Clinical significance of multidisciplinary team collaboration for the treatment of hip fractures in the elderly
10.3760/cma.j.issn.0254-9026.2019.03.014
- VernacularTitle:多学科协作在老年人髋部骨折治疗中的作用
- Author:
Xiaoning WU
1
;
Shuyun ZHANG
;
Cong PENG
;
Xiang SHEN
Author Information
1. 湖南师范大学附属长沙医院骨二科
- Keywords:
Hip fractures;
Multidisciplinary team collaboration
- From:
Chinese Journal of Geriatrics
2019;38(3):283-287
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of multidisciplinary team collaboration (MDT)for the treatment of hip fractures in elderly patients.Methods A total of 157 elderly patients with hip fractures meeting inclusion and exclusion criteria were admitted into our department from 1st September 2015 to 31st December 2017.The patients were randomly divided into the traditional treatment group and the MDT group.The differences in treatment time,cost,postoperative outcomes and postoperative Harris hip function score were compared between the two groups.Results The preoperative length of stay,total hospitalization time and the time of antibiotic use after operation were shorter in the MDT treatment group than in the traditional treatment group (all P ＜0.05).Total costs of treatment and costs for bed,laboratory examinations,and nursing were lower in the MDT treatment group than in the traditional treatment group(all P＜0.05).The off-bed activity time after operation was earlier in the MDT treatment group with femoral neck fractures [(5.36 ± 1.56)d vs.(10.07±2.26)d,P =0.002]than in the traditional treatment group with intertrochanteric fracture patients [(30.26 ± 3.01) d vs.(42.28 ± 3.52) d,P =0.017].Harris hip function score was higher in the MDT treatment group than in the traditional treatment group at 3 and 6 months after surgery (P ＜ 0.05).Conclusions As compared with the traditional treatment mode,MDT treatment mode can shorten the preoperative stay in bed,the length of hospital stay after surgery and the off-bed activity time after operation,reduce hospitalization costs and postoperative complications,and can promote the recovery of hip joint function in elderly hip fracture patients.
