Since most hip fractures occur in fragile patients, an important advance in the treatment may be a co-managed, multidisciplinary treatment with orthopaedic surgeons and geriatricians. This multidisciplinary care model (MCM) is implemented in some Tuscan hospitals, while in hospitals with an usual care model (UCM) medical consultation is required only as deemed necessary by the admitting surgeon.
The primary aim of this study was to assess the effect of MCM on 30-day mortality, compared with UCM.
Methods
A retrospective study on patients with main diagnosis of hip fracture, as reported in the hospital admission discharges, aged 65 years and older, undergoing surgery in Tuscan hospitals from 1 January 2010 to 31 December 2013, has