Meeting Management Standards and Improvement in Clinical Outcomes Among Patients With Hip Fractures
| العنوان: | Meeting Management Standards and Improvement in Clinical Outcomes Among Patients With Hip Fractures |
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| المؤلفون: | Hassan Asarreh, Robert Pascoe, Helen M Achat, Sze Ming Loh, Joanne M Stubbs, Lieu Thi Thuy Trinh |
| المصدر: | Journal for Healthcare Quality. 40:336-343 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, Waiting time, medicine.medical_specialty, Time Factors, Health administration, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Interquartile range, medicine, Humans, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, Aged, Aged, 80 and over, Postoperative Care, Hip fracture, Hip Fractures, business.industry, 030503 health policy & services, Health Policy, Rehabilitation, Australia, Public Health, Environmental and Occupational Health, Length of Stay, Middle Aged, medicine.disease, Patient Discharge, Hospitalization, Treatment Outcome, Care Standards, Practice Guidelines as Topic, Emergency medicine, Female, 0305 other medical science, business, Lower mortality |
| الوصف: | OBJECTIVES To determine the association between management standards and clinical outcomes among patients with hip fracture (HF). METHODS Data from a prospective cohort study were linked with hospital administration data. RESULTS In 2014 and 2015, 493 patients had surgery for HF. The proportion of patients meeting care standards ranged from 69% for surgery within 48 hours to 96% for being seen by a geriatrician. Thirty-nine per cent of patients received all the standards. The mean waiting time for surgery was 44 hours (median, 34 hours; interquartile range [IQR], 22-58 hours). The mean length of stay for patients who were alive at discharge was 17 days (median, 13 days; IQR, 6-24 days). Fifty-six patients were readmitted within 28 days of discharge (12%), and 40 patients died within 28 days of admission (8.1%). Patients who received all standards were less likely to be readmitted or die. Surgery within 48 hours and being seen by a physiotherapist were associated with a lower mortality rate. CONCLUSIONS The management standards, collectively and in particular, assessment by a physiotherapist and surgery within 48 hours were significantly associated with better clinical outcomes. |
| تدمد: | 1945-1474 1062-2551 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1b4994070d4d905a81a5c1bc49da02bf https://doi.org/10.1097/jhq.0000000000000127 |
| رقم الأكسشن: | edsair.doi.dedup.....1b4994070d4d905a81a5c1bc49da02bf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19451474 10622551 |
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