Effectiveness of a multidisciplinary educational intervention in patients with hip fracture : SWEET HOME study Efectividad de una intervención educativa multidisciplinar en pacientes con fractura de fémur: estudio SWEET HOME
Sanclemente-Boli, Teresa (Hospital Universitari Vall d'Hebron)
Ponce-Ruiz, Sandra (Hospital Universitari Vall d'Hebron)
Álvarez-Lorenzo, Consuelo (Hospital Universitari Vall d'Hebron)
Zuriguel Pérez, Esperanza (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Tapia Melenchon, Raquel (Hospital Universitari Vall d'Hebron)
Ramentol-Sintas, Marc (Hospital Universitari Vall d'Hebron)
Villar-Casares, María del Mar (Hospital Universitari Vall d'Hebron)
Teixidor Serra, Jordi (Hospital Universitari Vall d'Hebron)
Molero-García, Vicente (Hospital Universitari Vall d'Hebron)
Sánchez-Raya, Judith (Hospital Universitari Vall d'Hebron)
Lalueza-Broto, Pilar (Hospital Universitari Vall d'Hebron)
Ginés Puertas, Alejandro. (Hospital Universitari Vall d'Hebron)
Garrido-Clua, Miriam (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Mestre Torres, Jaume (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Date:	2019
Abstract:	Background and objective: Hip fracture is a common injury among elderly patients. The main goal of our study was to assess the effectiveness of a multidisciplinary educational intervention aimed at hip fracture patients to promote home discharges and reduce in-hospital complications. Material and method: A quasi-experimental study was performed by taking repeated measurements at hospital admission, at hospital discharge, and at both 30 days and one year of discharge. Patients aged ≥ 65 years with hip fracture who were admitted to the Orthogeriatric Service between February 2016 and January 2017 were included in the study. The educational intervention consisted in two coordinated actions: patient education administered during their hospitalization and multimodal support provided during their discharge home. Results: A total of 67 patients were included in the study (77. 6% of whom were women; 84. 19 ± 7,78 years old). Of these, 70. 1% were discharged home, which doubles the figures recorded in the 2014-2015 period. The rate of readmission at 30 days and one year of the discharge was 8. 5%. At the one-year follow-up, the patient's dependence to perform basic activities of daily living was nearer to the pre-fracture level (Barthel: 86. 67 ± 19. 31; 94. 33 ± 14. 66), their mobility had improved in comparison with the time of discharge (Parker: 4. 73 ± 1. 84; 6. 73 ± 2. 76; Timed Up and Go Test: 38. 29 ± 21. 27; 21. 91 ± 10. 97), and their cognitive function had not worsened significantly. The patient education measures improved the patients' autonomy as perceived by the patients, the caregivers, and the healthcare providers. Satisfaction with the healthcare received was high. Conclusions: As a novelty to the already described benefits in orthogeriatric care models, this study would contribute by proving an increase of the number of patients discharged home in a safe condition.
Grants:	Ministerio de Ciencia e Innovación SLT002/16/00292
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Published in:	Medicina Clinica, Vol. 153 Núm. 12 (27 2019) , p. 446-453, ISSN 1578-8989

DOI: 10.1016/j.medcli.2019.02.026

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