出版社：Utrecht University, Maastricht University, Groningen University
摘要：Introduction : According with data from the Health Plan for Catalonia-2011, a total of 8,975 hospitalizations were related with hip fractures in patients 65 or older during 2010. Average stay of these patients is 11,4 days. Incidence of hip fracture is twice in women that of men and increses with age. In patients 75 to 84 years old, incidence is five times higher than patients 65 to 74. A geriatric patient is defined as 65 or older, with multiple pathologies (> two chronic disease or in a terminal condition) with polipharmacy, with or without physical or mental limitations. Hip fractures impact on both physical and cognitive function (more than half of the patients with cognitive impairment develope delirium). Objectius: 1- To jointly design with the Traumatology Department of the Joan 23 Tarragona Hospital (acute-care hospital), an integrated action program in patients 70 or older with hip fracture with the aim of: - To improve functional evoluction of patients - To reduce the length of stay in the acute-care hospital - To initiate care to geriatric patients from the first day at the acute-care hospital and continue it until discharge from our social-health center. - Multidisciplinary approach in the physical, mental and social fields - To assess what the best health and social resources are at discharge from our center. 2- Implementation of the orthogeriatric program partir from September the first 2013 3- Avaluation of the program at two years of operation. Methods : The orthogeriatrics Unit is composed of two physicians, one nurse and a social worker. At admission in the acute-care hospital, a first evaluation is performed with an integrated geriatric assessment: physical (Barthel score previous to admission), cognitive (Pfeiffer score) and social.
关键词：orthogeriatric ; hip fractures ; social and healthcare ; miltidisciplinary ; convalescence
