Senior Managed Care System for Hip Fracture in the United States.
- Author:
Hamed YAZDANSHENAS
1
;
Eleby R WASHINGTON
;
Arya Nick SHAMIE
;
Firooz MADADI
;
Eleby R WASHINGTON
Author Information
- Publication Type:Original Article ; Research Support, N.I.H., Extramural
- Keywords: Hip fractures; Aged; Length of stay
- MeSH: Aged; Aged, 80 and over; Female; Hip Fractures/*epidemiology/mortality/*therapy; Humans; Length of Stay/*statistics & numerical data; Los Angeles/epidemiology; Male; Managed Care Programs/*statistics & numerical data; Middle Aged; Patient Readmission; Postoperative Complications; Prospective Studies; Quality of Health Care
- From:Clinics in Orthopedic Surgery 2016;8(1):19-28
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: It is debatable whether a managed care model would affect the quality of care and length of hospital stay in the treatment of hip fractures in elderly patients. METHODS: This prospective study was undertaken to determine whether or not a managed care critical pathway tool shortened hospital stay in a group of 102 senior patients with fractures of the hip during follow-up. We compared our study findings with two equivalent populations of senior hip fracture patients not treated using a critical care pathway concerning specific markers of quality. RESULTS: The managed care group had a 9% mortality rate, 95% return to prefracture living and 63% return to ambulatory status. The rates compared favorably with previous studies. The quality of care provided before and after the critical pathway was equivalent, while the post-pathway length of stay dropped 30%. CONCLUSIONS: The proposed care protocol is recommended to shorten hospital stay in elderly patients with hip fractures.
