Title: The effect of care pathways for hip fractures: a systematic review
Authors: Leigheb, Fabrizio ×
Vanhaecht, Kris
Sermeus, Walter
Lodewijckx, Cathy
Deneckere, Svin
Boonen, Steven
Boto, Paulo Alexandre Faria
Mendes, Rita Veloso
Panella, Max #
Issue Date: Jul-2012
Publisher: Springer-Verlag
Series Title: Calcified Tissue International vol:91 issue:1 pages:1-14
Article number: 10.1007/s00223-012-9589-2
Abstract: We performed a systematic review for primary studies on care pathways (CPs) for hip fracture (HF). The online databases MEDLINE-PubMed, Ovid-EMBASE, CINAHL-EBSCO host, and The Cochrane Library (Cochrane Central Register of Clinical Trials, Health Technology Assessment Database, NHS Economic Evaluation Database) were searched. Two researchers reviewed the literature independently. Primary studies that met predefined inclusion criteria were assessed for their methodological quality. A total of 15 publications were included: 15 primary studies corresponding with 12 main investigations. Primary studies were evaluated for clinical outcomes, process outcomes, and economic outcomes. The studies assessed a wide range of outcome measures. While a number of divergent clinical outcomes were reported, most studies showed positive results of process management and health-services utilization. In terms of mortality, the results provided evidence for a positive impact of CPs on in-hospital mortality. Most studies also showed a significantly reduced risk of complications, including medical complications, wound infections, and pressure sores. Moreover, time-span process measures showed that an improvement in the organization of care was achieved through the use of CPs. Conflicting results were observed with regard to functional recovery and mobility between patients treated with CPs compared to usual care. Although our review suggests that CPs can have positive effects in patients with HF, the available evidence is insufficient for formal recommendations. There is a need for more research on CPs with selected process and outcome indicators, for in-hospital and postdischarge management of HF, with an emphasis on well-designed randomized trials.
ISSN: 0171-967X
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Gerontology and Geriatrics
Academic Centre for Nursing and Midwifery
Nursing and Health Care Management Teaching Methodology and Practicals
× corresponding author
# (joint) last author

Files in This Item:

There are no files associated with this item.

Request a copy


All items in Lirias are protected by copyright, with all rights reserved.

© Web of science