30 * THE IMPACT OF AN ORTHOPAEDIC SUPPORTIVE DISCHARGE (OSD) TEAM IN OUR HIP FRACTURE SERVICE

Le résumé fourni par la source

Background: There is evidence to suggest that OSD achieve outcomes that are at least as good as or better1 and more cost effective than those achieved in an inpatient setting. NICE clinical guidelines (hip fractures)- “Consider early supported discharge as part of the Hip Fracture Programme, provided the Programme multidisciplinary team remains involved and, the patient is medically stable and, has the mental ability to participate in continued rehabilitation and, is able to transfer and mobilise short distances and, has not yet achieved their full rehabilitation potential. Innovation: The OSD team is made up of physiotherapist, occupational therapist, nurse and 2 therapy assistants. The team started reviewing patients on 1st March 2014 and have completed 3 months. They take up to 8 patients, 68% of which are hip fractures. The OSD team work within the hip fracture unit with regular virtual board round. Evaluation: Over the 3 months period, the team has taken 32 out of a total of 114 hip fracture patients (7 days post-surgery). This has reduced our LOS for hip fracture patients from 18.01 days (March–May 2013) to 12.25 days (March–May 2014). Patients sent to the rehabilitation hospital (part of the Trust) have reduced from 55% to 27%. Hence, the total Trust LOS for all hip patients has also reduced from 25.3 to 19.4 days. 30days readmission has also reduced from 9.6% to 4.1%.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.