The effects of a multidisciplinary pathway for perioperative management of patients with hip fracture.
Publication/Presentation Date
10-1-2023
Abstract
OBJECTIVES: To determine if a multidisciplinary pathway focused on non-opioid pain management, delirium assessment, and resource utilization improved outcomes in geriatric hip fracture patients. The goal was to reduce opioid usage, consultation not congruent with guidelines, and increase use of regional anesthesia to reduce delirium and improve outcomes.
METHODS: An observational study was performed on hip fracture patients before and after the intervention. Hospitalists were educated on indications for preoperative cardiac consultation and specialized preoperative cardiac testing according to evidence-based guidelines with the inpatient cardiology service. Additional education on multimodal analgesia, limiting opioids, and peripheral nerve blocks was provided by the acute pain service. Pre-intervention outcomes from 1 July 20171 July 2017 to 31 May 201831 May 2018 (
RESULTS: Delirium was reduced from 50.0% (
CONCLUSIONS: A multidisciplinary collaboration between hospitalists, anesthesiologists, and cardiologists for hip fracture patients was associated with a reduction in pain and delirium and time to cardiologist evaluation. Prospective studies focusing on additional patient-centered outcomes are warranted.
Volume
51
Issue
4
First Page
233
Last Page
239
ISSN
2154-8331
Published In/Presented At
Ackermann, L. L., Schwenk, E. S., Li, C. J., Vaile, J. R., & Weitz, H. (2023). The effects of a multidisciplinary pathway for perioperative management of patients with hip fracture. Hospital practice (1995), 51(4), 233–239. https://doi.org/10.1080/21548331.2023.2274307
Disciplines
Medicine and Health Sciences
PubMedID
37927222
Department(s)
Fellows and Residents
Document Type
Article
