Effectiveness of integrated care for elderly patients with hip fractures: A systematic review and meta-analysis

Geriatr Nurs. 2023 Jan-Feb:49:65-73. doi: 10.1016/j.gerinurse.2022.11.012. Epub 2022 Nov 26.

Abstract

Hip fractures in the elderly often cause many complications after surgery. Although ample evidence shows that integrated care can effectively improve postoperative conditions, the effectiveness of specific interventions remains inconsistent across studies. This study was conducted following the Preferred Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The database was from November 1998 to July 2022. Twelve studies (3,010 participants) implemented integrated care for elderly patients with hip fractures. Overall, integrated care improved Activities of Daily Living (ADL) levels within 6 months, at 12 months, Quality of Life (QoL) at 6 months, and decreased Length of Stay (LOS) and mortality rate at 3 months. At least 3 months of integrated care intervention for hip fractures in the elderly to reduce patient complications and medical costs, can be used as a reference for future policies and clinical care.

Keywords: Elderly; Hip fracture; Integrated care; Meta-analysis.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Activities of Daily Living
  • Aged
  • Delivery of Health Care, Integrated*
  • Hip Fractures* / surgery
  • Humans
  • Length of Stay
  • Quality of Life