Fractura de cadera en el anciano: a propósito de un caso

Ríos, Pablo Airam Pareja

doi:10.4321/s1988-348x2014000100009

Cited by 1 publication

(1 citation statement)

References 16 publications

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“…Then, in the clinical setting, HF requires urgent hospitalization, surgical intervention, early postoperative mobilization, and functional recovery (9); currently there is a great diversity in the types of care that the patients receive and the results that are obtained in the different care parameters (10). And last, HF causes high costs at all levels of care (11), since 50-60% of the total of hospitals budgets is spent on this pathology, because it requires attention on the acute phase, the recovery, and the subsequent rehabilitation (12).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Hospital Indicators Before and After the Implementation of an Orthogeriatric Unit in Older People with Hip Fracture: 5 Years of Follow-Up

Sánchez

Ortega²,

Torre

2023

Preprint

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Background: In the older population, hip fracture (HF) is considered a serious public health problem worldwide since it increases morbidity and mortality. Objective: analyze hospital indicators of care, sociodemographic, clinical and geriatric variables, before and after the implementation of the Orthogeriatric Unit for older adults with acute phase hip fracture at the Hospital de la Policia No. 1 Quito (HPNQ1). Materials and methods: observational, retrospective, analytical and single-center study completed during the period between January 1, 2012 to December 21, 2017. The sample was a non-probabilistic sample, with 77 participants of 65 years or older admitted with a diagnosis of HF. Information was obtained from the clinical history with confidentiality measures in the handling of information accordingly with the principles of bioethics Results: mean age of participants was 82.51 (SD= 8.51, range 65 – 99), with a ratio of 1.85 females per 1 male. Osteoporosis and polypharmacy were significantly associated with HF. Prior to the creation of the Orthogeriatric Unit, the hospital indicators showed that the average stay was 11 days and after the implementation of the unit this was reduced to an average of only 8 days, and costs decreased by 30% ($13588.22 vs $ 9814.04 before and after the implementation of an Orthogeriatric unit, respectively). Conclusion: the orthogeriatric unit substantially improves hospital indicators, reduces total hospital stay by 50% and costs by 30%.

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