Standardized hospital-based care programs improve geriatric hip fracture outcomes: An analysis of the ACS NSQIP targeted hip fracture series
Journal of Orthopaedic Trauma May 31, 2019
Arshi A, et al. - Researchers examined patients treated under a standardized hip fracture program (SHFP) for relative complication rates and outcome measures. Searching the American College of Surgeons National Surgical Quality Improvement Program, they identified 9360 hip fracture patients of whom 5070 (54.2%) were treated under a documented SHFP. Patients in an SHFP had a lower risk-adjusted incidence of postoperative deep vein thrombosis, had statistically comparable rates of other medical and surgical complications and 30-day mortality, were less likely to be discharged to an inpatient facility vs home, had a lower 30-day readmission rate and had higher rates of immediate postoperative weight-bearing as tolerated, adherence to deep vein thrombosis prophylaxis at 28 days, and initiation of bone protective medications. These findings suggest the association of care in a modern hospital-based SHFP with improved short-term outcome measures.
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