Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

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Hommel, AmiDepartment of Health Sciences, Lund University (author)

Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Article/chapterEnglish2008

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2008
printrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:hkr-162
urn:nbn:se:hkr:diva-162urn
https://doi.org/10.1016/j.joon.2007.11.001DOI

Supplementary language notes

Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

The health care system has to deal with substantial health care costs, which are expected to continue to rise due to increasingly elderly populations. One way of saving has been a reduction of the number of beds in hospitals. The consequence is that acute patients are inappropriately admitted to non-specialized wards because of limited beds. These patients are also known as ‘‘outliers’’. In this study, consecutive patients with a hip fracture treated at the orthopaedic department (n = 273) are compared with patients treated at other departments (n = 147) according to the incidence of complications and the length of stay (LOS) before and after the introduction of an evidence-based clinical pathway. There was no medical difference between the populations. However, the strict demands of saving costs, with limited beds, have resulted not only in economic consequences with prolonged hospitalization, but also in patient suffering and the inconvenience of increased postoperative complications.Patients treated at non-specialized wards had an extra LOS of 3.7 days in the acute hospital settings and furthermore, 13.6 days of LOS including rehabilitation compared to patients treated at the orthopaedic department. In addition, we consider the implemented evidence-based clinical pathway to be successful since the number of complications was reduced. It is a major challenge to establish effective treatment and rehabilitation for patients after a hip fracture aiming to avoid complications and reduce LOS. These fragile patients with a hip fracture ought to be treated at the orthopaedic department, or at departments with geriatric and rehabilitation knowledge. Physiotherapists, occupational therapists and nurses specialising in orthopaedics and geriatricians should take an active part in the care of these patients.

Subject headings and genre

MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
Hip fracture
length of stay
orthopaedic wards
specialized wards
clinical pathway
postoperative complications
outliers
rehabilitation
Orthopaedics
Ortopedi
MEDICINE
MEDICIN

Added entries (persons, corporate bodies, meetings, titles ...)

Björkelund, Karin B.Department of Health Sciences, Lund University (author)
Thorngren, Karl-GöranDepartment of Orthopedics, Lund University Hospital (author)
Ulander, Kerstin,1953-Högskolan Kristianstad,Institutionen för hälsovetenskaper (author)
Department of Health Sciences, Lund UniversityDepartment of Orthopedics, Lund University Hospital (creator_code:org_t)

Related titles

In:Journal of Orthopaedic Nursing12:1, s. 13-251361-31111873-4839

Internet link

http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-162Till lärosätets (hkr) databas
https://doi.org/10.1016/j.joon.2007.11.001

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Journal of Orthopaedic Nursing (Search for host publication in LIBRIS)

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Kristianstad University College

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