Aging Clinical and Experimental Research

, Volume 23, Issue 5, pp 431–436

A comparison between two co-managed geriatric programmes for hip fractured elderly patients

Authors

  • Paolo Mazzola
    • Geriatric Clinic, S. Gerardo HospitalUniversity of Milano-Bicocca
  • Francesco De Filippi
    • Geriatric Clinic, S. Gerardo HospitalUniversity of Milano-Bicocca
  • Giuseppe Castoldi
    • Orthopaedic and Traumatologic Clinic, S. Gerardo HospitalUniversity of Milano-Bicocca
  • Paola Galetti
    • Geriatric Clinic, S. Gerardo HospitalUniversity of Milano-Bicocca
  • Giovanni Zatti
    • Orthopaedic and Traumatologic Clinic, S. Gerardo HospitalUniversity of Milano-Bicocca
    • Geriatric Clinic, S. Gerardo HospitalUniversity of Milano-Bicocca
Original Article

DOI: 10.1007/BF03337767

Cite this article as:
Mazzola, P., De Filippi, F., Castoldi, G. et al. Aging Clin Exp Res (2011) 23: 431. doi:10.1007/BF03337767
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Abstract

Background and aims: Hip fracture in older people is an event associated with a high incidence of morbidity and mortality. In this study we compared the clinical outcomes of two groups of orthogeriatric patients in an orthogeriatric care (OC) programme. The OC course, developed into the GeriatricWard, starts from the Emergency Department (OC-1, n=174) or from the Orthopaedic Department after surgery (OC-2, n=87). Methods: For this purpose, OC patients were prospectively enrolled from March 2007 to June 2009, following OC criteria. Door-to-bed time, time to surgery, mobilisation time, length of stay, and post-operative complications were compared between the OC groups. Results: OC-1 patients differ from OC-2 ones only for residence at admission (14.4% vs 4.6% lived in nursing homes, p=0.02). Concerning outcomes, in the OC-1 group only mobilization time was significantly lower (p=0.01). No differences were observed in post-operative complications. Conclusions: In frail older people, hip fracture co-management, with the geriatrician as primary attendant, leads to satisfying outcomes. The OC-1 and OC-2 courses exhibit similar clinical results. An improvement in several organisational aspects, including coordination between hospital and rehabilitation services, is warranted.

Key words

Co-managementhip fractureolder peopleorthogeriatric section
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© Springer Internal Publishing Switzerland 2011