{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:00:11Z","timestamp":1784682011859,"version":"3.55.0"},"reference-count":23,"publisher":"BMJ","issue":"Suppl 2","license":[{"start":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T00:00:00Z","timestamp":1695772800000},"content-version":"unspecified","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100031365","name":"Oslo University Hospital","doi-asserted-by":"crossref","award":["No grant\/award number"],"award-info":[{"award-number":["No grant\/award number"]}],"id":[{"id":"10.13039\/100031365","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Qual"],"accepted":{"date-parts":[[2023,8,9]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Patients with hip fractures are almost always operated with quite extensive surgery and are often frail with a high risk of complications, increased dependency, and death. Orthogeriatric interdisciplinary care has shown better results compared with orthopaedic care alone. The best way of delivering orthogeriatric care, however, is still largely unknown. It is believed that a high degree of integration and shared care is better than on-demand consultative services. We aimed to evaluate two different orthogeriatric models for patients with hip fracture.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective hip fracture quality database was used to evaluate two coexisting models of care from 2019 to 2021 in our hospital. An \u2018integrated care model\u2019 (ICM) was compared with a \u2018geriatric consult service\u2019 (GCS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>516 patients were available for analysis, 360 from ICM and 156 from GCS. Mean age was 84 years. There were 370 (72%) women. American Society of Anesthesiologists class and prefracture cognitive impairment was similar between the groups. There were more patients with femoral neck fractures in the ICM group, and more patients were living independently prefracture. A logistic regression adjusting for the variables above showed that more patients in the ICM group were given a nerve block preoperatively (OR 2.0 (95% CI 1.31 to 2.97); p&lt;0.01), had their urinary catheter removed the first day after surgery (OR 1.9 (95% CI 1.27 to 2.89); p&lt;0.01), were mobilised to standing or seated in a chair beside the bed the first day after surgery (OR 1.5 (95% CI 1.03 to 2.30); p=0.033) and more ICM patients were considered for treatment against osteoporosis (OR 8.58 (95% CI 4.03 to 18.28); p&lt;0.001). There were no significant differences in time to surgery, length of stay, discharge destination or mortality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The ICM group performed equally good or better on all quality indicators than the GCS.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjoq-2023-002302","type":"journal-article","created":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T20:10:20Z","timestamp":1696277420000},"page":"e002302","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Comparing two different orthogeriatric models of care for hip fracture patients: an observational prospective cross-sectional study"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8705-5033","authenticated-orcid":false,"given":"Lene Bergendal","family":"Solberg","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise Berg","family":"Vesterhus","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingvild","family":"Hestnes","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc Vali","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Ommundsen","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Westberg","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frede","family":"Frihagen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, \u00d8stfold Hospital Trust, Gr\u00e5lum, Norway"},{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,10,2]]},"reference":[{"key":"2025083114020232000_12.Suppl_2.e002302.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.04.015"},{"key":"2025083114020232000_12.Suppl_2.e002302.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-011-1601-6"},{"key":"2025083114020232000_12.Suppl_2.e002302.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-009-0920-3"},{"key":"2025083114020232000_12.Suppl_2.e002302.4","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-152-6-201003160-00008"},{"key":"2025083114020232000_12.Suppl_2.e002302.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12877-016-0332-0","article-title":"A critical review of the long-term disability outcomes following hip fracture","volume":"16","author":"Dyer","year":"2016","journal-title":"BMC Geriatr"},{"key":"2025083114020232000_12.Suppl_2.e002302.6","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.1302\/0301-620X.102B12.BJJ-2019-1537.R3","article-title":"Factors associated with delirium and cognitive decline following hip fracture surgery","volume":"102-B","author":"Uzoigwe","year":"2020","journal-title":"Bone Joint J"},{"key":"2025083114020232000_12.Suppl_2.e002302.7","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.18.1971"},{"key":"2025083114020232000_12.Suppl_2.e002302.