Abstract
Background
Fragility fractures of the hip are one of the most important triggers of poor health
outcomes in older adults. They often result in limitations in the ability of patients
to care for themselves and mortality remains high. Orthogeriatric co-management may
improve outcomes for this high-risk population. However, the impact on long-term results
has not yet been definitively clarified. The purpose of this study was to present
the influence of orthogeriatric co-management on mortality and self-care ability,
as measured by the Barthel score, one year after hip fracture in people ≥ 60 years.
Methods
A systematic literature search was performed in accordance with the process steps
of identification, selection, and evaluation, with a systematic search of the MEDLINE,
CINAHL Complete and Cochrane Library databases in the period from February to March
2022. Articles in English and German published between 2012 and 2022 were included.
Twelve studies were finally used.
Results
Six studies demonstrated a statistically significant reduction in the one-year mortality
rate. Only one of four studies evaluating self-care ability showed a significant improvement
when the patient was treated on a specialised ward.
Conclusion
Orthogeriatric co-management seems to be beneficial in positively influencing one-year
mortality and self-care ability. In view of the heterogeneous results, the implementation
of this care model can only be recommended to a limited extent.
Keywords fragile hip fracture - orthogeriatric co-management - long-term mortality - self-care
ability - Barthel-Index
