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.
journal_name
Geriatr Gerontol Intjournal_title
Geriatrics & gerontology internationalauthors
Chong C,Christou J,Fitzpatrick K,Wee R,Lim WKdoi
10.1111/j.1447-0594.2008.00453.xsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
86-92issue
2eissn
1444-1586issn
1447-0594pii
GGI453journal_volume
8pub_type
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