Description of an orthopedic-geriatric model of care in Australia with 3 years data.
Geriatr Gerontol Int
; 8(2): 86-92, 2008 Jun.
Article
em En
| MEDLINE
| ID: mdl-18713160
ABSTRACT
AIM:
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.METHODS:
Eight hundred and thirty-four consecutive admissions under OARS between May 2003 and May 2006 were analyzed.RESULTS:
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.CONCLUSION:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ortopedia
/
Mortalidade Hospitalar
/
Fraturas do Colo Femoral
/
Geriatria
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Geriatr Gerontol Int
Ano de publicação:
2008
Tipo de documento:
Article