SOG-Special Orthopedic Geriatrics First interim results of a randomized controlled study on integrated orthogeriatric care in elective hip and knee arthroplasty

被引：0
作者：
Meyer, Matthias [1 ]
Michalk, Katrin [1 ]
Greimel, Felix [1 ]
Maderbacher, Guenther [1 ]
Grifka, Joachim [1 ]
Kappenschneider, Tobias [1 ]
机构：
[1] Orthopad Klin Univ Regensburg, Asklepios Klinikum Bad Abbach, Kaiser Karl V Allee 3, D-93077 Bad Abbach, Germany
来源：
ORTHOPADIE | 2024年
关键词：
Postoperative Mobilit & auml; t; Postoperative Komplikationen; Patient reported outcome measure; H & uuml; fttotalendoprothese; Knietotalendoprothese; Postoperative mobility; Postoperative complications; Total hip replacement; Total knee replacement; COMPLICATIONS; MORTALITY; COMANAGEMENT; ASSOCIATION; OUTCOMES; SURGERY; IMPACT;
D O I：
10.1007/s00132-023-04466-3
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
BackgroundTo date, there are no adequate care concepts for geriatric patients undergoing elective orthopaedic surgery in Germany. The Special Orthopaedic Geriatrics (SOG) study evaluates for the first time in Germany the impact of comprehensive orthogeriatric co-management on the outcome of elderly patients with elective hip and knee replacements compared to standard orthopaedic care. MethodsThe interim analysis of the ongoing study included 174 patients; 87 patients were randomized to the intervention group and 87 to the control group. The SOG care model consists of screening, preoperative assessment with preoperative intervention, fast-track surgery and multimodal perioperative care in the orthogeriatric team. The control group received standard orthopaedic care. Mobility, complications, and patient-reported outcome measures after surgery were compared. ResultsThe SOG group showed a clinically relevant improvement in mobility postoperatively compared to the control group at all time points (p < 0.01). The evaluation of complications showed a significant risk reduction for minor complications (p < 0.01), as well as a clear trend towards a risk reduction for major complications. Patient-reported outcome measures showed a significant improvement in joint function and general health-related quality of life both in the SOG group and the control group. ConclusionIntegrated orthogeriatric care models such as SOG could improve the care of geriatric patients in elective orthopaedic surgery in the future and, above all, make it safer.
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页码：127 / 135
页数：9
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