Low-Energy Pelvic Ring Fractures: A Care Conundrum
Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summariz...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-02-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/2151459320985406 |
| _version_ | 1818672645479071744 |
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| author | Bailey R. Abernathy BA Lisa K. Schroder BSME, MBA Deborah C. Bohn MD Julie A. Switzer MD |
| author_facet | Bailey R. Abernathy BA Lisa K. Schroder BSME, MBA Deborah C. Bohn MD Julie A. Switzer MD |
| author_sort | Bailey R. Abernathy BA |
| collection | DOAJ |
| description | Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. Results: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. Conclusions: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary. |
| first_indexed | 2024-12-17T07:43:11Z |
| format | Article |
| id | doaj.art-6f50257b6c884b3d9b4003a1d7ebb431 |
| institution | Directory Open Access Journal |
| issn | 2151-4593 |
| language | English |
| last_indexed | 2024-12-17T07:43:11Z |
| publishDate | 2021-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-6f50257b6c884b3d9b4003a1d7ebb4312022-12-21T21:58:05ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932021-02-011210.1177/2151459320985406Low-Energy Pelvic Ring Fractures: A Care ConundrumBailey R. Abernathy BA0Lisa K. Schroder BSME, MBA1Deborah C. Bohn MD2Julie A. Switzer MD3 , Minneapolis, MN, USA , Bloomington, MN, USA TRIA Orthopedics, Bloomington, MN, USA Park Nicollet Methodist Hospital, St Louis Park, MN, USAIntroduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. Results: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. Conclusions: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary.https://doi.org/10.1177/2151459320985406 |
| spellingShingle | Bailey R. Abernathy BA Lisa K. Schroder BSME, MBA Deborah C. Bohn MD Julie A. Switzer MD Low-Energy Pelvic Ring Fractures: A Care Conundrum Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Low-Energy Pelvic Ring Fractures: A Care Conundrum |
| title_full | Low-Energy Pelvic Ring Fractures: A Care Conundrum |
| title_fullStr | Low-Energy Pelvic Ring Fractures: A Care Conundrum |
| title_full_unstemmed | Low-Energy Pelvic Ring Fractures: A Care Conundrum |
| title_short | Low-Energy Pelvic Ring Fractures: A Care Conundrum |
| title_sort | low energy pelvic ring fractures a care conundrum |
| url | https://doi.org/10.1177/2151459320985406 |
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