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International Orthopaedics

, Volume 43, Issue 1, pp 187–192 | Cite as

Functional outcomes and mortality in geriatric and fragility hip fractures—results of an integrated, multidisciplinary model experienced by the “Florence hip fracture unit”

  • Roberto CivininiEmail author
  • Tommaso Paoli
  • Luisella Cianferotti
  • Alessandro Cartei
  • Alberto Boccaccini
  • Adriano Peris
  • Maria Luisa Brandi
  • Carlo Rostagno
  • Massimo Innocenti
Original Paper
  • 135 Downloads

Abstract

Purpose

The aim of this study was to evaluate the outcomes of an integrated multidisciplinary hip fracture unit through the following parameters: time to surgery, mortality, return to activities of daily living, adherence to re-fractures prevention programs.

Methods

Six hundred seventy-seven consecutive patients with hip fracture were included in the study. We calculated the time to surgery as the time in hours from admission until surgery. The in-hospital mortality was calculated as the number of deaths that occurred before discharge. Each patient was then evaluated post-operatively at six weeks, three months, and one year. We studied basic activity of daily living (BADL) and the New Mobility Scale (NMS). Adherence to re-fractures prevention programs was also evaluated.

Results

88.9% of patients underwent surgery within two calendar days from admission. In-hospital mortality was 2.4%, and the overall mortality at one year from the intervention was 18.7%. Full mobility status or a low impairment of the mobility status was reached in 32.1% of the patients at one year and a level ≥ 3 of autonomy in BADL was reached in 62.4% (338/542) of patients. Three hundred forty-two patients were prescribed a specific therapy for secondary prevention of re-fracture.

Conclusions

An integrated, multidisciplinary model for the treatment of hip fragility fractures was effective in reducing time to surgery and mortality, increasing the level autonomy and mobility status and promoting adherence to re-fracture therapy.

Keywords

Basic activity of daily living (BADL) Hip fractures (HF) Mortality 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest.

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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  • Roberto Civinini
    • 1
    Email author
  • Tommaso Paoli
    • 1
  • Luisella Cianferotti
    • 1
  • Alessandro Cartei
    • 2
  • Alberto Boccaccini
    • 2
  • Adriano Peris
    • 2
  • Maria Luisa Brandi
    • 1
  • Carlo Rostagno
    • 3
  • Massimo Innocenti
    • 1
  1. 1.Department of Surgery and Translational MedicineUniversity of FlorenceFlorenceItaly
  2. 2.Azienda Ospedaliero-Universitaria CareggiFlorenceItaly
  3. 3.Department of Experimental and Clinical MedicineUniversity of FlorenceFlorenceItaly

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