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Published on: March 3, 2023
Bypass: an integrated hip fracture care pathway
Nicholas O'Keeffe1, Martin Kelly2, Ara Francis2
1Department of Trauma & Orthopaedics, Connolly Hospital Blanchardstown, Dublin, Ireland. Nokeeffe1@gmail.com.
An integrated hip fracture care pathway improved patient outcomes and resource allocation. This multidisciplinary approach ensures timely treatment for hip fractures, benefiting patients and healthcare systems.
Area of Science:
- Trauma Surgery
- Orthopaedics
- Healthcare Management
Background:
- Rising hip fracture incidence strains healthcare resources.
- Fragmented care pathways hinder optimal patient management.
- Integrated trauma care systems are essential for effective treatment.
Purpose of the Study:
- To evaluate the outcomes of an integrated hip fracture care pathway.
- To assess the effectiveness of a multidisciplinary approach between hospitals.
Main Methods:
- Retrospective analysis of a prospectively maintained hip fracture database.
- Study period: 18 months (March 2017 - September 2018).
- Involved a coordinated referral pathway with bypass option.
Main Results:
- 86 patients managed via the integrated pathway.
- 84% received definitive treatment within 48 hours.
- Average length of stay was 4.28 days.
Conclusions:
- Integrated hip fracture pathways improve patient outcomes.
- Multidisciplinary care optimizes resource allocation.
- Pathway facilitates training and enhances care coordination.
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