Orthogeriatric services associated with lower 30-day mortality for older patients who undergo surgery for hip fracture
Hip fracture is one of the most common, serious and costly injuries sustained by older people; it often results in disability and a need for enhanced levels of care, and it occasionally results in death.1–3
To improve outcomes after hip fracture, various models of care have been proposed and evaluated.1,4,5 One study has shown reductions in morbidity and mortality,1 another has produced inconclusive results,6 and a systematic review has found that hip fracture patients who receive multidisciplinary inpatient rehabilitation tend to achieve better outcomes, although it could not show this to a significant level.7
Orthogeriatric care is medical care for older patients with orthopaedic conditions that is provided collaboratively with the treating orthopaedic team. In Australia, it is predominantly provided by geriatricians. We examined the impact of orthogeriatric services on 30-day mortality and length of stay (LOS) for hip fracture patients undergoing surgery in public hospitals in New South Wales.
We conducted a retrospective analysis of patients aged 65 years and older…