O-82: Preliminary results of the first middle east orthogeriatric unit: the qatar experience

摘要

Introduction: Orthogeriatric units have demonstrated improving survival rate, decreasing at the same time the length of stay and surgical delay in patients admitted with hip fracture. Objective: Before and after study was designed to analyze the results of an orthogeriatric unit started to work at Hamad General Hospital (Doha, Qatar). Methods: 77 patients with hip fracture with hospital admission in 2018 and 48 patients admitted with the same diagnosis till April 30, 2019 were included. The main outcomes were mortality rate, length of stay and time to surgery. Results: No differences by age (76.4 (9.0) years in 2018 versus 76.7 (6.9) in 2019), gender (48% versus 56%) or comorbidity estimated by Charlson Index (5.3 (2.2) vs 5.1 (2.0) points. Nevertheless patients admitted in 2019 had higher chronic heart failure prevalence (29.2% vs 13.6%, p = 0.035). Time to surgery was reduced from 56.1 (46.8) to 40.2 (36.2) hours, p = 0.042 and length of stay was shortened from 13.9 (14.6) to 8.0 (7.1) days, p = 0.03. As well as orthogeriatric approach increased the referrals to rehabilitation outpatient clinics from 26.1 to 45.9%, p = 0.035 and vitamid D prescription at hospital discharge was higher in 2019 (93.6% versus 54.1%, p < 0.001). Mortality rate decreased from 7.8 to 0%, p = 0.021. Conclusions: Orthogeriatric Unit in Qatar improved surgical delay, length of stay and survival rate in spite of higher chronic heart failure prevalence. As well as, the orthogeriatric unit increased vitamin D prescription and referrals to outpatient rehabilitation.