Clin Orthop Surg.  2016 Mar;8(1):19-28. 10.4055/cios.2016.8.1.19.

Senior Managed Care System for Hip Fracture in the United States

• Yazdanshenas H
• Washington ER
• Shamie AN
• Madadi F
• Washington ER

• KMID: 2363941
• DOI: http://doi.org/10.4055/cios.2016.8.1.19

Abstract

BACKGROUND
It is debatable whether a managed care model would affect the quality of care and length of hospital stay in the treatment of hip fractures in elderly patients.
METHODS
This prospective study was undertaken to determine whether or not a managed care critical pathway tool shortened hospital stay in a group of 102 senior patients with fractures of the hip during follow-up. We compared our study findings with two equivalent populations of senior hip fracture patients not treated using a critical care pathway concerning specific markers of quality.
RESULTS
The managed care group had a 9% mortality rate, 95% return to prefracture living and 63% return to ambulatory status. The rates compared favorably with previous studies. The quality of care provided before and after the critical pathway was equivalent, while the post-pathway length of stay dropped 30%.
CONCLUSIONS
The proposed care protocol is recommended to shorten hospital stay in elderly patients with hip fractures.

Keyword

Hip fractures; Aged; Length of stay

MeSH Terms

Aged
Aged, 80 and over
Female
Hip Fractures/*epidemiology/mortality/*therapy
Humans
Length of Stay/*statistics & numerical data
Los Angeles/epidemiology
Male
Managed Care Programs/*statistics & numerical data
Middle Aged
Patient Readmission
Postoperative Complications
Prospective Studies
Quality of Health Care

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