ArticleBMC musculoskeletal disorders2020
Implementation of an electronic care pathway for hip fracture patients: a pilot before and after study.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of electronic pathways and digital systems on neck of femur fracture outcomes globally: a systematic review.Annals of the Royal College of Surgeons of England · 2023Pooled it
- Evaluation of Systemwide Improvement Programs to Optimize Time to Surgery for Patients With Hip Fractures: A Systematic Review.JAMA network open · 2022Pooled it
- Outcomes of nonagenarians undergoing hip fracture surgery: a multicentre observational study across Asia-Oceana.BMC geriatrics · 2026Observational
- Defining a Hip Fracture: Surveying Orthopaedic Surgeons to Better Characterize the Injury.The Journal of the American Academy of Orthopaedic Surgeons · 2026Article
- Impact of socioeconomic status on utilisation of a Virtual Emergency Department: An exploratory analysis.Emergency medicine Australasia : EMA · 2025Article
- Use of co-design methodology in the development of cardiovascular disease secondary prevention interventions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- A micro-costing analysis of post-fracture care pathways: results from the International Costs and Utilities Related to Osteoporotic Fractures Study (ICUROS).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 an interdisciplinary early rheumatoid arthritis care pathway.BMC rheumatology · 2022Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundCare pathways are generally paper-based and can cause communication failures between multidisciplinary teams, potentially compromising the safety of the patient. Computerized care pathways may facilitate better communication between clinical teams. This study aimed to investigate whether an electronic care pathway (e-pathway) reduces delays in surgery and hospital length of stay compared to a traditional paper-based care pathway (control) in hip fracture patients.
methodsA single-centre evaluation with a retrospective control group was conducted in the Orthogeriatric Ward, Nepean Hospital, New South Wales, Australia. We enrolled patients aged > 65 years that were hospitalized for a hip fracture in 2008 (control group) and 2012 (e-pathway group). The e-pathway provided the essential steps in the care of patients with hip fracture, including examinations and treatment to be carried out. Main outcome measures were delay in surgery and hospital length of stay; secondary outcomes were in-hospital mortality and discharge location.
resultsA total of 181 patients were enrolled in the study (129 control; 54 e-pathway group). There was a significant reduction in delay to surgery in the e-pathway group compared to control group in unadjusted (OR = 0.19; CI 0.09-0.39; p < 0.001) and adjusted (OR = 0.22; CI 0.10-0.49; p < 0.001) models. There were no significant differences between groups for length of stay (median 11 vs 12 days; p = 0.567), in-hospital mortality (1 vs 7 participants; p = 0.206) or discharge location (p = 0.206).
conclusionsThis pilot study suggests that, compared to a paper-based care pathway, implementation of an e-pathway for hip fracture patients results in a reduction in total number of delays to surgery, but not hospital length of stay. Further evaluation is warranted using a larger cohort investigating both clinical and patient-reported outcome measures.
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