Feasibility study of a multi-disciplinary team management model in geriatric total hip arthroplasty
Objective To assess the impact of a multi-disciplinary team(MDT)management model on elderly total hip arthroplasty(THA)patients.Methods One hundred and twenty elderly hip fracture patients treated with THA between January 2019 and June 2023 in our hospital were selected.The patients were divided into observation and control group according to the randomized numerical table method,with 60 cases in each group.Conventional management mode was used in the observation group,and MDT management mode was used in the observation group.Perioperative related indicators[preoperative waiting time,operation time,intraoperative blood loss,hidden blood loss(HBL)and hospitalization time],pain level,hip function,mobility,postoperative complications and quality of life were assessed in both groups.Results Preoperative waiting time,intraoperative blood loss,HBL and hospital stay were less in the observation group than in the control group(P<0.05);At discharge,1 month,3 months and 6 months postoperatively,the visual analogue scale(VAS)of the observation group was lower than that of the control group,and the scores of Harris hip score(HHS)and Barthel index(BI)were higher than those of the control group(P<0.05).The complication rate was lower in the observation group than in the control group(8.3%vs.26.7%,P=0.008);At 6 months postoperatively,the scores of physical functioning,somatic pain,vitality,social functioning,and emotional problems by the Health Survey 36-item Short Form(SF-36)were higher in the observation group than in the control group(P<0.05).Conclusions The MDT management model can optimize perioperative metrics and reduce postoperative pain at an early stage for elderly patients with THA,while improving hip function,daily activities,and quality of life.
AgedHip fracturesArthroplasty,replacement,hipPrognosisMulti-disciplinary team
万方数据
维普
