Implantación de una Unidad de Ortogeriatría de Agudos en un hospital de segundo nivel |
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Authors: | Rafael Bielza Galindo Alejandro Ortiz Espada Estefanía Arias Muñana Rocío Velasco Guzmán de Lázaro Asunción Mora Casado Ricardo Moreno Martín Blanca Tapia Salinas Javier Escalera Alonso Jorge Gómez Cerezo |
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Institution: | 1. Servicio de Medicina Interna, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España;2. Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España;3. Sección de Hematología, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España;4. Sección de Rehabilitación, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España;5. Servicio de Anestesiología y Reanimación, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España |
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Abstract: | BackgroundPatients with hip fracture (HF), due to their characteristics, require a specific support. The Acute Orthogeriatric Unit (OGU) has been shown to be one of the most beneficial.ObjectiveTo evaluate the main variables of HF patients treated at an OGU and compare them with the previous referral model (RC).Material and methodsA prospective observational study with retrospective control was conducted on 169 patients, split into two groups. In the RC group, patients were admitted to conventional trauma ward. In the OGU group, an early geriatric assessment was performed, and patients were simultaneously attended daily by the orthopaedic surgeon, nurse and geriatrician, and the surgery times, work load, discharge and destination, were planned in a weekly meeting with the rest of professionals.ResultsA total of 71 patients were included in the RC group and 96 in the OGU group. The preoperative characteristics were similar, except for a slightly higher comorbidity in the OGU group. The OGU patients were operated on earlier (3.82±2.08 vs 4.61±2.5 days; P<.32), and overall hospital stay was reduced by 28% (11.84±4.04 vs 16.46±8.4 days; P<.001). The functional efficiency (Barthel Index at discharge-Barthel Index at admission/overall stay - stay before surgery) was higher in the OGU group (1.56±0.7 vs 2.61±1.1; P<.05). There were no differences in functional status, mortality or discharge location.ConclusionsThe OGU is a level of care that provides effective medical care in HF patients in general hospitals. |
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Keywords: | Fractura de cadera Unidad de Ortogeriatrí a Estancia hospitalaria Eficiencia funcional |
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