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Do standardized hip fracture care programs decrease mortality in geriatric hip fracture patients?

Injury Oct 09, 2020

Sepehri A, O'Hara NN, Slobogean GP, et al. - A large, multinational dataset was applied to evaluate if enrollment in a standardized hip fracture program (SHFP) was correlated with improved 30-day patient-important outcomes in geriatric hip fracture patients and to explore whether the SHFP treatment effect varies by baseline mortality risk. Researchers performed an observational cohort study applying data from the National Surgical Quality Improvement Program (NSQIP) for the years of 2016 and 2017. A total of 17,395 geriatric hip fracture patients over the age of 65 were included in the study. For the average geriatric hip fracture patient, the NSQIP data imply that SHFPs do not significantly improve the short-term outcomes. Nevertheless, a SHFP may significantly decrease the risk of 30-day mortality in higher-risk individuals. The data illustrate that the effectiveness of SHFPs could potentially be enhanced with targeted deployment to high-risk geriatric hip fracture patients.

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