%0 Generic %A Farias, Fatima Izabel Dornelles %A Terra, Newton Luiz %A Guerra, Marcelo Teodoro Ezequiel %D 2017 %T Evaluation of the effectiveness of a care program for elderly patients with hip fractures: a network strategy %U https://scielo.figshare.com/articles/dataset/Evaluation_of_the_effectiveness_of_a_care_program_for_elderly_patients_with_hip_fractures_a_network_strategy/5644906 %R 10.6084/m9.figshare.5644906.v1 %2 https://scielo.figshare.com/ndownloader/files/35691514 %2 https://scielo.figshare.com/ndownloader/files/35691517 %2 https://scielo.figshare.com/ndownloader/files/35691520 %2 https://scielo.figshare.com/ndownloader/files/35691523 %2 https://scielo.figshare.com/ndownloader/files/35691526 %2 https://scielo.figshare.com/ndownloader/files/35691532 %2 https://scielo.figshare.com/ndownloader/files/35691535 %2 https://scielo.figshare.com/ndownloader/files/35691538 %2 https://scielo.figshare.com/ndownloader/files/35691541 %2 https://scielo.figshare.com/ndownloader/files/35691544 %K Elderly %K Hip Fractures %K Health Services for the Aged %K Falls %X

Abstract Objective: Evaluate the effectiveness of a care program for elderly persons with hip fractures due to a fall, based on a public network in Canoas, Rio Grande do Sul, Brazil. Methods: a prospective cohort study of quantitative character was carried out. A total of 182 elderly person above 60 years diagnosed with hip fractures were included. The sample was divided into two groups, one who underwent their usual treatment (n=91) and another who were included in a care program for elderly persons with hip fractures (n=91). The program had as its main axis a clinical Protocol and an Access Protocol. The treatment of choice was surgical in all cases. In statistical analysis, categorical variables were described by absolute and relative frequencies. The Mann-Whitney test was used to compare numeric variables. In the comparison of proportions, the Pearson's Chi-squared test or Fisher's exact test were applied. The significance level adopted was 5%. Results: The average age was 79.4 years, with a prevalence of the female gender. The most frequent morbidity was hypertension. After the implementation of the program there was a reduction in the average time between the fracture and the beginning of surgery, the average length of hospitalization, the urinary tract infection rate, the death rate and care costs. Conclusion: The care program of elderly persons with hip fractures modified the expected results as it reduced mortality, average hospital stay, postoperative complications and the costs of treatment during the hospitalization.

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