ArticleRevista da Associacao Medica Brasileira (1992)2025
Revolutionizing hip fracture care in Brazil: unleashing multidisciplinary protocols' power.
Article in Revista da Associacao Medica Brasileira (1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to evaluate the impact of a hip fracture multidisciplinary protocol in a Brazilian tertiary hospital, focusing on time to surgery, mortality, re-admission rates, and 6-month outcomes.
methodsConducted in a private hospital in Porto Alegre, Brazil, the protocol, initiated in October 2022 (group before protocol implementation [Group NP] and group after implementation [Group P]), involved a multidisciplinary team assessment within 24 h of admission, early ambulation, and discharge planning. Hospitalization data, including age, gender, comorbidities, length of stay, surgery timing, and mortality, were collected. Additionally, patient-reported outcome measures were evaluated 6 months post-discharge via phone, assessing disability (Oswestry Disability Index), pain level (back pain, Numeric Pain Rating Scale), and quality of life (general health, EQ5D-3L).
resultsThe study included 213 hip fracture patients, with the majority (60.1%) undergoing surgery within 48 h of admission (Group NP: 51.3% vs. Group P: 64.7%, p<0.01). Six months later, patient-reported outcome measures favored Group P, showing a lower disability measured by the mean Oswestry Disability Index (22.0 vs. 28.0, p=0.02), reduced reported pain levels (back pain [3.0 vs. 3.9, p=0.04] and Numeric Pain Rating Scale median [3.5 vs. 4.5, p=0.04]), and a higher quality of life (health condition median [70.5 vs. 61.1, p=0.01] and EQ5D-3L median [0.72 vs. 0.65, p=0.02]).
conclusionsIn the most recent period (2021-2023), long-term outcomes for hip fracture patients showed notable improvements, including reduced disability, more effective pain management, and enhanced quality of life, potentially reflecting the impact of protocol modifications.
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