Description of an orthopedic-geriatric model of care in Australia with 3 years data

Geriatrics & Gerontology International
Carol P ChongWen Kwang Lim

Abstract

Orthopedic-geriatric units have been established worldwide to improve the care of older patients admitted with fractures. This study describes one type of orthopedic-geriatric model which has been implemented in Victoria, Australia, named the Orthopedic Aged Care and Rehabilitation Service (OARS) and evaluates patient characteristics and outcomes including inpatient mortality. Eight hundred and thirty-four consecutive admissions under OARS between May 2003 and May 2006 were analyzed. Mean age was 76.6 years, the majority of patients were female (73%) and had come from home (77%). Fractured neck of femur represented 51% of all fractures managed by OARS followed by lower limb fractures (20%) and upper limb fractures (13%). The majority of patients required inpatient rehabilitation (49% of patients overall and 61% specifically for fractured neck of femur). Inpatient mortality for all fractures was 2.5% and specifically 3.5% for fractured neck of femur. The OARS model involves close liaison between orthopedic and geriatric teams and promotes a multidisciplinary approach. Mortality rate for fractured neck of femur was lower than the state average, suggesting that combined orthopedic-geriatric care can improve outcomes.

References

Nov 8, 1986·British Medical Journal·R N VillarS J Barnes
Oct 29, 1988·BMJ : British Medical Journal·W J GilchristB O Williams
Jan 1, 1985·International Rehabilitation Medicine·R E Irvine
Apr 1, 1984·Journal of the American Geriatrics Society·D A Matthews
Oct 1, 1995·The Journal of Bone and Joint Surgery. American Volume·J D ZuckermanV H Frankel
May 2, 2001·The Cochrane Database of Systematic Reviews·R ManserM Abramson
Oct 19, 2002·BMJ : British Medical Journal·Michael J GoldacreDavid Yeates
Jun 18, 2004·The Medical Journal of Australia·Soufiane BoufousStephen R Lord
Nov 2, 2004·British Journal of Anaesthesia·N B Foss, H Kehlet
Mar 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Christopher G MoranAndrew M Taylor

❮ Previous
Next ❯

Citations

Nov 26, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A LihM J Seibel
Jan 6, 2010·Archives of Orthopaedic and Trauma Surgery·Carol Pei Wei ChongWen Kwang Lim
Jul 10, 2010·The Journal of Nutrition, Health & Aging·J P Baeyens
Nov 15, 2011·Injury·Carol P ChongWen Kwang Lim
Dec 3, 2009·Australasian Journal on Ageing·Carol P ChongWen Kwang Lim
Apr 10, 2016·Irish Journal of Medical Science·C Y HendersonJ P Ryan
Jul 1, 2015·International Journal of Orthopaedic and Trauma Nursing·Genni LynchLorraine Venturato
Sep 19, 2014·World Journal of Orthopedics·Pedro CarpinteroManuel Mesa
Jul 18, 2014·Nature Communications·Fariba Jian MotamediAndreas Schedl
Oct 17, 2019·BMC Geriatrics·Charlotte AbrahamsenMorten Frost Nielsen
Apr 17, 2015·The Journal of Bone and Joint Surgery. American Volume·Anna N MillerCynthia L Emory
May 16, 2021·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S LietenJ Vanlauwe

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Aging (Keystone)

This feed focuses on cellular aging with emphasis on the mitochondria, autophagy, and metabolic processes associated with aging and longevity. Here is the latest research on cell aging.