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An audit of hip fracture services in the Mater Hospital Dublin 2001 compared with 2006
L Cogan1, A J Martin, L A Kelly
1Department of Medicine for the Older Person, Mater Misericordiae University Hospital, Dublin 7, Ireland.
Background:
Evidence-based practice supports the provision of integrated geriatric multidisciplinary care for older people with hip fractures.
Aims:
To show that introduction of orthogeriatric services resulted in improved care and better patient outcomes.
Methods:
We compared two audits: a 2001 audit of 103 patients over the age of 65 years with hip fracture and a 2006 audit on 98 admissions using the same parameters.
Results:
Inpatient mortality dropped from 20% to 8%. Discharge to home increased from 8% to 18% and to nursing home fell from 25% to 21%. Prescription of perioperative antibiotics, DVT prophylaxis and osteoporosis medications improved. There were no significant differences in age or sex but there were significantly higher levels of disability in the 2001 group.
Conclusion:
Following introduction of an orthogeriatric service, improvements in mortality and discharge destination occurred. This may have been influenced by higher proportions of disability among the 2001 cohort.
