Clinical effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: population-based longitudinal study.

ABSTRACT:

Objectives

to evaluate orthogeriatric and nurse-led fracture liaison service (FLS) models of post-hip fracture care in terms of impact on mortality (30 days and 1 year) and second hip fracture (2 years).

Setting

Hospital Episode Statistics database linked to Office for National Statistics mortality records for 11 acute hospitals in a region of England.

Population

patients aged over 60 years admitted for a primary hip fracture from 2003 to 2013.

Methods

each hospital was analysed separately and acted as its own control in a before-after time-series design in which the appointment of an orthogeriatrician or set-up/expansion of an FLS was evaluated. Multivariable Cox regression (mortality) and competing risk survival models (second hip fracture) were used. Fixed e

SUBMITTER: Hawley S 

PROVIDER: S-EPMC4776625 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature