![]() ![]() ![]() It refers doctors from more than 2 disciplines should conduct consultations for a certain disease, discuss the difficult problems in the diagnosis and treatment of the disease, and finally develop a reasonable and effective treatment plan. Multidisciplinary team(MDT) is a form of comanagement which has decreased inpatient complications and length of stay. The reasons for the delay could be as follows: patients with femoral neck fracture needed to spend a lot of time queuing for the preoperative examination, because the hospital did not open the preferential pathway for them doctors of geriatrics waited until the next day to arrive for a consultation the surgery was postponed due to the chief surgeon’s work schedule. Unfortunately, the surgery was delayed several days after the patient’s admission to hospital in many cases, which was seldom attributable to clinical reasons, but was more reasonably due to organizational challenges and bureaucracy. Long waiting times before intervention will increase complications and mortality for patients with femoral neck fracture. Arthroplasty (Hemiarthroplasty and total hip replacement) is the treatment of choice for most older individuals who sustain a displaced femoral neck fracture. Īgreed by the international Guidelines, the optimal treatment of hip fractures is immediate surgery for the reduction of the fracture and prosthetic replacement, enhancing the probability of better patient recovery. These multi-system medical diseases and complications can lead to long-term care needs, functional decline and death.Surgical decision-making and perioperative management of elderly hip fractures require the joint participation of relevant multidisciplinary physicians including of not only orthopedic surgeons but also doctors of geriatrics, critical care medicine, anesthesiology, mental health department and rehabilitation medicine. Most femoral neck fractures occur in older adults who often have multi-system medical diseases and are at high risk of developing complications such as infection, delirium, and iatrogenic problems. Half of the patients were unable to regain pre-fracture mobility, a fourth of whom require long term nursing home care before they had the ability to live independently. The 1-year mortality rate of femoral neck fracture can be up to 30%. Most hip fractures are associated with a fall, although other risk factors include osteoporosis, reduced level of activity, and chronic medication use. The incidence of femoral neck fractures is increasing due to age-aging reasons, and the risk of fracture doubles every decade after age 50. Trial registrationįemoral neck fracture is a common injury in orthopedic practice which can cause significant morbidity and mortality. ConclusionĪpplication of MDT can provide standardized protocols and a total quality management approach, leading to fewer complications for elderly patients with femoral neck fracture. 31.3% P = 0.039), with significantly lower risks of delirium, postoperative infection, bleeding, cardiac complication, hypoxia, and thromboembolism. The MDT model had fewer complications overall (16.5% vs. There were no significant differences between two models in In-hospital mortality (1.0% vs. ![]() Patients treated in the MDT model had significantly shorter times to surgery (38.5 vs. Preoperative general data of sex, age, community dwelling and charlson comorbidity score of MDT group (n = 103) have no statistically significant difference with that of usual care (UC) group. Age, gender, comorbidity status, time to surgery, and postoperative complication, length of stay, in-hospital mortality, 30-day readmission rate, 90-day mortality data were collected and analyzed. High-energy, pathological, old and periprosthetic femoral neck fracture were excluded. 199 patients were included who had surgery for a new unilateral femoral neck fracture from January 2018 to December 2021 (96 patients in usual care (UC) model and 103 patients in MDT model. This is a retrospective cohort study that incorporates medical record review with an outcomes management database. ![]() Multi-system medical diseases and complications can lead to long-term care needs, functional decline and death, so patients sustaining hip fractures usually have comorbid conditions that may benefit from application of multidisciplinary team(MDT). Femoral neck fractures are associated with substantial morbidity and mortality for older adults. ![]()
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