Open-access Impact of multidisciplinary co-management on outcomes of patients with hip fracture

Abstract

Objective  To assess the impact of the multidisciplinary co-management program on the outcomes of hospitalized patients with hip fractures.

Methods  This is an observational, before-and-after, retrospective study. Data were collected from patients hospitalized for hip fracture between 2015 and 2019, at a university hospital with a referral service for orthopedics. The intervention analyzed was the multidisciplinary co-management program, which started in 2017.

Results  The number of pressure injuries acquired during hospitalization decreased significantly (p<0.005) after the implementation of co-management. Likewise, the length of hospital stay until surgery was reduced (p<0.046), and national and international guidelines for fracture correction within 48 hours were complied with. Infections, readmissions and deaths have not had their impact confirmed.

Conclusion  The multidisciplinary co-management had a positive impact on the outcomes of patients hospitalized for hip fracture, resulting in a reduction in the number of pressure injuries and in the waiting time for surgery. Through this study, preliminary evidence was identified to support the implementation of this type of program.

Hip fracturas; Patient care team; Postoperative complications; Medical-surgical nursing; Orthopedic nursing

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Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br
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