31 - Freie Mitteilung
15. Mai 2019, 15:30 - 17:00, Szenario 1, 5. OG
The interdisciplinary care in orthogeriatrics - A model for the future, also in a regional hospital?
A. Schulz, C. von der Lippe, Presenter: A. Schulz (Uznach)
Due to demographic change, hospitals are facing an increasing number of geriatric patients. This challenge, both medical and socioeconomic, necessitates an interdisciplinary approach to treatment.
Over a period of 11 months, we treated 169 patients at our regional acute hospital, who were admitted to hospital into our surgical department after accidents. Included were patients at age> 80 years and patients> 70 years with two or more comorbidities. The treatment path followed a fixed algorithm. The central component was the daily visit by the traumatologist, the geriatrist, the responsible ward physician, the nurse, case management and physiotherapy. The aim of this consistent interdisciplinary collaboration is to establish optimal treatment of all diagnoses and to plan the right aftercare at an early stage. Together with the patients and their relatives, there was a quick planning of whether a return to the home environment, an external rehabilitation or the transfer to our geriatric department for acute geriatric treatment was to be pursued.
The mean age of all 169 patients was 85.7 years (69-100). The average length of stay in the surgical department was 4.7 days (1-21), shortened to 3.2 days (1-8) in patients who were undergoing geriatric treatment. We treated 62 hip fractures during this period, of which 60 patients underwent surgery. 32 of these patients with hip fractures were admitted to geriatric department for early rehabilitation after an average of 2.51 days. The length of stay at the acute surgical department could be kept very short, which is optimal for both medical and economic reasons.
The literature shows that the interdisciplinary cooperation for geriatric patients after accidents leads to a shorter length of stay as well as an improved outcome. Fortunately, we were able to confirm in our first results a short length of stay on the acute care unit. Also in a regional hospital, this is, based on our findings, a model for the future treatment of geriatric patients after accidents.