The impact of an orthogeriatric intervention in patients with fragility fractures: a cohort study

While orthogeriatric care to patients with hip fractures is established, the impact of similar intervention in patients with fragility fractures in general is lacking. Therefore, we aimed to assess the impact of an orthogeriatric intervention on postoperative complications and readmissions among pat...

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Bibliographic Details
Published in:BMC geriatrics 2019-10, Vol.19 (1), p.268-268, Article 268
Main Authors: Abrahamsen, Charlotte, Nørgaard, Birgitte, Draborg, Eva, Nielsen, Morten Frost
Format: Article
Language:English
Subjects:
Care and treatment
Cohort analysis
Elderly
Elderly patients
Emergency medical care
Fracture repair
Fractures
Fractures (Injuries)
Fragility fracture
Frail elderly
Geriatrics
Health aspects
Hip
Hip fractures
Hospitals
Mortality
Nurses
Nursing care
Older people
Orthogeriatric
Osteoporosis
Osteoporotic fractures
Patients
Postoperative complications
Public health
Surgeons
Surgery
Surgical outcomes
Therapists
Trauma
Vertebrae
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Summary:While orthogeriatric care to patients with hip fractures is established, the impact of similar intervention in patients with fragility fractures in general is lacking. Therefore, we aimed to assess the impact of an orthogeriatric intervention on postoperative complications and readmissions among patients admitted due to and surgically treated for fragility fractures. A prospective observational cohort study with a retrospective control was designed. A new orthogeriatric unit for acute patients of sixty-five years or older with fragility fractures in terms of hip, vertebral or appendicular fractures was opened on March 1, 2014. Patients were excluded if the fracture was cancer-related or caused by high-energy trauma, if the patient was operated on at another hospital, treated conservatively with no operation, or had been readmitted within the last month due to fracture-related complications. We included 591 patients; 170 in the historical cohort and 421 in the orthogeriatric cohort. No significant differences were found between the two cohorts with regard to the proportion of participants experiencing complications (24.5% versus 28.3%, p = 0.36) or readmission within 30 days after discharge (14.1% vs 12.1%, p = 0.5). With both cohorts collapsed and adjusting for age, gender and CCI, the odds of having postoperative complications as a hip fracture patient was 4.45, compared to patients with an appendicular fracture (p 
ISSN:1471-2318
1471-2318
DOI:10.1186/s12877-019-1299-4