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Geriatr Gerontol Int. 2008 Jun;8(2):86-92. doi: 10.1111/j.1447-0594.2008.00453.x.

Description of an orthopedic-geriatric model of care in Australia with 3 years data.

Author information

  • 1The Northern Hospital, Epping, Victoria, Australia. carol.chong@nh.org.au

Abstract

AIM:

Orthopedic-geriatric units have been established worldwide to improve the care of older patients admitted with fractures. This study describes one type of orthopedic-geriatric model which has been implemented in Victoria, Australia, named the Orthopedic Aged Care and Rehabilitation Service (OARS) and evaluates patient characteristics and outcomes including inpatient mortality.

METHODS:

Eight hundred and thirty-four consecutive admissions under OARS between May 2003 and May 2006 were analyzed.

RESULTS:

Mean age was 76.6 years, the majority of patients were female (73%) and had come from home (77%). Fractured neck of femur represented 51% of all fractures managed by OARS followed by lower limb fractures (20%) and upper limb fractures (13%). The majority of patients required inpatient rehabilitation (49% of patients overall and 61% specifically for fractured neck of femur). Inpatient mortality for all fractures was 2.5% and specifically 3.5% for fractured neck of femur.

CONCLUSION:

The OARS model involves close liaison between orthopedic and geriatric teams and promotes a multidisciplinary approach. Mortality rate for fractured neck of femur was lower than the state average, suggesting that combined orthopedic-geriatric care can improve outcomes.

PMID:
18713160
[PubMed - indexed for MEDLINE]
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