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Older Chinese patients with fragility hip fracture in Hong Kong: calling for focused ortho-geriatric co-care

  
@article{JHMHP5209,
	author = {Hon-Ming Ma and Qi Ding and Louis Wing-Hoi Cheung and Simon Kwoon-Ho Chow and Kwok-Sui Leung},
	title = {Older Chinese patients with fragility hip fracture in Hong Kong: calling for focused ortho-geriatric co-care},
	journal = {Journal of Hospital Management and Health Policy},
	volume = {3},
	number = {0},
	year = {2019},
	keywords = {},
	abstract = {Background: Orthogeriatric co-management is the standard of care of hip fracture. 
Methods: This retrospective study aimed to evaluate the differences of clinical characteristics and outcomes of older patients (aged ≥50 years) hospitalised for hip fracture in six public hospitals in Hong Kong in 2012. They were categorized into three groups based on their need for peri-operative medical optimization: inputs from geriatricians (Group 1), inputs from general physicians (Group 2) and no need for medical inputs (Group 3). We compared their clinical characteristics, surgical treatment and short-term outcomes.
Results: In total, 2,748 patients were analyzed. Compared with patients of Group 3 (n=1,322), those of Group 1 (n=422) and 2 (n=1,004) were slightly older, less able to walk independently and more likely to have pressure ulcer on admission. They also had higher peri-operative risk (American Society of Anesthesiologist Grade ≥3) with a larger number of comorbidities. Group 3 had the largest proportion (72.7%) of patients who had early surgical treatment (},
	url = {http://jhmhp.amegroups.com/article/view/5209}
}