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Title: Orthopaedic-geriatric models of care and their effectiveness.
Austin Authors: Chong, Carol P W;Savige, Judy A;Lim, Wen Kwang
Affiliation: Department of Medicine, Austin and Northern Health, The University of Melbourne, Melbourne, Victoria, Australia
Issue Date: 1-Dec-2009
Publication information: Australasian Journal On Ageing; 28(4): 171-6
Abstract: Different types of orthopaedic geriatric units have been established. This review evaluates the effectiveness of this model of care. A computerised literature search was undertaken using Medline (January 1966-February 2009), Cochrane and CINAHL with the search terms orthopaedics, geriatrics, aged, orthopaedic procedures and fractures. Relevant articles were evaluated and appraised with particular focus on randomised controlled trials. Orthopaedic-geriatric models can be divided according to the setting of care (i) acute inpatient orthopaedic-geriatric care; (ii) subacute rehabilitation; and (iii) community-based rehabilitation. Studies have been heterogenous in nature and outcomes measured have differed making pooled data analysis difficult. In general, there is a trend to effectiveness in outcomes such as functional recovery, length of stay, complications and mortality and importantly studies have not shown detrimental consequences. However, because of the varied types of interventions and models of care, it is difficult to draw firm conclusions about the effectiveness of these programs.
Gov't Doc #: 19951337
DOI: 10.1111/j.1741-6612.2009.00368.x
Journal: Australasian journal on ageing
Type: Journal Article
Subjects: Aged
Femoral Neck Fractures.rehabilitation.therapy
Health Services for the Aged
Orthopedic Procedures.rehabilitation
Randomized Controlled Trials as Topic
Appears in Collections:Journal articles

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