Impact of family physician-led hospitalist intervention methods in the multidisciplinary management of hip fracture: A retrospective cohort study.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Australian Journal of General Practice Pub Date : 2025-06-01 DOI:10.31128/AJGP-03-24-7215

Naoto Ishimaru, Takahiro Waki, Toshio Shimokawa, Shimpei Mizuki, Yohei Kanzawa, Takahiro Nakajima, Kenjiro Ito, Saori Kinami

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引用次数: 0

Abstract

Background and objectives: Hip fractures are associated with high morbidity and mortality. We compared the impacts of a hospitalist consultant model and hospitalist model on morbidity in patients with hip fractures with conventional orthopaedic surgeon-led care.

Method: This retrospective cohort study included patients who underwent surgery for hip fractures between April 2017 and March 2022. The primary outcome was the rate of perioperative complications. Multivariate analysis was adjusted for age, gender and any significant variables shown in univariate analysis.

Results: Of the 982 patients, 329, 224 and 429 were treated within the orthopaedic department, the hospitalist consultant model and the hospitalist model, respectively. In adjusted analysis, time to surgery was shorter within the hospitalist model (odds ratio [OR]: -0.259; 95% confidence interval [CI]: -0.502 to -0.016), but there were no differences among groups in length of stay, complications or in-hospital mortality.

Discussion: A family physician-led hospitalist model might facilitate earlier surgery for hip fractures than a conventional care model.

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家庭医生主导的住院医师干预方法对髋部骨折多学科管理的影响：一项回顾性队列研究。

背景和目的：髋部骨折具有高发病率和高死亡率。我们比较了住院医师-会诊医师模式和住院医师模式对传统骨科医生主导的髋部骨折患者发病率的影响。方法：这项回顾性队列研究纳入了2017年4月至2022年3月期间接受髋部骨折手术的患者。主要观察指标为围手术期并发症发生率。多变量分析对年龄、性别和单变量分析中显示的任何重要变量进行调整。结果：982例患者中，骨科就诊329例，会诊医师就诊224例，住院医师就诊429例。在调整分析中，住院医师模型的手术时间更短(优势比[OR]: -0.259；95%可信区间[CI]: -0.502 ~ -0.016)，但两组间住院时间、并发症或住院死亡率无差异。讨论：家庭医生主导的医院模式可能比传统护理模式更有利于髋部骨折的早期手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.