Background Fractures in elderly patients its a prevalent problem. Older patients due their characteristics requires a specific care. The orthogeriatric Unit has been shown to be one of the most beneficial units. It is important to evaluate the model of care
Objectives Evaluate the main variables of fractures patients treated at a orthogeriatric Unit and their complications
Methods This is a partially concurrent prospective study, taking place in a large urban academic hospital GHdC in Belgium. The participants were 87 consecutive elderly people, admitted directly to a geriatric-based orthogeriatric ward.
Results A total of 87 patients were included. The average age was 85.2±5.2 years, 20 male, 67 female. Most of them (n=44,52%) were admitted for a hip fractures, 44% (n=38) were transferred from emergency department, ISAR score was 3.9±1.1, Preoperative stay was less than 24 h for 54% of our population, Mini nutritional assessment was 18.7±4.3, Mini mental state examination was 20.6±6.4, the Cumulative Illness Rating Scale was 17.1±4.5, the mean number of medicine was 6.8±3.3, Activity of Daily Living 15 days after admission was 12.2±5.5. Delirium was the principal complication 55% (n=44). Mean hospital stay between admission and discharge/transfer to convalescence unit was 23.8±12.9. In-hospital mortality was 11% (n=10)
Conclusions Fractures is a frequent and disabling pathology among geriatric fragile population, its treatment requires an interdisciplinary approach. This must be managed by the collaboration between geriatrician and orthopedist. We believe that the orthogeriatric Unit providing subacute and acute care will improve the general outcome of fragile geriatric patients
González-Montalvo JI et al The orthogeriatric unit for acute patients: a new model of care that improves efficiency in the management of patients with hip fracture. Hip Int. 2010 Apr-Jun;20(2):229–35.
Smith TO et al Factors predicting incidence of post-operative delirium in older people following hip fracture surgery: a systematic review and meta-analysis. Int J Geriatr Psychiatry. 2017 Jan 17.
Acknowledgements Geriatric multidisciplinary team working in GHdC Charleroi Belgium.
Disclosure of Interest None declared
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