Interdisciplinary management in geriatric trauma surgery : Results of a survey in Austria

• Published in: Der Unfallchirurg 2017-09, Vol.120 (9), p.761-768
• Main Authors: Stadler, C, Gosch, M, Roth, T, Neuerburg, C, Kammerlander, C
• Format: Article
• Language: ger
• Subjects: Aged; Austria; Comorbidity; Female; Geriatrics; Hip Fractures - surgery; Humans; Interdisciplinary Communication; Intersectoral Collaboration; Male; Orthopedics; Osteoporotic Fractures - surgery; Surveys and Questionnaires; Wounds and Injuries - surgery
• ISSN: 1433-044X
• DOI: 10.1007/s00113-016-0231-z

The treatment of geriatric patients in the field of trauma surgery is increasingly gaining importance. To provide optimized treatment to these mostly multimorbid patients, interdisciplinary treatment concepts between trauma surgeons and geriatricians have been designed and implemented successfully. The aim of this survey was to evaluate the current state of interdisciplinary management in the treatment of geriatric patients on trauma surgery wards throughout Austria. The directors of 64 Austrian trauma surgery wards were surveyed using an online-questionnaire regarding the current interdisciplinary treatment of geriatric patients. A total of 39 (61 %) questionnaires were analyzed. Of the participating wards, 20 % distinguished between geriatric and non-geriatric patients. There were various criteria to classify the patients. The average percentage of patients older than 70 years was 43 %. Of the participating wards, 26 % had established a periodical cooperation between trauma surgeons and geriatricians and 8 % of the participants stated that there is no interdisciplinary cooperation. The establishment of an interdisciplinary treatment concept in the near future was planned in 28 %. The most commonly mentioned obstacle that prevented trauma surgery wards from establishing an interdisciplinary management model was the lack of personnel resources (59 %) - especially the lack of geriatricians (62 %). The survey's results underline the geriatric trauma surgery's great importance especially regarding the high percentage of geriatric patients, as well as the fact that the significance of the interdisciplinary cooperation between trauma surgeons and geriatricians is not yet perceived by the majority of Austrian trauma surgery wards.