Zeitschrift für Gerontologie und Geriatrie

, Volume 44, Issue 6, pp 368–374 | Cite as

“N-active”: a new comanaged, orthogeriatric ward

Observations and prospects
  • K. Singler
  • R. Biber
  • S. Wicklein
  • H.J. Heppner
  • C.C. Sieber
  • H.J. Bail
Beiträge zum Themenschwerpunkt

Abstract

The incidence of hip fractures increases with increasing age. Besides the actual trauma, it is mainly the comorbidities and an increased postoperative complication rate in old patients that lead to increased mortality in this patient population. Around 25% of patients who had previously been living independently continue to need long-term care after a hip fracture. Given this situation, the comanaged orthogeriatric unit “N-active” was opened at the Nuremberg Hospital in December 2010. The following article describes implementation of the ward and preliminary data. These show a positive impact of comanagement in terms of patient outcome, staff satisfaction, and also financial aspects.

Keywords

Orthogeriatrics Hip fractures Geriatric assessment Case management Gerontology 

„N-Aktiv“: eine neue alterstraumatologische Station

Beobachtungen und Ausblicke

Zusammenfassung

Die Inzidenz hüftgelenknaher Frakturen steigt mit zunehmendem Alter an. Neben dem eigentlichen Trauma führen bei den betagten Patienten vor allem die Komorbiditäten und eine erhöhte postoperative Komplikationsrate zu einer erhöhten Mortalität. Ein Viertel der zuvor selbstständig lebenden Patienten bleibt zudem langfristig pflegebedürftig. Vor diesem Hintergrund wurde am Klinikum Nürnberg im Dezember 2010 eine interdisziplinär (unfallchirurgisch-geriatrisch) geführte alterstraumatologische Station „N-Aktiv“ eröffnet. Der vorliegende Artikel beschreibt die Implementierung der Station sowie erste Daten. Diese zeigen einen positiven Effekt der unfallchirurgisch-geriatrischen Kooperation hinsichtlich Patientenoutcome, Mitarbeiterzufriedenheit sowie ökonomischer Aspekte.

Schlüsselwörter

Alterstraumatologie Hüftfrakturen Geriatrisches Assessment Fallmanagement Gerontologie 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • K. Singler
    • 1
    • 3
  • R. Biber
    • 2
  • S. Wicklein
    • 1
    • 3
  • H.J. Heppner
    • 3
    • 4
  • C.C. Sieber
    • 1
    • 3
  • H.J. Bail
    • 2
  1. 1.Department of GeriatricsNuremberg HospitalNürnbergDeutschland
  2. 2.Department of Orthopedic and Trauma SurgeryNuremberg HospitalNurembergDeutschland
  3. 3.Institute for Biomedicine of AgingFriedrich-Alexander UniversityErlangen-NurembergDeutschland
  4. 4.Department of Emergency and Intensive Care MedicineNuremberg HospitalNurembergDeuschland

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