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已发表论文
老年骨科联合管理改善髋部骨折早期预后：一项前瞻性研究的事后分析
Authors Gao F , Wang Z, Chen Y, Bei M, Liu G, Yang M, Wu X
Received 23 July 2025
Accepted for publication 19 November 2025
Published 27 November 2025 Volume 2025:20 Pages 2231—2240
DOI https://doi.org/10.2147/CIA.S555649
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Zhi-Ying Wu
Feng Gao,1,* Zongrui Wang,1,* Yimin Chen,1– 3,* Mingjian Bei,1– 3 Gang Liu,1– 3 Minghui Yang,1– 3 Xinbao Wu1– 3
1Department of Orthopaedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, People’s Republic of China; 2Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, People’s Republic of China; 3Department of Orthopaedics and Traumatology, National Center for Orthopaedics, Beijing, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Minghui Yang; Department of Orthopaedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, People’s Republic of China, Email doctyang0125@126.com Xinbao Wu, Department of Orthopaedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, People’s Republic of China, Email wuxinbao_jst@126.com
Purpose: To assess the effect of orthogeriatric co-management care on the geriatric hip fracture patients with high ASA score.
Patients and Methods: A post-hoc analysis of a prospective multicenter study was done. Patients with an ASA score of 3 or 4 were selected from the database for analysis. Patients were divided into the orthogeriatric co-management group (CM group) and traditional consultation mode group (TC group) depending on the management mode. With mortality as the primary outcome, multivariate regression analyses were performed to adjust for confounders. Mobility and quality of life were compared between groups.
Results: A total of 628 patients were included, 593 of whom completed follow-up (388 in CM group, 205 in TC group). The in-hospital mortality, 30-day mortality, 120-day mortality in CM group were significantly lower than those in TC group after adjustment (P < 0.05). The difference of 1-year mortality in the two groups was not statistically significant after adjustment (P > 0.05). The surgical intervention rate, the early surgery rate, preoperative waiting time, hospital length of stay (LOS), 30-day mobility, 30-day EuroQol-5 Dimensions (EQ-5D) index, 30-day EuroQol-Visual Analog Scale (EQ-VAS), 120-day EQ-5D index, the total incidence of clinical adverse events, as well as deep vein thrombosis (DVT) and cardiac complication between the two groups were statistically significantly different after adjustment (P < 0.05). The difference of 120-day mobility was not statistically significant after adjustment (P < 0.05). There was no significant difference in the in-hospital total cost, the incidence of other clinical adverse events, 120-day EQ-VAS, 1-year reoperation rate, 1-year mobility, 1-year EQ-5D index, 1-year EQ-VAS between the two groups (P > 0.05).
Conclusion: Compared with the traditional consultation mode, orthogeriatric co-management care significantly reduced early mortality and enhanced early mobility and quality of life in geriatric hip fracture patients with high ASA score.
Keywords: geriatric hip fractures, orthogeriatric, ASA, mortality, mobility, quality of life
1Department of Orthopaedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, People’s Republic of China; 2Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, People’s Republic of China; 3Department of Orthopaedics and Traumatology, National Center for Orthopaedics, Beijing, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Minghui Yang; Department of Orthopaedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, People’s Republic of China, Email doctyang0125@126.com Xinbao Wu, Department of Orthopaedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, People’s Republic of China, Email wuxinbao_jst@126.com
Purpose: To assess the effect of orthogeriatric co-management care on the geriatric hip fracture patients with high ASA score.
Patients and Methods: A post-hoc analysis of a prospective multicenter study was done. Patients with an ASA score of 3 or 4 were selected from the database for analysis. Patients were divided into the orthogeriatric co-management group (CM group) and traditional consultation mode group (TC group) depending on the management mode. With mortality as the primary outcome, multivariate regression analyses were performed to adjust for confounders. Mobility and quality of life were compared between groups.
Results: A total of 628 patients were included, 593 of whom completed follow-up (388 in CM group, 205 in TC group). The in-hospital mortality, 30-day mortality, 120-day mortality in CM group were significantly lower than those in TC group after adjustment (P < 0.05). The difference of 1-year mortality in the two groups was not statistically significant after adjustment (P > 0.05). The surgical intervention rate, the early surgery rate, preoperative waiting time, hospital length of stay (LOS), 30-day mobility, 30-day EuroQol-5 Dimensions (EQ-5D) index, 30-day EuroQol-Visual Analog Scale (EQ-VAS), 120-day EQ-5D index, the total incidence of clinical adverse events, as well as deep vein thrombosis (DVT) and cardiac complication between the two groups were statistically significantly different after adjustment (P < 0.05). The difference of 120-day mobility was not statistically significant after adjustment (P < 0.05). There was no significant difference in the in-hospital total cost, the incidence of other clinical adverse events, 120-day EQ-VAS, 1-year reoperation rate, 1-year mobility, 1-year EQ-5D index, 1-year EQ-VAS between the two groups (P > 0.05).
Conclusion: Compared with the traditional consultation mode, orthogeriatric co-management care significantly reduced early mortality and enhanced early mobility and quality of life in geriatric hip fracture patients with high ASA score.
Keywords: geriatric hip fractures, orthogeriatric, ASA, mortality, mobility, quality of life