지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.20 No.3
- 발행연도
- 2016.1
- 수록면
- 125 - 130 (6page)
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초록· 키워드
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Background: Conventionally, elderly hip fracture patients are assessed by orthopedists to decide whether they need geriatric intervention. We aimed to evaluate the effect of perioperative geriatric intervention on healthcare outcomes in patients undergoing surgery for hip fractures. Methods: Our care model for hip fracture surgery resembles a combination of a routine geriatric consultation model and a geriatric ward model. We retrospectively reviewed the medical records of patients aged ≥65 years undergoing surgery for hip fracture at a single tertiary hospital from January 2010 to December 2013. We assessed comorbidity, indwelling status, fracture type, and mode of anesthesia. We also evaluated in-hospital expenditure, duration of admission, disposition at discharge and 1-year mortality as clinical outcomes. We developed a propensity score model using the variables of age, cholesterol, and creatinine and examined the effect of perioperative geriatric intervention on intergroup differences of clinical variables. Results: Among 639 patients, 138 patients received the geriatric intervention and 501 patients received the usual care. Univariate analysis showed that factors such as age; Charlson comorbidity index; and serum levels of cholesterol, albumin, and creatinine differed significantly between these 2 groups. There was no significant difference between the groups in terms of 1-year mortality, disposition at discharge, and in-hospital expenditure in the propensity matched model. However, the duration of hospitalization was shorter in the intervention group (8.9±0.8 days) than in the usual care group (14.2±3.7 days, p=0.006). Conclusion: This care model of geriatric intervention for patients with hip fracture is associated with reduced hospitalization duration.
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참고문헌 (29)
참고문헌 신청
Scott JC / 1990 / Osteoporosis and hip fractures / Rheum Dis Clin North Am 16:717~740
Stevens JA / 2000 / Reducing falls and resulting hip fractures among older women / MMWR Recomm Rep 49(RR-2):3~12
Bentler SE / 2009 / The aftermath of hip fracture: discharge placement, functional status change, and mortality / Am J Epidemiol 170:1290~1299
Haentjens P / 2010 / Meta-analysis: excess mortality after hip fracture among older women and men / Ann Intern Med 152:380~390
Johnston AT / 2010 / Change in long-term mortality associated with fractures of the hip: evidence from the scottish hip fracture audit / J Bone Joint Surg Br 92:989~993
Stevens JA / 2000 / Reducing falls and resulting hip fractures among older women / MMWR Recomm Rep 49(RR-2):3~12
Bentler SE / 2009 / The aftermath of hip fracture: discharge placement, functional status change, and mortality / Am J Epidemiol 170:1290~1299
Haentjens P / 2010 / Meta-analysis: excess mortality after hip fracture among older women and men / Ann Intern Med 152:380~390
Johnston AT / 2010 / Change in long-term mortality associated with fractures of the hip: evidence from the scottish hip fracture audit / J Bone Joint Surg Br 92:989~993
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