Comparison of multidisciplinary physician/nurse collaboration versus conventional care modes in treatment of intertrochanteric fracture in the elderly
10.3760/cma.j.issn.1001-8050.2014.06.026
- VernacularTitle:多学科医护合作模式与传统模式治疗老年股骨转子间骨折的疗效比较
- Author:
Zhaohui SONG
;
Yujia LI
;
Qingxian WANG
;
Shichao DUAN
;
Kai WANG
;
Minghao LIU
;
Yingze ZHANG
- Publication Type:Journal Article
- Keywords:
Femoral fractures;
Aged;
Treatment outcome;
Multidisciplinary
- From:
Chinese Journal of Trauma
2014;30(6):569-573
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of multidisciplinary physician/nurse collaboration care mode in diagnosis and treatment of elderly patients with intertrochanteric fracture.Methods Clinical data of 433 elderly patients with intertrochanteric fracture treated from August 2011 to September 2013 were studied retrospectively.Among them,136 were diagnosed and treated using conventional methods (control group) and 297 using the multidisciplinary physician/nurse collaboration approach (collaboration group).Hospital stay,surgery rate,time from hospitalization and operation,and complications were compared between the two groups.Results Length of hospital stay [(14.8 ± 5.9) d] in collaboration group was not statistically different from that in control group [(16.0 ± 4.7) d,t =0.433,P ＞ 0.05],but surgery rate was improved (72.8％ vs 83.9％,x2 =7.212,P ＜ 0.05),time from hospitalization and operation shortened [(5.6 ± 2.9) d vs (6.9 ± 3.4) d,t =3.096,P ＜ 0.05],and perioperative complication rate reduced in collaboration group compared to control group (all P ＜ 0.05).Conclusion Multidisciplinary physician/nurse collaboration mode is a novel method for diagnosis and treatment of intertrochanteric fracture in the elderly and is associated with improved surgery rate,reduced perioperative complications and early functional recovery.
