Senior Managed Care System for Hip Fracture in the United States
Clinics in Orthopedic Surgery
;
: 19-28, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-101619
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Readmissão do Paciente
/
Complicações Pós-Operatórias
/
Qualidade da Assistência à Saúde
/
Programas de Assistência Gerenciada
/
Los Angeles
/
Estudos Prospectivos
/
Fraturas do Quadril
/
Tempo de Internação
Tipo de estudo:
Guia de Prática Clínica
/
Estudo observacional
Limite:
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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