Frontiers in medicine · 2025
Development and evaluation of a multidisciplinary intervention program for osteoporotic hip fractures in the elderly.
СтатьяНазвание и аннотация: Перевод в очереди
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Xu Pan, Cao Cong, Zhao Kang, Li Qian, Shao Xiaoqing, Shen Jie, Sun Yanhong, Zhu Yi, Dai Qian, Zuo Feifei, Liu Ying, Fang Na, Ma Wenya
Аннотация
BACKGROUND: Osteoporotic hip fractures pose significant health challenges for the elderly, necessitating a comprehensive care approach. Traditional treatments often focus solely on surgical interventions, overlooking the multifaceted needs of this population. This study assesses the effectiveness of a multidisciplinary intervention program designed to enhance postoperative outcomes in elderly patients with osteoporotic hip fractures.
METHODS: A retrospective analysis was conducted on 300 patients aged 65 and above, treated for hip fractures in 2023. Patients were divided into two groups: 150 received traditional orthopedic care and 150 underwent a multidisciplinary intervention involving an integrated team of orthopedic surgeons, geriatrics, anesthesiologists, and rehabilitation specialists. Key outcomes assessed included time to surgery, hospital stay duration, complications, functional recovery, and quality of life.
RESULTS: The Multidisciplinary Care Group demonstrated significantly shorter times to surgery (97.31 ± 16.41 h) and hospital stays (7.61 ± 3.21 days) compared to the Traditional Orthopedic Care Group (P = 0.03 and P = 0.02, respectively). Functional Independence Measure (FIM) scores and Harris Hip Scores were consistently higher in the Multidisciplinary Care Group-at discharge (FIM P = 0.02; Harris P = 0.01), 1 month (FIM P = 0.004; Harris P = 0.002) and 3 months (FIM P = 0.004; Harris P = 0.002) after surgery. While not statistically significant, trends indicated fewer complications and a reduced reoperation rate in the Multidisciplinary Care Group.
CONCLUSION: The multidisciplinary intervention significantly improved early postoperative functional recovery, reducing time to surgery and hospital stays.
METHODS: A retrospective analysis was conducted on 300 patients aged 65 and above, treated for hip fractures in 2023. Patients were divided into two groups: 150 received traditional orthopedic care and 150 underwent a multidisciplinary intervention involving an integrated team of orthopedic surgeons, geriatrics, anesthesiologists, and rehabilitation specialists. Key outcomes assessed included time to surgery, hospital stay duration, complications, functional recovery, and quality of life.
RESULTS: The Multidisciplinary Care Group demonstrated significantly shorter times to surgery (97.31 ± 16.41 h) and hospital stays (7.61 ± 3.21 days) compared to the Traditional Orthopedic Care Group (P = 0.03 and P = 0.02, respectively). Functional Independence Measure (FIM) scores and Harris Hip Scores were consistently higher in the Multidisciplinary Care Group-at discharge (FIM P = 0.02; Harris P = 0.01), 1 month (FIM P = 0.004; Harris P = 0.002) and 3 months (FIM P = 0.004; Harris P = 0.002) after surgery. While not statistically significant, trends indicated fewer complications and a reduced reoperation rate in the Multidisciplinary Care Group.
CONCLUSION: The multidisciplinary intervention significantly improved early postoperative functional recovery, reducing time to surgery and hospital stays.