Effects of a geriatrician-led hip fracture program: Improvements in clinical and economic outcomes

Journal of the American Geriatrics Society

Volumn 57, Issue 1, 2009, Pages 159-167

  Miura, Lisa N ^a,b,c   Dipiero, Albert R ^b   Homer, Louis D ^c  

^a Oregon Health and Science University ^*  (United States)

^b OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^c LEGACY HEALTH SYSTEM   (United States)

Author keywords

Cost effectiveness analysis; Geriatrician hospitalist; Hip Fracture Service; Inpatient

Indexed keywords

AGED; ARTICLE; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; FEMALE; GERIATRIC CARE; HEALTH CARE QUALITY; HIP FRACTURE; HIP SURGERY; HOSPITAL SERVICE; HOSPITALIZATION COST; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PILOT STUDY;

AGED; AGED, 80 AND OVER; FEMALE; FRAIL ELDERLY; GERIATRICS; HIP FRACTURES; HUMANS; MALE; PATIENT CARE TEAM; PILOT PROJECTS; QUALITY OF HEALTH CARE;

EID: 58149216059     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2008.02069.x     Document Type: Article

References (38)

1. DeFrances CJ, Podgornik MN. 2004 National hospital discharge survey. Adv Data 2006 371 : 1 20.
2. Braithwaite RS, Col NF, Wong JB. Estimating hip fracture morbidity, mortality and costs. J Am Geriatr Soc 2003 51 : 364 370.
3. Jensen JS, Tondevold E. Mortality after hip fractures. Acta Orthop Scand 1979 50 : 161 167.
4. Kenzora JE, McCarthy RE, Lowell JD et al. Hip fracture mortality: Relation to age, treatment, preoperative illness, time of surgery, and complications. Clin Orthop 1984 186 : 45 56.
5. Dolk T. Hip fractures - treatment and early complications. Ups J Med Sci 1989 94 : 195 207.
6. Magaziner J, Simonsick EM, Kashner TM et al. Predictors of functional recovery one year following hospital discharge for hip fracture: A prospective study. J Gerontol 1990 45 : M101 M107.
7. Magaziner J, Lydick E, Hawkes W et al. Excess mortality attributable to hip fracture in white women aged 70 years and older. Am J Public Health 1997 87 : 1630 1636.
8. Haentjens P, Lamraski G, Boonen S. Costs and consequences of hip fracture occurrence in old age: An economic perspective. Disabil Rehabil 2005 27 : 1129 1141.
9. Devas MB, Irvine RE. The geriatric orthopaedic unit: A method of achieving return to independence in the elderly patient. Br J Geriatr Prac 1969 6 : 19 25.
10. Kennie DC, Reid J, Richardson IR et al. Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: A randomised clinical trial. BMJ 1988 297 : 1083 1086.
11. Hempsall VJ, Robertson DRC, Campbell MJ et al. Orthopaedic geriatric care - is it effective? A prospective population-based comparison of outcome in fractured neck of femur. J R Coll Phys Lond 1990 24 : 47 50.
12. Cameron ID, Lyle DM, Quine S. Accelerated rehabilitation after proximal femoral fracture: A randomized controlled trial. Disabil Rehabil 1993 15 : 29 34.
13. Swanson CE, Day GA, Yelland CE et al. The management of elderly patients with femoral fractures. A randomised controlled trial of early intervention versus standard care. Med J Aust 1998 169 : 515 518.
14. Cameron ID, Lyle DM, Quine S. Cost effectiveness of accelerated rehabilitation after proximal femoral fracture. J Clin Epidemiol 1994 47 : 1307 1313.
15. Farnworth MG, Kenny P, Shiell A. The costs and effects of early discharge in the management of fractured hip. Age Ageing 1994 23 : 190 194.
16. Elliot JR, Wilkinson TJ, Hanger HC et al. The added effectiveness of early geriatrician involvement on acute orthopaedic wards to orthogeriatric rehabilitation. N Z Med J 1996 109 : 72 73.
