Implementation of a co-managed Geriatric Fracture Center reduces hospital stay and time-to-operation in elderly femoral neck fracture patients

Biber R, Singler K, Curschmann-Horter M, Wicklein S, Sieber C, Bail HJ (2013)

Publication Status: Published

Publication Type: Journal article

Publication year: 2013

Journal

Archives of Orthopaedic and Trauma Surgery Springer Verlag (Germany)

Publisher: SPRINGER

Book Volume: 133

Pages Range: 1527-1531

Journal Issue: 11

DOI: 10.1007/s00402-013-1845-z

Abstract

To evaluate changes in hospital length-of-stay and time-to-operation of older hip fracture patients before and after the foundation of a co-managed Geriatric Fracture Center (GFC).A co-managed GFC was established in a German level-1 trauma center. In a retrospective cohort study, we analyzed femoral neck fracture patients > 60 years treated with hemiarthroplasty. Patients treated within the first year after foundation of the GFC were compared to the patients treated during the year before. One-way ANOVA was performed to identify differences regarding time-to-operation and hospital length-of-stay.One hundred and fourteen patients of the GFC were compared to 169 patients previously treated without co-management. Mean patient age did not significantly differ (81.9 vs. 81.5 years; p = 0.7), nor did gender distribution. Hospital length-of-stay was significantly shorter after foundation of the GFC (13.9 vs. 16.8 days; p = 0.007). The same is true for the interval between hospital admission and operation, which decreased from 3.1 to 2.1 days (p = 0.029). Early surgical complication rate was not significantly affected by GFC foundation (7.7 % pre-GFC vs. 9.6 % GFC; p = 0.6), nor was inpatient mortality (5.9 % pre-GFC vs. 4.4 % GFC; p = 0.6). Subgroup analysis revealed that GFC patients without early surgical complications displayed a reduced length-of-stay (LOS), whereas LOS was even prolonged in GFC patients with surgical complications.A co-managed GFC offering an organized fracture program for the elderly can reduce hospital length-of-stay and time-to-operation in hip fracture patients. A significant effect can be observed within the first year after establishment of a GFC.

Authors with CRIS profile

Katrin Singler Lehrstuhl für Innere Medizin (Geriatrie) Cornel Sieber Lehrstuhl für Innere Medizin (Geriatrie)

Involved external institutions

Klinikum Nürnberg DE Germany (DE)

How to cite

APA:

Biber, R., Singler, K., Curschmann-Horter, M., Wicklein, S., Sieber, C., & Bail, H.J. (2013). Implementation of a co-managed Geriatric Fracture Center reduces hospital stay and time-to-operation in elderly femoral neck fracture patients. Archives of Orthopaedic and Trauma Surgery, 133(11), 1527-1531. https://dx.doi.org/10.1007/s00402-013-1845-z

MLA:

Biber, Roland, et al. "Implementation of a co-managed Geriatric Fracture Center reduces hospital stay and time-to-operation in elderly femoral neck fracture patients." Archives of Orthopaedic and Trauma Surgery 133.11 (2013): 1527-1531.

BibTeX: Download