Le cheminement clinique systématisé dans les fractures proximales fémorales du sujet âgé améliore les résultats cliniques - 30/01/20
Clinical pathways for geriatric patients with proximal femoral fracture improve process and outcome
Abstract |
Objective |
The objective of the current study was to evaluate the implementation of clinical pathways (CPs) in hip fracture management.
Methods |
In total, 605 proximal femoral fractures were prospectively included into a hospital data-base. The effects of CPs were evaluated using a pre-during-post design. Different procedural (time to surgery, length of stay, discharge, etc.) and patient outcome parameters (mortality, complications, etc.) were evaluated.
Results |
In both categories, significant changes could be detected during the three-year period. E.g. significant reduction of time to surgery, improvement of discharge management, reduction of internal complications. However, no significant changes could be demonstrated for mortality or revision rate.
Conclusion |
We could show a relevant improvement with the implementation of clinical pathways for the treatment of proximal femoral fractures in elderly patients.
Level of Evidence |
III, prospective non-randomized cohort study.
El texto completo de este artículo está disponible en PDF.Keywords : Clinical pathways, Proximal femoral fracture, Process optimization
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 106 - N° 1
P. 46 - février 2020 Regresar al número
Artículo precedente
- Facteurs de mortalité dans les fractures trochantériennes. Une étude transversale
- Mario Velez, Uriel Palacios-Barahona, Marcela Paredes-Laverde, Jorge A. Ramos-Castaneda
- Enclouage centromédullaire comme alternative aux plaques pour la fixation des fractures distales de la fibula
- Duk-Whan Kho, Hyeong-June Kim, Byung-June Kim, Seung-Myung Choi
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?