Analysis of therapeutic effect of multidisciplinary orthogeriatric management for geriatric hip fractures
10.3760/cma.j.issn.0254-9026.2018.12.004
- VernacularTitle:骨科和老年科共同管理模式治疗老年人髋部骨折的疗效分析
- Author:
Minghui YANG
1
;
Hao WANG
;
Wenjing LI
;
Manyi WANG
;
Xinbao WU
Author Information
1. 100035,北京积水潭医院北京大学第四临床医学院创伤骨科
- Keywords:
Hip fractures;
Disease management
- From:
Chinese Journal of Geriatrics
2018;37(12):1312-1315
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of multidisciplinary orthogeriatric management for geriatric hip fractures. Methods The 492 consecutive patients aged 65~99 years (mean ,79.6 years)with woman 69.9% (344/492)were recruited between May 2015 and April 2016 in the retrospective study. Clinical data ,time from admission to initiation of surgery ,in-hospital mortality and mobility status of patients receiving orthogeriatric co-management were analyzed. Results The operation was performed in 434 patients(88.2% ). The 49.8% (216/434)of patients underwent surgery within 48 hours after admission. The average time between admission and operation was 66.5 hours(6~246 hours).In-hospital mortality was 0.7% (3/434).The 382 patients(88.0% )were followed up , with mean follow-up of 21.2 months(range ,16~27 months). The total mortality was 9.9% (38/382) and one-year mortality was 6.5% (25/382). The average Parker mobility score of 344 survived patients was significantly reduced from 8.4 before injury to 6.6 at final follow up(P＜0.01).The 42.4% (162/382)of patients returned to their pre-injury mobility status. Re-operation was performed in 8 patients(2.1% )during follow up. Conclusions Multidisciplinary orthogeriatric management for geriatric hip fractures is effective with a low in hospital and one-year mortality ,while the mobility status is deteriorated significantly and more than half of the patients cannot return to their pre-injury mobility status.