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-007-0375-3"},{"key":"2025083114020232000_12.Suppl_2.e002302.9","article-title":"Multidisciplinary rehabilitation for older people with hip fractures","volume":"11","author":"Handoll","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"2025083114020232000_12.Suppl_2.e002302.10","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/j.jamda.2018.05.008","article-title":"Effects of geriatric team rehabilitation after hip fracture: meta-analysis of randomized controlled trials","volume":"19","author":"Nordstr\u00f6m","year":"2018","journal-title":"J Am Med Dir Assoc"},{"key":"2025083114020232000_12.Suppl_2.e002302.11","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182a5a045"},{"key":"2025083114020232000_12.Suppl_2.e002302.12","doi-asserted-by":"crossref","first-page":"S637","DOI":"10.1007\/s00198-010-1396-x","article-title":"Ortho-geriatric service--a literature review comparing different models","volume":"21","author":"Kammerlander","year":"2010","journal-title":"Osteoporos Int"},{"key":"2025083114020232000_12.Suppl_2.e002302.13","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1007\/s00264-018-3928-5","article-title":"Which is the optimal orthogeriatric care model to prevent mortality of elderly subjects post hip fractures? A systematic review and meta-analysis based on current clinical practice","volume":"43","author":"Moyet","year":"2019","journal-title":"Int Orthop"},{"key":"2025083114020232000_12.Suppl_2.e002302.14","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1007\/s00223-021-00943-z","article-title":"Effects of orthogeriatric care models on outcomes of hip fracture patients: a systematic review and meta-analysis","volume":"110","author":"Mordant","year":"2022","journal-title":"Calcif Tissue Int"},{"key":"2025083114020232000_12.Suppl_2.e002302.15","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1007\/s00198-020-05739-9","article-title":"Vitamin D status and complications, readmissions, and mortality after hip fracture","volume":"32","author":"Ingstad","year":"2021","journal-title":"Osteoporos Int"},{"key":"2025083114020232000_12.Suppl_2.e002302.16","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1080\/17453674.2019.1710804","article-title":"Results after introduction of a hip fracture care pathway: comparison with usual care","volume":"91","author":"Sven\u00f8y","year":"2020","journal-title":"Acta Orthop"},{"key":"2025083114020232000_12.Suppl_2.e002302.17","doi-asserted-by":"crossref","DOI":"10.1007\/s11657-021-00995-6","article-title":"Quality indicators in the treatment of geriatric hip fractures: literature review and expert consensus","volume":"16","author":"Sermon","year":"2021","journal-title":"Arch Osteoporos"},{"key":"2025083114020232000_12.Suppl_2.e002302.18","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.berh.2019.03.015","article-title":"Interdisciplinary care of hip fractures.: orthogeriatric models, alternative models, interdisciplinary teamwork","volume":"33","author":"Ranhoff","year":"2019","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"2025083114020232000_12.Suppl_2.e002302.19","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afw232"},{"key":"2025083114020232000_12.Suppl_2.e002302.20","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1007\/s00198-019-04858-2","article-title":"The orthogeriatric comanagement improves clinical outcomes of hip fracture in older adults","volume":"30","author":"Baroni","year":"2019","journal-title":"Osteoporos Int"},{"key":"2025083114020232000_12.Suppl_2.e002302.21","first-page":"25","article-title":"Interdisciplinary inpatient care for elderly people with hip fracture: a randomized controlled trial","volume":"167","author":"Naglie","year":"2002","journal-title":"CMAJ"},{"key":"2025083114020232000_12.Suppl_2.e002302.22","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.297.6656.1083"},{"key":"2025083114020232000_12.Suppl_2.e002302.23","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.jamda.2016.11.004","article-title":"Three decades of comprehensive geriatric assessment: evidence coming from different healthcare settings and specific clinical conditions","volume":"18","author":"Pilotto","year":"2017","journal-title":"J Am Med Dir Assoc"}],"container-title":["BMJ Open Quality"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjoq-2023-002302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T21:02:12Z","timestamp":1756674132000},"score":1,"resource":{"primary":{"URL":"https:\/\/qir.bmj.com\/lookup\/doi\/10.1136\/bmjoq-2023-002302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":23,"journal-issue":{"issue":"Suppl 2","published-online":{"date-parts":[[2023,10,2]]},"published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1136\/bmjoq-2023-002302"],"URL":"https:\/\/doi.org\/10.1136\/bmjoq-2023-002302","relation":{},"ISSN":["2399-6641"],"issn-type":[{"value":"2399-6641","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}