Implementation of an orthogeriatric model in a second-level hospital in Mexico

Abstract

Hip fracture (HF) is a health problem and orthogeriatric models improve care indicators. Objective: The objective of this study was to determine the indicators of care in older people (OP) with HF due to frailty in an orthogeriatric model. Materials and methods: This study was a longitudinal, prospective, and comparative study. The orthogeriatric model included a multidisciplinary team. Results: Thirty-eight cases were analyzed. The mean age was 79.6 ± 9.2 years, 78.9% were women (n = 30). The orthogeriatric model was more likely to sit postoperatively (28.6% vs. 2.9%, p < 0.001), has post-operative rehabilitation (34.3% vs. 5.7%, p = 0.00), and receives secondary prevention at discharge (38.9% vs. 22.2%, p = 0.00). Hospital stay was shorter in the orthogeriatric model (5.5 vs. 7.5 days, p = 0.04). Conclusions: Cases with HF due to frailty in the orthogeriatric model were more likely of sitting down in the post-surgical period, having rehabilitation, shortening the hospital stay, and receiving secondary prevention.

Keywords

• Older people. Hip fracture. Orthogeriatric.