Functional outcomes and mortality in geriatric and fragility hip fractures-results of an integrated, multidisciplinary model experienced by the "Florence hip fracture unit"

International Orthopaedics
Roberto CivininiMassimo Innocenti

Abstract

The aim of this study was to evaluate the outcomes of an integrated multidisciplinary hip fracture unit through the following parameters: time to surgery, mortality, return to activities of daily living, adherence to re-fractures prevention programs. Six hundred seventy-seven consecutive patients with hip fracture were included in the study. We calculated the time to surgery as the time in hours from admission until surgery. The in-hospital mortality was calculated as the number of deaths that occurred before discharge. Each patient was then evaluated post-operatively at six weeks, three months, and one year. We studied basic activity of daily living (BADL) and the New Mobility Scale (NMS). Adherence to re-fractures prevention programs was also evaluated. 88.9% of patients underwent surgery within two calendar days from admission. In-hospital mortality was 2.4%, and the overall mortality at one year from the intervention was 18.7%. Full mobility status or a low impairment of the mobility status was reached in 32.1% of the patients at one year and a level ≥ 3 of autonomy in BADL was reached in 62.4% (338/542) of patients. Three hundred forty-two patients were prescribed a specific therapy for secondary prevention of re-fracture....Continue Reading

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Citations

Dec 24, 2018·International Orthopaedics·Matteo Papalia, Francesco Falez
Aug 30, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Defei MengZhaohui Song
Mar 31, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mohammed AdamGhalib Ahmed Alhaneedi
May 4, 2021·Journal of Clinical Orthopaedics and Trauma·Kishore RaichandaniNandlal Bharwani
Aug 8, 2021·International Journal of Environmental Research and Public Health·Chia-Hung TangPing-Jen Chen
Aug 25, 2021·Clinical Orthopaedics and Related Research·Daniel Axelrod, Mohit Bhandari

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