Measures of clinical outcome before, during, and after implementation of a comprehensive geriatric hip fracture program: Is there a learning curve

Journal of Orthopaedic Trauma

Volumn 27, Issue 12, 2013, Pages 672-676

  Collinge, Cory A ^a,b   McWilliam Ross, Kindra ^a   Beltran, Michael J ^c   Weaver, Tara ^d  

^a Texas Health Harris Fort Worth Hospital   (United States)

^b JOHN PETER SMITH HOSPITAL   (United States)

^c SAN ANTONIO MILITARY MEDICAL CENTER   (United States)

^d Orthopedic Specialty Associates   (United States)

Author keywords

Complication; Geriatric Fracture; Geriatric Fracture Program; Hip Fracture Mortality; Hip Fracture Program; Learning Curve; Multidisciplinary; Program; Protocol

Indexed keywords

ADULT; AGED; ARTHROPLASTY; ARTICLE; COHORT ANALYSIS; COMMUNITY HOSPITAL; COMPARATIVE STUDY; CONTROLLED STUDY; DEMOGRAPHY; ELECTRONIC MEDICAL RECORD; EMERGENCY HEALTH SERVICE; FEMALE; GERIATRIC CARE; HEALTH CARE PLANNING; HEALTH PROGRAM; HIP FRACTURE; HUMAN; LEARNING CURVE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PATIENT CODING; PERFORMANCE MEASUREMENT SYSTEM; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

AGED; AGED, 80 AND OVER; COHORT STUDIES; FEMALE; GERIATRIC ASSESSMENT; HIP FRACTURES; HOSPITAL MORTALITY; HUMANS; LEARNING CURVE; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT OUTCOME ASSESSMENT; PREVALENCE; PROFESSIONAL COMPETENCE; QUALITY IMPROVEMENT; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; SURVIVAL RATE; TREATMENT OUTCOME;

EID: 84889090016     PISSN: 08905339     EISSN: 15312291     Source Type: Journal    
DOI: 10.1097/BOT.0b013e318291f0e5     Document Type: Article

References (15)

1. Egol KA, Strauss EJ. Perioperative considerations in geriatric patients with hip fracture: what is the evidence J Orthop Trauma. 2009;23:386-394.
2. Kates SL, Mendelson DA, Friedman SM. The value of an organized fracture program for the elderly: early results. J Orthop Trauma. 2011; 25:233-237.
3. Friedman SM, Mendelson DA, Kates SL, et al. Geriatric co-management of proximal femur fractures: total quality management and protocoldriven care results in better outcomes for a frail patient population. J Am Geriatr Soc. 2008;56:1349-1356.
4. Friedman SM, Mendelson DA, Bingham KW, et al. Impact of a comanaged Geriatric Fracture Center on short-term hip fracture outcomes. Arch Intern Med. 2009;169:1712-1719.
5. Kenzora JE, McCarthy RE, Lowell JD, et al. Hip fracture mortality. Relation to age, treatment, preoperative illness, time of surgery, and complications. Clin Orthop Relat Res. 1984;186:45-56.
6. Moran CG, Wenn RT, Sikand M, et al. Early mortality after hip fracture: is delay before surgery important J Bone Joint Surg Am. 2005;87:483-489.
7. Lefaivre KA, Macadam SA, Davidson DJ, et al. Length of stay, mortality, morbidity and delay to surgery in hip fractures. J Bone Joint Surg Br. 2009;91:922-927.
8. McGuire K, Bernstein J, Polsky D, et al. Delays until surgery after hip fracture increases mortality. Clin Orthop Relat Res. 2004;428:294-301.
9. Dolk T. Operation in hip fracture patients - analysis of the time factor. Injury. 1990;21:369-372.
10. Watters CL, Moran WP. Hip fractures - a joint effort. Orthop Nurs. 2006;25:157-165.
11. Zuckerman JD, Skovron ML, Koval KJ, et al. Postoperative complications and mortality associated with operative delay in older patients who have a fracture of the hip. J Bone Joint Surg Am. 1995;77:1551-1556.
12. Clague JE, Craddock E, Andrew G, et al. Predictors of outcome following hip fracture. Admission time predicts length of stay and in-hospital mortality. Injury. 2002;33:1-6.
13. Hall MJ, DeFrances CJ, Williams SN, et al. National hospital discharge survey: 2007 summary. Natl Health Stat Report. 2010;29:1-21.
14. Miura L, DiPiero A, Homer L. Effects of a geriatrician-led hip fracture program: improvements in clinical and economic outcomes. J Am Geriatr Soc. 2009;57:159-167.
15. Pedersen S, Borgbjerg F, Schousboe B, et al. A comprehensive hip fracture program reduces complication rates and mortality. J Am Geriatr Soc. 2008;56:1831-1838.