Implementation of an orthogeriatric model in a second-level hospital in Mexico

Hip fracture (HF) is a health problem and orthogeriatric models improve care indicators. Objective: The objective of this study was to determine the indicators of care in older people (OP) with HF due to frailty in an orthogeriatric model. Materials and methods: This study was a longitudinal, prospe...

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Main Authors: José O. Duarte-Flores, Jaime A. Espinoza-Ávila, Cynthia G. Solís-Silva, Lorena Ávila-Cázarez, Julián Abraham-Mancilla, María del C. Arellano-Correa, Horacio Vargas-Jiménez
Format: Article
Language:English
Published: Publicaciones Permanyer 2023-01-01
Series:The Journal of Latin American Geriatric Medicine
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Online Access:https://www.jgeriatricmedicine.com/frame_esp.php?id=77
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author José O. Duarte-Flores
Jaime A. Espinoza-Ávila
Cynthia G. Solís-Silva
Lorena Ávila-Cázarez
Julián Abraham-Mancilla
María del C. Arellano-Correa
Horacio Vargas-Jiménez
author_facet José O. Duarte-Flores
Jaime A. Espinoza-Ávila
Cynthia G. Solís-Silva
Lorena Ávila-Cázarez
Julián Abraham-Mancilla
María del C. Arellano-Correa
Horacio Vargas-Jiménez
author_sort José O. Duarte-Flores
collection DOAJ
description Hip fracture (HF) is a health problem and orthogeriatric models improve care indicators. Objective: The objective of this study was to determine the indicators of care in older people (OP) with HF due to frailty in an orthogeriatric model. Materials and methods: This study was a longitudinal, prospective, and comparative study. The orthogeriatric model included a multidisciplinary team. Results: Thirty-eight cases were analyzed. The mean age was 79.6 ± 9.2 years, 78.9% were women (n = 30). The orthogeriatric model was more likely to sit postoperatively (28.6% vs. 2.9%, p < 0.001), has post-operative rehabilitation (34.3% vs. 5.7%, p = 0.00), and receives secondary prevention at discharge (38.9% vs. 22.2%, p = 0.00). Hospital stay was shorter in the orthogeriatric model (5.5 vs. 7.5 days, p = 0.04). Conclusions: Cases with HF due to frailty in the orthogeriatric model were more likely of sitting down in the post-surgical period, having rehabilitation, shortening the hospital stay, and receiving secondary prevention.
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spelling doaj.art-fb242988c5144c7bafcaf87b2adaa25e2023-07-27T15:57:01ZengPublicaciones PermanyerThe Journal of Latin American Geriatric Medicine2462-46162023-01-019110.24875/LAGM.23000003Implementation of an orthogeriatric model in a second-level hospital in MexicoJosé O. Duarte-Flores0Jaime A. Espinoza-Ávila1Cynthia G. Solís-Silva2Lorena Ávila-Cázarez3Julián Abraham-Mancilla4María del C. Arellano-Correa5Horacio Vargas-Jiménez6Department of Geriatric Medicine, Hospital General de Zona 83, Instituto Mexicano del Seguro Social, Michoacán, Morelia, MexicoDepartment of Traumatology and Orthopedics, Hospital General de Zona 83, Instituto Mexicano del Seguro Social, Michoacán, Morelia, MexicoDepartment of Geriatric Medicine, Hospital General de Zona 83, Instituto Mexicano del Seguro Social, Michoacán, Morelia, MexicoDepartment of Geriatric Nursing, Hospital General de Zona 83, Instituto Mexicano del Seguro Social, Michoacán, Morelia, MexicoDepartment of Traumatology and Orthopedics, Hospital General de Zona 83, Instituto Mexicano del Seguro Social, Michoacán, Morelia, MexicoDepartment of Rehabilitation and Physical Medicine. Hospital General de Zona 83, Instituto Mexicano del Seguro Social, Michoacán, Morelia, MexicoDepartment of Rehabilitation and Physical Medicine. Hospital General de Zona 83, Instituto Mexicano del Seguro Social, Michoacán, Morelia, MexicoHip fracture (HF) is a health problem and orthogeriatric models improve care indicators. Objective: The objective of this study was to determine the indicators of care in older people (OP) with HF due to frailty in an orthogeriatric model. Materials and methods: This study was a longitudinal, prospective, and comparative study. The orthogeriatric model included a multidisciplinary team. Results: Thirty-eight cases were analyzed. The mean age was 79.6 ± 9.2 years, 78.9% were women (n = 30). The orthogeriatric model was more likely to sit postoperatively (28.6% vs. 2.9%, p < 0.001), has post-operative rehabilitation (34.3% vs. 5.7%, p = 0.00), and receives secondary prevention at discharge (38.9% vs. 22.2%, p = 0.00). Hospital stay was shorter in the orthogeriatric model (5.5 vs. 7.5 days, p = 0.04). Conclusions: Cases with HF due to frailty in the orthogeriatric model were more likely of sitting down in the post-surgical period, having rehabilitation, shortening the hospital stay, and receiving secondary prevention. https://www.jgeriatricmedicine.com/frame_esp.php?id=77Older people. Hip fracture. Orthogeriatric.
spellingShingle José O. Duarte-Flores
Jaime A. Espinoza-Ávila
Cynthia G. Solís-Silva
Lorena Ávila-Cázarez
Julián Abraham-Mancilla
María del C. Arellano-Correa
Horacio Vargas-Jiménez
Implementation of an orthogeriatric model in a second-level hospital in Mexico
The Journal of Latin American Geriatric Medicine
Older people. Hip fracture. Orthogeriatric.
title Implementation of an orthogeriatric model in a second-level hospital in Mexico
title_full Implementation of an orthogeriatric model in a second-level hospital in Mexico
title_fullStr Implementation of an orthogeriatric model in a second-level hospital in Mexico
title_full_unstemmed Implementation of an orthogeriatric model in a second-level hospital in Mexico
title_short Implementation of an orthogeriatric model in a second-level hospital in Mexico
title_sort implementation of an orthogeriatric model in a second level hospital in mexico
topic Older people. Hip fracture. Orthogeriatric.
url https://www.jgeriatricmedicine.com/frame_esp.php?id=77
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