Identifying a standard set of outcome parameters for the evaluation of orthogeriatric co-management for hip fractures
| Autor: | J Burton, Norbert Suhm, Frankie Leung, I. S. L. Liem, G Pioli, Michael Blauth, Christopher G. Moran, Stephen L. Kates, M. Gosch, Andrea Giusti, Martyn J. Parker, Daniel A. Mendelson, T. Roth, Joseph D. Zuckerman, Christian Kammerlander, A Hoang-Kim, Jörg Goldhahn |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Health Services for the Aged Frail Elderly Osteoporosis Population Outcome (game theory) Quality of life (healthcare) Surveys and Questionnaires Activities of Daily Living Preoperative Care Humans Medicine Orthopedic Procedures Set (psychology) education Geriatric Assessment Aged General Environmental Science Aged 80 and over Patient Care Team Postoperative Care education.field_of_study Hip fracture Hip Fractures business.industry Recovery of Function Length of Stay medicine.disease Outcome parameter Hospitalization Patient Outcome Assessment Physical therapy General Earth and Planetary Sciences Female business Osteoporotic Fractures |
| Zdroj: | Injury. 44:1403-1412 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2013.06.018 |
| Popis: | Summary Background and purpose Osteoporotic fractures are an increasing problem in the world due to the ageing of the population. Different models of orthogeriatric co-management are currently in use worldwide. These models differ for instance by the health-care professional who has the responsibility for care in the acute and early rehabilitation phases. There is no international consensus regarding the best model of care and which outcome parameters should be used to evaluate these models. The goal of this project was to identify which outcome parameters and assessment tools should be used to measure and compare outcome changes that can be made by the implementation of orthogeriatric co-management models and to develop recommendations about how and when these outcome parameters should be measured. It was not the purpose of this study to describe items that might have an impact on the outcome but cannot be influenced such as age, co-morbidities and cognitive impairment at admission. Methods Based on a review of the literature on existing orthogeriatric co-management evaluation studies, 14 outcome parameters were evaluated and discussed in a 2-day meeting with panellists. These panellists were selected based on research and/or clinical expertise in hip fracture management and a common interest in measuring outcome in hip fracture care. Results We defined 12 objective and subjective outcome parameters and how they should be measured: mortality, length of stay, time to surgery, complications, re-admission rate, mobility, quality of life, pain, activities of daily living, medication use, place of residence and costs. We could not recommend an appropriate tool to measure patients’ satisfaction and falls. We defined the time points at which these outcome parameters should be collected to be at admission and discharge, 30 days, 90 days and 1 year after admission. Conclusion Twelve objective and patient-reported outcome parameters were selected to form a standard set for the measurement of influenceable outcome of patients treated in different models of orthogeriatric co-managed care. |
| Databáze: | OpenAIRE |
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