Clinical pathways for geriatric patients with proximal femoral fracture improve process and outcome - 30/01/20
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Abstract |
Objective |
The objective of the current study was to evaluate the implementation of clinical pathways (CPs) in hip fracture management.
Methods |
Six hundred and five proximal femoral fractures were prospectively included into a hospital data-base. The effects of CPs were evaluated using a pre-during-post design. Different procedural (time to surgery, length of stay, discharge, etc.) and patient outcome parameters (mortality, complications, etc.) were evaluated.
Results |
In both categories significant changes could be detected during the three-year period. E.g. significant reduction of time to surgery, improvement of discharge management, reduction of internal complications. However, no significant changes could be demonstrated for mortality or revision rate.
Conclusion |
We could show a relevant improvement with the implementation of clinical pathways for the treatment of proximal femoral fractures in elderly patients.
Level of evidence |
III, prospective non-randomised cohort study.
Le texte complet de cet article est disponible en PDF.Keywords : Clinical pathways, Proximal femoral fracture, Process optimisation
Plan
Vol 106 - N° 1
P. 141-147 - février 2020 Retour au numéro
Article précédent
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