ArticleBMC medicine2025
Orthogeriatric co-management and incident nursing home admissions in older patients with fragility fractures other than the hip-a retrospective cohort study using insurance claims data from Germany.
Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of pain-relief nursing on activities of daily living in patients following hip arthroplasty: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Association between frailty index and hip fracture among Chinese middle- and old-aged adults in different glycemic status: a prospective study from the China Health and Retirement Longitudinal Study (CHARLS).International journal of surgery (London, England) · 2026Article
- Difference in discharge disposition, adherence to clinical care standards and functional outcomes of older hip fracture patients receiving an orthogeriatric model of care versus routine care.Journal of orthopaedic surgery and research · 2025Article
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10 authors.
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Abstract
backgroundOrthogeriatric co-management (OGCM) has been proposed as care model for geriatric patients with fragility fractures. However, its impact on nursing home (NH) admissions following non-hip fractures is unclear. This study aims to assess the association between OGCM and the probability of NH admissions within 6 months in older patients with fragility fractures other than the hip.
methodsThis retrospective cohort study utilized nationwide insurance claims data from Germany (from years 2014-2018), covering individuals aged 80 years or older with fractures of the humerus, forearm, pelvis, or vertebrae. Based on the number of OGCM claims per year, hospitals were categorized as either OGCM or no OGCM. The primary outcome was the incidence of NH admissions within 6 months of the index fracture. Quasi-Poisson regression models were used to calculate incidence rate ratios (IRRs) with 95% confidence intervals (CI), adjusted for age, sex, prior care needs, comorbidity score, and rehabilitation transfer rates.
resultsA total of 106,217 patients were included in the analysis. The incidence of NH admissions varied by fracture site, ranging from 11.1% for pelvic to 24.7% for vertebrae fractures, respectively. OGCM was associated with a reduced probability of NH admissions for humerus fractures (IRR 0.94, 95% CI 0.88-1.00) and vertebral fractures (IRR 0.92, 95% CI 0.87-0.97). No statistically significant associations were found for forearm (IRR 1.06, 95% CI 0.97-1.15) or pelvic fractures (IRR 1.02, 95% CI 0.96-1.09).
conclusionsOGCM went along with a reduced probability of NH admissions in geriatric patients with humerus and vertebral fractures but showed no statistically significant benefit for forearm or pelvic fractures. The results highlight the need for targeted OGCM strategies based on fracture type and patient demographics to optimize outcomes in this vulnerable population.
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