AIMS: To evaluate the effect of regular input by a geriatrician to an orthopaedic ward. METHOD: A geriatrician saw all patients aged over 65 years admitted to an acute orthopaedic ward-this was compared to an adjacent orthopaedic ward which had consultation only service, and also to both wards in the preceding year. All subjects over the age of 65 years with fractured neck of femur admitted over a 4 month period were enroled. Main outcome measures were length of stay, cost, discharge destination. RESULTS: In the year prior to study, patients in both wards had a mean total stay of 28 days. On the intervention ward the mean stay was reduced to 20.7 days, and on the control ward to 27 days. The cost per case on the intervention ward was NZ$9400, and on the control ward was NZ$11 500. Eleven percent went to a higher care level on the intervention ward, compared with 23% on the control ward. CONCLUSION: Geriatrician input on a twice weekly basis to all patients over 65 years of age on an orthopaedic ward, saves bed days, reduces costs and produces an improved outcome.
AIMS: To evaluate the effect of regular input by a geriatrician to an orthopaedic ward. METHOD: A geriatrician saw all patients aged over 65 years admitted to an acute orthopaedic ward-this was compared to an adjacent orthopaedic ward which had consultation only service, and also to both wards in the preceding year. All subjects over the age of 65 years with fractured neck of femur admitted over a 4 month period were enroled. Main outcome measures were length of stay, cost, discharge destination. RESULTS: In the year prior to study, patients in both wards had a mean total stay of 28 days. On the intervention ward the mean stay was reduced to 20.7 days, and on the control ward to 27 days. The cost per case on the intervention ward was NZ$9400, and on the control ward was NZ$11 500. Eleven percent went to a higher care level on the intervention ward, compared with 23% on the control ward. CONCLUSION: Geriatrician input on a twice weekly basis to all patients over 65 years of age on an orthopaedic ward, saves bed days, reduces costs and produces an improved outcome.
Authors: Christine Ellen Gill; Paul James Mitchell; Jan Clark; Jillian Cornish; Peter Fergusson; Nigel Gilchrist; Lynne Hayman; Sue Hornblow; David Kim; Denise Mackenzie; Stella Milsom; Adrienne von Tunzelmann; Elizabeth Binns; Kim Fergusson; Stewart Fleming; Sarah Hurring; Rebbecca Lilley; Caroline Miller; Pierre Navarre; Andrea Pettett; Shankar Sankaran; Min Yee Seow; Jenny Sincock; Nicola Ward; Mark Wright; Jacqueline Clare Therese Close; Ian Andrew Harris; Elizabeth Armstrong; Jamie Hallen; Joanna Hikaka; Ngaire Kerse; Andrea Vujnovich; Kirtan Ganda; Markus Joachim Seibel; Thomas Jackson; Paul Kennedy; Kirsten Malpas; Leona Dann; Carl Shuker; Colleen Dunne; Philip Wood; Jay Magaziner; David Marsh; Irewin Tabu; Cyrus Cooper; Philippe Halbout; Muhammad Kassim Javaid; Kristina Åkesson; Anastasia Soulié Mlotek; Eric Brûlé-Champagne; Roger Harris Journal: Arch Osteoporos Date: 2022-08-02 Impact factor: 2.879
Authors: Bastiaan Van Grootven; Lynn McNicoll; Daniel A Mendelson; Susan M Friedman; Katleen Fagard; Koen Milisen; Johan Flamaing; Mieke Deschodt Journal: BMJ Open Date: 2018-03-16 Impact factor: 2.692