Evolución prospectiva de un programa de intervención geriátrica interdisciplinaria y secuencial en la recuperación funcional del anciano con fractura de cadera
- Francisco Javier Ortiz Alonso
- María Teresa Vidán Astiz
- Eugenio Marañón Fernández
- M ª Loreto Alvarez Nebreda
- Mª Angeles García Alhambra
- Mar Alonso Armesto
- M. Toledano Iglesias
- José Antonio Serra Rexach
ISSN: 1888-6116
Año de publicación: 2008
Volumen: 19
Número: 1
Páginas: 13-21
Tipo: Artículo
Otras publicaciones en: Trauma
Resumen
Aim: Treatment, functional recovery and mortality of elderly patients with hip fracture are very variable. We have designed an intervention program to improve the number of patients who recover their previous functional status and to reduce mortality and resources use in medium and long term follow up. Patients and Methodology: a «quasi- experimental» study with historical control group and intervention group to demonstrate benefits of a combined (orthopedics and geriatrics) and consecutive (acute, rehabilitation and supportive periods), in elderly patients with hip fracture. Results: Being treated in the IG increases likelihood of recovering walking ability at 3 months (47 vs 30%) and at 6 months (62 vs 44%), according to that treated in the CG. There is a higher in hospital mortality rate in the IG (5,1 vs 0,6%) compared with the patients in the CG; without differences at 3, 6 and 12 months follow up. Patients in the IG stay less at hospital (10,1 vs 17,6 days, p <0,001) and are more likely to be transferred to a rehabilitation facility (67 vs 21%, p <0,001). Conclusions: Combined and consecutive treatment in elderly patients with hip fracture increase the percentage of patients who recover functional status in a medium follow up