Implementing a clinical pathway for hip fractures; effects on hospital length of stay and complication rates in five hundred and twenty six patients

Purpose Modern management of the elderly with a hip fracture is complex and costly. The aim of this study was to compare the treatment-related hospital length of stay (HLOS) before and after implementing a clinical pathway for patients undergoing hip fracture surgery. Methods This was a retrospectiv...

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Veröffentlicht in:International orthopaedics 2014-05, Vol.38 (5), p.1045-1050
Hauptverfasser: Burgers, Paul T. P. W., Van Lieshout, Esther M. M., Verhelst, Joost, Dawson, Imro, de Rijcke, Piet A. R.
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Sprache:eng
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Zusammenfassung:Purpose Modern management of the elderly with a hip fracture is complex and costly. The aim of this study was to compare the treatment-related hospital length of stay (HLOS) before and after implementing a clinical pathway for patients undergoing hip fracture surgery. Methods This was a retrospective, before-and-after study. The first period ranged from June 21, 2008 to November 1, 2009 ( N  = 212), and the second was from January 7, 2010 to July 7, 2011 ( N  = 314). The electronic hospital system and patients records were reviewed for demographics, HLOS, mortality, complications and readmissions. Results In the first period 53 % had a femoral neck fracture, of which 57 % were treated with hemiarthroplasty. In the second period this was 46 % and 71 %. Pertrochanteric fractures were treated with a Gamma nail in 85 % in the first period, and in 92 % in the second period. The median HLOS decreased from nine to six days ( p  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-013-2218-5