{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:29:26Z","timestamp":1793863766761,"version":"4.6.1"},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The aim of this study was to evaluate the impact of a hip fracture multidisciplinary protocol in a Brazilian tertiary hospital, focusing on time to surgery, mortality, re-admission rates, and 6-month outcomes.  METHODS: Conducted in a private hospital in Porto Alegre, Brazil, the protocol, initiated in October 2022 (group before protocol implementation [Group NP] and group after implementation [Group P]), involved a multidisciplinary team assessment within 24 h of admission, early ambulation, and discharge planning. Hospitalization data, including age, gender, comorbidities, length of stay, surgery timing, and mortality, were collected. Additionally, patient-reported outcome measures were evaluated 6 months post-discharge via phone, assessing disability (Oswestry Disability Index), pain level (back pain, Numeric Pain Rating Scale), and quality of life (general health, EQ5D-3L).  RESULTS: The study included 213 hip fracture patients, with the majority (60.1%) undergoing surgery within 48 h of admission (Group NP: 51.3% vs. Group P: 64.7%, p&lt;0.01). Six months later, patient-reported outcome measures favored Group P, showing a lower disability measured by the mean Oswestry Disability Index (22.0 vs. 28.0, p=0.02), reduced reported pain levels (back pain [3.0 vs. 3.9, p=0.04] and Numeric Pain Rating Scale median [3.5 vs. 4.5, p=0.04]), and a higher quality of life (health condition median [70.5 vs. 61.1, p=0.01] and EQ5D-3L median [0.72 vs. 0.65, p=0.02]).  CONCLUSIONS: In the most recent period (2021\u20132023), long-term outcomes for hip fracture patients showed notable improvements, including reduced disability, more effective pain management, and enhanced quality of life, potentially reflecting the impact of protocol modifications.<\/jats:p>","DOI":"10.1590\/1806-9282.20241383","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T11:05:26Z","timestamp":1748862326000},"source":"Crossref","is-referenced-by-count":2,"title":["Revolutionizing hip fracture care in Brazil: unleashing multidisciplinary protocols\u2019 power"],"prefix":"10.1590","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7373-0627","authenticated-orcid":false,"given":"Paulo Ricardo Mottin","family":"Rosa","sequence":"first","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil; Hospital Nossa Senhora da Concei\u00e7\u00e3o,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7577-464X","authenticated-orcid":false,"given":"Jonas","family":"Wolf","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0508-8959","authenticated-orcid":false,"given":"Matheus Presa","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5295-9852","authenticated-orcid":false,"given":"Cristiano Valter","family":"Diesel","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9567-9201","authenticated-orcid":false,"given":"Marcelo Reuwsaat","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7198-4826","authenticated-orcid":false,"given":"Samuel Mill\u00e1n","family":"Menegotto","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2409-3486","authenticated-orcid":false,"given":"Ju\u00e7ara Gasparetto","family":"Maccari","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7069-5827","authenticated-orcid":false,"given":"Luiz Antonio","family":"Nasi","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1731-4543","authenticated-orcid":false,"given":"Carlos Roberto","family":"Galia","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7651-3799","authenticated-orcid":false,"given":"Cassiano","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital,  Brazil; 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