Ortho-geriatric service--a literature review comparing different models

Area of Science:

• Geriatric Medicine
• Orthopedic Surgery
• Healthcare Management

Background:

• The aging population presents challenges in managing hip fractures due to osteoporosis and comorbidities.
• Existing shared care models for geriatric hip fracture patients vary, necessitating a comparison of their effectiveness.

Purpose of the Study:

• To systematically review and compare different multidisciplinary care models for elderly hip fracture patients.
• To identify differences in interventions and outcomes across various shared care approaches.

Main Methods:

• A systematic electronic database search identified studies evaluating multidisciplinary care for elderly hip fracture patients.
• Studies were categorized into four groups based on intervention type.
• Main outcome parameters were pooled and weighted by sample size.

Main Results:

• Integrated care models demonstrated the lowest in-hospital mortality (1.14%), shortest length of stay (7.39 days), and quickest time to surgery (1.43 days).
• Inconsistent data prevented clear conclusions on medical complication rates and activities of daily living across models.

Conclusions:

• While no single model is definitively superior, recent integrated care approaches show a promising trend.
• Integrated care, featuring geriatrician involvement and multidisciplinary teams, appears beneficial for elderly hip fracture management.