Observational studyBMC geriatrics2026
Impact of nurse-led orthogeriatric co-management for older patients with a major osteoporotic fracture: An observational pre-post study.
Observational study in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
8 authors.
Funding
Abstract
backgroundOlder patients with a major osteoporotic fracture are at risk for complications during hospitalization. We evaluated whether proactive nurse-led orthogeriatric co-management leads to better inpatient outcomes than reactive geriatric consultation for older patients with any type of fracture.
methodsWe evaluated 108 patients aged ≥ 75 years hospitalized with a major osteoporotic fracture before and after the implementation of a nurse-led orthogeriatric co-management program. This included proactive geriatric care, comprehensive geriatric evaluation, multidisciplinary interventions, and systematic follow-up. The primary outcome was the occurrence of in-hospital complications. Secondary outcomes at discharge included functional status, instrumental activities of daily living status, mobility status, cognitive status, quality of life, return to pre-fracture living situation, length of stay, and in-hospital costs. Furthermore, adherence to the intervention’s core components and care processes was assessed.
resultsAfter implementation, 8% fewer patients experienced in-hospital complications (46% vs. 38%; p = 0.215). Median in-hospital length of stay increased (9 vs. 12 days, p = 0.013), yet in-hospital costs did not increase significantly. Adherence to several care processes improved (p < 0.001): a swallowing test was introduced (0% vs. 70%), more patients received a laxative when necessary (67% vs. 94%) and started with calcium-vitamin D supplements (20% vs. 58%).
conclusionsThis study suggests that nurse-led orthogeriatric co-management results in in-hospital complication rates comparable to geriatric consultation while enhancing adherence to proactive geriatric care processes and maintaining similar in-hospital costs.
trial registrationInternational Standard Randomised Controlled Trial Number (ISRCTN) Registry: ISRCTN20491828. Registered on 11/10/2021, https://www.isrctn.com/ISRCTN20491828.
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