17. Zuckerman JD, Sakales SR, Fabian DR et al. Hip fractures in geriatric patients. Results of an interdisciplinary hospital care program. Clin Orthop 1992 274 : 213 225.
18. Clark DE, DeLorenzo MA, Lucas FL et al. Epidemiology and short-term outcomes of injured Medicare patients. J Am Geriatr Soc 2004 52 : 2023 2030.
19. De Jonge KE, Christmas C, Andersen R et al. Hip fracture service - an interdisciplinary model of care. J Am Geriatr Soc 2001 49 : 1737 1738.
20. Katz S, Ford AB, Moskowitz RW et al. Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. JAMA 1963 185 : 914 919.
21. Bureau of Economic Analysis, National Economic Accounts, Table 1.1.9. Implicit Price Deflators for Gross Domestic Product [on-line]. Available at : Selected=Y Accessed October 6, 2008.
22. Finkler SA. The distinction between cost and charges. Ann Intern Med 1982 96 : 102 109.
23. Rogers FB, Shackford SR, Keller MS. Early fixation reduces morbidity and mortality in elderly patients with hip fractures from low-impact falls. J Trauma 1995 39 : 261 265.
24. Orosz GM, Magaziner J, Hannan EL et al. Association of timing of surgery for hip fracture and patient outcomes. JAMA 2004 291 : 1738 1743.
25. Shabat S, Heller E, Mann G et al. Economic consequences of operative delay for hip fractures in a non-profit institution. Orthopedics 2003 26 : 1197 1199.
26. Khasraghi FA, Lee EJ, Christmas C et al. The economic impact of medical complications in geriatric patients with hip fracture. Orthopedics 2003 26 : 49 53.
27. Huddleston JM, Long KH, Naessens JM et al. Medical and surgical comanagement after elective hip and knee arthroplasty: A randomized, controlled trial. Ann Intern Med 2004 141 : 28 38.
28. Phy MP, Vanness DJ, Melton LJ et al. Effects of a hospitalist model on elderly patients with hip fracture. Arch Intern Med 2005 165 : 796 801.
29. Vidan M, Serra JA, Moreno C et al. Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: A randomized, controlled trial. J Am Geriatr Soc 2005 53 : 1476 1482.
30. Khasraghi FA, Christmas C, Lee EJ et al. Effectiveness of a multidisciplinary team approach to hip fracture management. J Surg Orthop Adv 2005 14 : 27 31.
31. Fisher AA, Davis MW, Rubenach SE et al. Outcomes for older patients with hip fractures: The impact of orthopedic and geriatric medicine cocare. J Orthop Trauma 2006 20 : 172 180.
32. Choong PFM, Langford AK, Dowsey MM et al. Clinical pathway for fractured neck of femur: A prospective, controlled study. Med J Aust 2000 172 : 423 427.
33. March LM, Cameron ID, Cumming RG et al. Mortality and morbidity after hip fracture: Can evidence based clinical pathways make a difference? J Rheumatol 2000 27 : 2227 2231.
34. Koval KJ, Chen AL, Aharonoff GB et al. Clinical pathway for hip fractures in the elderly. The Hospital for Joint Diseases experience. Clin Orthop 2004 425 : 72 81.
35. Roberts HC, Pickering RM, Onslow E et al. The effectiveness of implementing a care pathway for femoral neck fracture in older people: A prospective controlled before and after study. Age Ageing 2004 33 : 178 184.
36. Beaupre LA, Cinats JG, Senthilselvan A et al. Reduced morbidity for elderly patients with a hip fracture after implementation of a perioperative evidence-based clinical pathway. Qual Saf Health Care 2006 15 : 375 379.
37. Campion EW, Jette AM, Cleary PD et al. Hip fracture: A prospective study of hospital course, complications, and costs. J Gen Intern Med 1987 2 : 78 82.
38. Leatherman S, Berwick D, Iles D et al. The business case for quality: Case studies and an analysis. Health Aff 2003 22 : 17 30.