Impact of the Orthopaedic Nurse Practitioner role on acute hospital length of stay and cost‐savings for patients with hip fracture: A retrospective cohort study

Abstract

Implementation of the Orthopaedic Nurse Practitioner role for care of hip fracture patients can reduce acute hospital length of stay resulting in important cost-savings.

Length of hospital stay and dementia: A systematic review of observational studies

“…The studies conducted among patients with hip fractures (n = 7) reported a prolonged hospital stay in PWD as compared to PwoD . The difference ranged from 0.3 to 10 days, but was not significant in 2 of the 6 studies.…”

“…Eleven studies had a small sample size (range: 42‐395), were conducted in a single hospital (‐ward), or showed a sex distribution not representative of the PWD population . Thirty‐three studies met the criteria for comparability based on design or analysis, thereof 8 studies controlled or matched for 1 factor and 25 studies for at least 2 factors . Fourteen studies reported multivariate and descriptive results for LOS, and 5 studies solely multivariate results .…”

“…Thirty‐three studies met the criteria for comparability based on design or analysis, thereof 8 studies controlled or matched for 1 factor and 25 studies for at least 2 factors . Fourteen studies reported multivariate and descriptive results for LOS, and 5 studies solely multivariate results . Thirteen studies did not report any information on significance level …”

Comparação das atividades básicas de vida diária entre idosos hospitalizados e hígidos da região sul do Brasil

“…16 A permanência hospitalar prolongada (PHP) é um indicador indireto da qualidade do cuidado prestado aos pacientes nos serviços terciários embora essa relação não esteja bem estabelecida. 17,18 Kortebein et al 19 afirmam que a restrição ao leito associado à inatividade física induz os pacientes a um declínio da CF devido à perda de força dos membros inferiores e redução da capacidade aeróbica. Ao utilizar a medida de independência funcional (MIF) em 116 idosos longevos internados em unidades hospitalares em Curitiba -PR, Lourenço et al 19 encontraram valores que representam independência funcional, entretanto, os idosos avaliados apresentaram dificuldade na realização de determinadas atividades como controle de esfínc-teres, transferências entre cama, cadeira, cadeira de rodas, vaso sanitário, chuveiro/banheira e locomoção em escadas.…”

Implementation of advanced practice nursing for orthopaedic patients in the emergency care context – A study protocol for outcome studies

“…In the orthopaedic context, APN can play an important role in the coordination of patient care to ensure the delivery of high‐quality evidence‐based care for patients with hip fractures. Such care can involve performing a thorough health assessment that reveals prior fall history and previous functional ability, requesting diagnostic interventions, prescribing medication, planning management for current care and beginning discharge planning (Coventry et al, ; Pickles, Coventry, Glennon, & Twigg, ). Through the implementation of the NP role in the care of patients with hip fractures in the Norwegian healthcare system, we hypothesize that compliance to care standards will be at least as good as with the currently used traditional physician‐led care model.…”