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Article: Geriatric hip fracture clinical pathway: The Hong Kong experience

TitleGeriatric hip fracture clinical pathway: The Hong Kong experience
Authors
KeywordsClinical outcomes
Clinical pathway
Geriatric hip fracture
Multidisciplinary
Issue Date2010
PublisherSpringer U K. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/198
Citation
Osteoporosis International, 2010, v. 21 SUPPL. 4, p. S627-S636 How to Cite?
AbstractGeriatric hip fracture is one of the commonest fractures in orthopaedic trauma. There is a trend of further increase in its incidence in the coming decades. Besides the development of techniques and implants to overcome the difficulties in fixation of osteoporosis bone, the general management of the hip fracture is also very challenging in terms of the preparation of the generally poorer pre-morbid state and complicate social problems associated with this group of patients. In order to cope with the increasing demand, our hospital started a geriatric hip fracture clinical pathway in 2007. The aim of this pathway is to provide better care for this group of patients through multidisciplinary approach. From year 2007 to 2009, we had managed 964 hip fracture patients. After the implementation of the pathway, the pre-operative and the total length of stay in acute hospital were shortened by over 5 days. Other clinical outcomes including surgical site infection, 30 days mortality and also incidence of pressure sore improved when compared to the data before the pathway. The rate of surgical site infection was 0.98%, and the 30 days mortality was 1.67% in 2009. The active participation of physiotherapists, occupational therapists as well as medical social workers also helped to formulate the discharge plan as early as the patient is admitted. In conclusion, a well-planned and executed clinical pathway for hip fracture can improve the clinical outcomes of the geriatric hip fractures. © 2010 The Author(s).
Persistent Identifierhttp://hdl.handle.net/10722/144966
ISSN
2015 Impact Factor: 3.445
2015 SCImago Journal Rankings: 1.460
PubMed Central ID
ISI Accession Number ID
Funding AgencyGrant Number
Synthes
Funding Information:

Dr. Leung is the speaker for Synthes and has received research support from Synthes. None of the other authors has a real or perceived conflict of interest or a disclosure of any personal or financial support.

References

 

DC FieldValueLanguage
dc.contributor.authorLau, TWen_HK
dc.contributor.authorLeung, Fen_HK
dc.contributor.authorSiu, Den_HK
dc.contributor.authorWong, Gen_HK
dc.contributor.authorLuk, KDKen_HK
dc.date.accessioned2012-02-21T05:42:49Z-
dc.date.available2012-02-21T05:42:49Z-
dc.date.issued2010en_HK
dc.identifier.citationOsteoporosis International, 2010, v. 21 SUPPL. 4, p. S627-S636en_HK
dc.identifier.issn0937-941Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/144966-
dc.description.abstractGeriatric hip fracture is one of the commonest fractures in orthopaedic trauma. There is a trend of further increase in its incidence in the coming decades. Besides the development of techniques and implants to overcome the difficulties in fixation of osteoporosis bone, the general management of the hip fracture is also very challenging in terms of the preparation of the generally poorer pre-morbid state and complicate social problems associated with this group of patients. In order to cope with the increasing demand, our hospital started a geriatric hip fracture clinical pathway in 2007. The aim of this pathway is to provide better care for this group of patients through multidisciplinary approach. From year 2007 to 2009, we had managed 964 hip fracture patients. After the implementation of the pathway, the pre-operative and the total length of stay in acute hospital were shortened by over 5 days. Other clinical outcomes including surgical site infection, 30 days mortality and also incidence of pressure sore improved when compared to the data before the pathway. The rate of surgical site infection was 0.98%, and the 30 days mortality was 1.67% in 2009. The active participation of physiotherapists, occupational therapists as well as medical social workers also helped to formulate the discharge plan as early as the patient is admitted. In conclusion, a well-planned and executed clinical pathway for hip fracture can improve the clinical outcomes of the geriatric hip fractures. © 2010 The Author(s).en_HK
dc.languageengen_US
dc.publisherSpringer U K. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/198en_HK
dc.relation.ispartofOsteoporosis Internationalen_HK
dc.rightsThe Author(s)en_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong Licenseen_US
dc.subjectClinical outcomesen_HK
dc.subjectClinical pathwayen_HK
dc.subjectGeriatric hip fractureen_HK
dc.subjectMultidisciplinaryen_HK
dc.subject.meshCritical Pathways - organization and administration-
dc.subject.meshLength of Stay - statistics and numerical data-
dc.subject.meshPatient Care Team - organization and administration-
dc.subject.meshSurgical Wound Infection - prevention and control-
dc.subject.meshHip Fractures - surgery-
dc.titleGeriatric hip fracture clinical pathway: The Hong Kong experienceen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4551/resserv?sid=springerlink&genre=article&atitle=Geriatric hip fracture clinical pathway: the Hong Kong experience&title=Osteoporosis International&issn=0937941X&date=2010-12-01&volume=21&issue=0& spage=627&authors=T. W. Lau, F. Leung, D. Siu, <i>et al.</i>en_US
dc.identifier.emailLeung, F:klleunga@hku.hken_HK
dc.identifier.emailSiu, D:cwdsiu@hkucc.hku.hken_HK
dc.identifier.emailWong, G:gordon@hku.hken_HK
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_HK
dc.identifier.authorityLeung, F=rp00297en_HK
dc.identifier.authoritySiu, D=rp00534en_HK
dc.identifier.authorityWong, G=rp00523en_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturepublished_or_final_versionen_US
dc.identifier.doi10.1007/s00198-010-1387-yen_HK
dc.identifier.pmid21058003-
dc.identifier.pmcidPMC2974932-
dc.identifier.scopuseid_2-s2.0-78449288295en_HK
dc.identifier.hkuros185978-
dc.identifier.hkuros196990-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78449288295&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume21en_HK
dc.identifier.issueSUPPL. 4en_HK
dc.identifier.spageS627en_HK
dc.identifier.epageS636en_HK
dc.identifier.eissn1433-2965en_US
dc.identifier.isiWOS:000289889600014-
dc.publisher.placeUnited Kingdomen_HK
dc.description.otherSpringer Open Choice, 21 Feb 2012en_US
dc.identifier.scopusauthoridLau, TW=42761610400en_HK
dc.identifier.scopusauthoridLeung, F=7103078631en_HK
dc.identifier.scopusauthoridSiu, D=7006550690en_HK
dc.identifier.scopusauthoridWong, G=19637815700en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK

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