Observational studyBMC geriatrics2025
Impact of three sequential orthogeriatric care models on time to surgery after hip fracture: a retrospective study.
Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn hip fracture, the interval between admission and surgery, referred to as time to surgery (TTS) influences prognosis. The main objectives of trauma management in older patients regardless of the orthogeriatric care model is to reduce the TTS between 24 and 48 h to improve outcomes. Our study aimed to assess the impact of orthogeriatric care models on TTS and patient outcomes in older patients with hip fracture.
methodsObservational, retrospective, monocentric study divided into three sequential periods corresponding to three models of care implemented in a French Orthogeriatric unit from August 2015 to October 2021: Period 1 with a Geriatric Consultant Service in Orthopaedic Unit (GCS); Period 2 with an Integrated Orthogeriatric Care Model (ICM); Period 3 with an Integrated Orthogeriatric Care model with Anaesthetist (ICMA). The primary endpoint was the TTS assessed by the time elapsed from the emergency department admission to surgery start time in older patients with hip fracture (75 ≤ years old). The second objective was to assess the association of each model on patient outcomes: medical complications and health status at discharge. Comparisons between groups at baseline were performed using the Kruskal-Wallis test for continuous variables or the Chi
results490 patients (mean age, 88.2 years (SD, 5.8); female: 74.5%) were included: n = 147, 148, and 195 for GCS, ICM, and ICMA respectively. Comorbidity scores were more severe in ICMA. Median TTS was 52 h (IQR, 36-81), 53 h (24-98), and 44 h (25-67) for GCS, ICM, and ICMA respectively (p = 0.01). Regional nerve blocks were enhanced from 10.9% to 70.3% (p = < 0.001). Several in-hospital medical complications increased but delirium decreased in ICMA compared to GCS (p = 0.02). The mortality rate remained stable (5.5%). The length of stay did not differ between models. At discharge, 81.4% of patients from ICMA could walk at least 3 m.
conclusionsTTS during the Integrated Orthogeriatric Care model with Anaesthetist decreased despite increased comorbidities and anticoagulation treatments. The model improved hip fracture management process and patient outcomes. Monitoring TTS is key to finding the optimal model, but strong professional values and structures are vital.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.