Interdisciplinary care pathway helps manage frail, elderly trauma patients

Interdisciplinary care pathway helps manage frail, elderly trauma patients

(HealthDay)—An interdisciplinary care protocol for frail geriatric trauma patients significantly reduces the risk for delirium and 30-day readmission, according to a study published online April 5 in the Journal of the American College of Surgeons.

Elizabeth A. Bryant, M.P.H., from Brigham and Women's Hospital in Boston, and colleagues evaluated whether an interdisciplinary care pathway for frail trauma (≥65 years) improved in-hospital mortality, complications, and 30-day readmissions. The interdisciplinary protocol included early ambulation, bowel/pain regimens, nonpharmacological delirium prevention, nutrition/ consults, and geriatrics assessments.

Based on the 125 and 144 in the preintervention and postintervention cohorts, the researchers observed no significant demographic differences in complications (P = 0.93). However, following the intervention, there was a significant decrease in delirium (21.6 to 12.5 percent; P = 0.04) and 30-day (9.6 to 2.7 percent; P = 0.01). Lower delirium (odds ratio, 0.44; P = 0.02) and 30-day readmission rates (odds ratio, 0.25; P = 0.02) were seen postintervention compared with prepathway patients, even after adjusting for patient characteristics.

"Implementing pathways standardizing care for these vulnerable patients could improve their outcomes following trauma," the authors write.


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Citation: Interdisciplinary care pathway helps manage frail, elderly trauma patients (2019, April 25) retrieved 23 October 2019 from https://medicalxpress.com/news/2019-04-interdisciplinary-pathway-frail-elderly-trauma.html
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