Efficacy of a multidisciplinary approach on postoperative morbidity and mortality of elderly patients with hip fracture

We evaluated the efficacy of a multidisciplinary approach to reduce postoperative complications and 1-year mortality in patients, undergoing hip fracture surgery and the impact of surgical delay on mortality. A non-randomized intervention study with a historical control group (CG). During the hospital stay of patients undergoing hip fracture surgery and subsequent follow-up during 12 months post-discharge. 240 patients undergoing hip fracture surgery were included in the CG. 272 patients were included in the intervention group (IG). CG patients received the standard care given at our hospital. Patients in the IG received a new model of multidisciplinary approach to care. The following variables were collected: study group, age, gender, ASA physical status, comorbidity, type of fracture, type of anaesthesia, surgical delay, postoperative complications, hospital stay, destination after discharge and postoperative mortality. 512 patients (CG = 240; IG = 272). Mean age was 83.8 years in CG and 84.9 years in IG. Patients in the IG had a worse health status according to ASA (III-IV: 68.8% vs 51.7%; p