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KMID : 1207720160080010019
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Clinics in Orthopedic Surgery
2016 Volume.8 No. 1 p.19 ~ p.28
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Senior Managed Care System for Hip Fracture in the United States
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Hamed Yazdanshenas
Eleby R. Washington, IV
Arya Nick Shamie
Firooz Madadi
Eleby R. Washington, III
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Abstract
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Background: It is debatable whether a managed care model would affect the quality of care and length of hospital stay in the treatment of hip fractures in elderly patients.
Methods: This prospective study was undertaken to determine whether or not a managed care critical pathway tool shortened hospital stay in a group of 102 senior patients with fractures of the hip during follow-up. We compared our study findings with two equivalent populations of senior hip fracture patients not treated using a critical care pathway concerning specific markers of quality.
Results: The managed care group had a 9% mortality rate, 95% return to prefracture living and 63% return to ambulatory status. The rates compared favorably with previous studies. The quality of care provided before and after the critical pathway was equivalent, while the post-pathway length of stay dropped 30%.
Conclusions: The proposed care protocol is recommended to shorten hospital stay in elderly patients with hip fractures.
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KEYWORD
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Hip fractures, Aged, Length of stay
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