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Effectiveness of a co-management program with internal medicine on hip fracture patients at a regional hospital in northwest Spain. Co-inter-Monf study.
Eur J Trauma Emerg Surg
January 2025
Internal Medicine Department, Hospital Público de Monforte, Rua Corredoira s/n, Monforte de Lemos, 27400, Lugo, Spain.
Background: Hip fractures represent a serious public health problem with a high burden of mortality, morbidity, and resource use. Co-management has proven to enhance the clinical outcomes of hip fracture patients hospitalized in various settings.
Aim: This study aims to evaluate whether the previously observed benefits of co-management can be achieved when such a program is implemented in a rural-based district hospital.
A scoping review of hospital-based geriatric-centered interventions on trauma surgery services.
J Am Geriatr Soc
December 2024
Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Background: Millions of older adults (≥65) present to emergency departments for injury annually. As the population increases, so will the number of older adults admitted for trauma. Although treatment guidelines for older adults who sustain trauma exist, the evidence for quality improvement is limited.
View Article and Find Full Text PDFConjoint effect of post-discharge physical exercise and co-managed care on health outcomes of older patients with hip fracture in China: A post-hoc factorial analysis.
Geriatr Nurs
November 2024
School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China; The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia. Electronic address:
Objectives: The study aimed to explore the effects of post-discharge physical exercise combined with co-managed care on health the outcomes of older patients with hip fracture.
Methods: Based on a completed non-randomised controlled trial which evaluated a co-managed care of patients aged 65 years and above with hip fracture, provided by orthopedists and geriatricians within an acute setting, a retrospective post-hoc factorial analysis was further conducted. The analysis observed the health outcomes of older patients with post-discharge physical exercise combined with co-managed care within hospitals compared to those had either post-discharge physical exercise or co-managed care.
Effect of the orthogeriatric co-management on older hip fracture patients with multimorbidity: a post-hoc exploratory subgroup analysis of a non-randomised controlled trial.
J Orthop Surg Res
November 2024
School of Public Health, Harbin Medical University, 157 Baojian Road,Nangang District, Harbin, 150081, China.
Background: Hip fracture and multimorbidity represent significant health challenges for older people. Despite evidence that orthogeriatric co-management improves hip fracture management and patients' health outcomes, there is little evidence to understand its effectiveness for patients with multimorbidity. The study aimed to assess the effect of the orthogeriatric co-management care model on older hip fracture patients with multimorbidity.
View Article and Find Full Text PDFEffects of an Emergency-Based FASE Strategy on Treating Geriatric Patients with Femoral Neck Fracture: A Retrospective Propensity Score-Matched Study.
Clin Interv Aging
November 2024
Department of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, People's Republic of China.
Article Synopsis
- The study evaluates the effects of the Fast Access to Surgery in Emergency (FASE) strategy on multidisciplinary team workflows and clinical outcomes for geriatric patients with femoral neck fractures (FNF).
- A retrospective analysis of 344 patients highlighted that while the time in the emergency department increased under FASE, the time to surgery and overall hospital stay significantly decreased, along with improved blood management.
- Despite these positive changes, the study found no significant differences in overall clinical outcomes, such as mortality rates or postoperative complications, between the FASE and control groups.
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