Volume 21 Issue 12
Dec.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(12): 2156-2159
XIONG Fei, SHAO Xiaoping, RUI Biyu. Implementation and evaluation of a multidisciplinary team-based model for managing and caring for elderly patients with traumatic hip fractures[J]. Chinese Journal of General Practice, 2023, 21(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.003312
Citation: XIONG Fei, SHAO Xiaoping, RUI Biyu. Implementation and evaluation of a multidisciplinary team-based model for managing and caring for elderly patients with traumatic hip fractures[J]. Chinese Journal of General Practice, 2023, 21(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.003312
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Implementation and evaluation of a multidisciplinary team-based model for managing and caring for elderly patients with traumatic hip fractures

doi: 10.16766/j.cnki.issn.1674-4152.003312

  • Department of Emergency Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China

Funds:

 202240142

  • Received Date: 2023-06-25
    Available Online: 2024-01-29
    Abstract
  •   Objective  To investigate the impact of a multi-disciplinary team-based model on managing and caring for elderly patients with traumatic hip fractures, and analyze of surgical-related indicators, postoperative complications rate, and nursing satisfaction during the patient's hospitalization.  Methods  A retrospective analysis was conducted on 228 patients who underwent hip joint surgery at the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from September 2022 to April 2023. The patients were divided into two groups: an observation group (105 cases) and a control group (123 cases), based on their treatment and care processes. The control group followed the routine procedure, while the observation group received acre in a dedicated one-stop ward designed specifically for elderly patients with traumatic hip fractures in the emergency department. The treatment and nursing process in the observation group were optimized through the implementation of a streamlined pathway and multidisciplinary comprehensive consultation. The study compared operation-related indicators, postoperative complication rates, and nursing satisfaction between the two groups.  Results  Compared with the control group, the observation group demonstrated significant improvements in various aspects. The preoperative waiting time [(1.62±0.35) d vs. (2.70±0.52) d], postoperative mobilization time [(1.68±0.36) d vs. (2.37±0.52) d], and length of hospital stay [(5.62±1.76) d vs. (8.27±2.52) d] were significantly shortened in the observation group (all P < 0.05). Additionally, the observation group exhibited a significant decrease in the proportion of postoperative ICU admission (2.86% vs.9.76%) and 30-day readmission rate (2.86% vs.9.76%), all P < 0.05. Moreover, compared with the control group, the incidence of postoperative pulmonary infection (2.86% vs.9.76%), incision infection (4.76% vs.13.01%), and lower extremity deep vein thrombosis (8.57% vs.17.89%) in the observation group were significantly reduced (all P < 0.05). The overall nursing satisfaction rate in the observation group was 99.05%, which was significantly higher than in the control group (91.87%, P < 0.05).  Conclusion  The implementation of a multidisciplinary team-based model for managing and caring for elderly patients with traumatic hip fractures has demonstrated several positive outcomes. This model facilitates early surgical treatment, leading to shorter hospital stays, decreased perioperative complications, and improved nursing satisfaction.

     

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