1-year survival after fragile hip fracture in Chinese.Journal of orthopaedic surgery and research · 2021Article
- Letter to Editor: Role of an orthogeriatrician in the management of patients with hip fracture.International orthopaedics · 2021Article
- Zimmer Natural Nail and ELOS nails in pertrochanteric fractures.Journal of orthopaedic surgery and research · 2021Article
- Haemoglobin and transfusions in elderly patients with hip fractures: the effect of a dedicated orthogeriatrician.Journal of orthopaedic surgery and research · 2021Review
- Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture.International journal of environmental research and public health · 2021Review
- Prognostic factors for 1-year functional outcome, quality of life, care demands, and mortality after surgery in Taiwanese geriatric patients with a hip fracture: a prospective cohort study.Therapeutic advances in musculoskeletal disease · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hip fracture patients are complex, and orthopaedic management is limited to the surgery phase. To provide better evaluation pre-operatively and an optimal level of post-operative care, an orthogeriatrician was introduced in the orthopaedic team. This ensured that time to surgery from admission consistently was below 48 h, decreasing hospitalization time after surgery and total length of stay.
introductionHip fractures are a major health issue in elderly and frail patient. The integration of orthogeriatric care within the orthopaedic team could be useful to optimize the clinical conditions of these patients in perioperative phases and stabilize them after surgery, reducing hospital length of stay. The present study evaluates the role of an orthogeriatrician in the management of patients with a hip fracture. MATERIALS AND
methodsData about patients admitted and operated from February to September 2018 and from February to September 2019 were collected from the San Giovanni di Dio e Ruggi d'Aragona Hospital of Salerno database. A total of 352 patients were identified and divided in two groups according to the year in which the orthogeriatrician was working in Orthopaedic Department. Records regarding age, sex, side and type of fracture, time of admission, day of surgery and discharge were collected and length of stay, days from the admission to surgery and days from surgery to discharge were calculated.
resultsThere were no statistically significant differences in the pre-surgery phases of both groups, and all patients were operated at a mean of 2.1 days ± 1.8 SD from admission (p > 0.05). No statistically significant difference between demographic data in both groups (p > 0.01) was observed. There was, however, statistically significant reduction of hospitalization time after surgery and total LOS from 2018 to 2019 (p < 0.01).
conclusionAn Orthogeriatric doctor in an Orthopaedic and Traumatology Department may lead a multidisciplinary approach to manage elderly patients with hip fractures, ensuring that the time to surgery from admission is less than 48 h, and reducing hospitalization time after surgery and total length of stay.
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