Authors (including presenting author) :
Wong KK(1), Yeung CYJ(2), Li YF(3), Lai C(1), Tse SHM(1), Tung KL(1), Wong Leo(4), Lee Herman(4),Chan TY(2), Wong WCJ(1)
Affiliation :
(1)Department of Orthopaedics and Traumatology, Kwong Wah Hospital
(2)Department of Medicine and Geriatrics, Kwong Wah Hospital
(3)Department of Anaesthesiology & Operating Theatre Services, Kwong Wah Hospital
(4)Information Technology Team, KWH/WTSH
Introduction :
Geriatric hip fracture has a growing impact on the health care system and society with the aging population worldwide. Early ortho-geriatric involvement and early surgery for medically fit patients are the standards of care in managing fragility fracture as mentioned in blue book.
Objectives :
A virtual ortho-geriatric ward was established in 2018 in Kwong Wah Hospital to provide a one-stop electronic platform for the cross-specialty pre-operative assessment and optimization by Geriatricians and Anesthetists. This study aims to evaluate the phase I of this implementation.
Methodology :
A total of 138 patients (68 patients from January to March 2017; 70 patients from January to March 2018) were included in the review of phase I. The cancellation rate by anesthetist for medical optimization and the Key Performance Index of hip fracture surgery (operation within 2 days from admission) were compared.
Result & Outcome :
Comparing the three-months result between 2017 and 2018, the cancellation rate by anesthetist dropped from 20.6% to 12.9%. The Key Performance Index of hip fracture surgery improved from 37.3% to 51.4%. The virtual ortho-geriatric ward serves as a one-stop electronic platform to streamline the workflow of same day preoperative optimization. The early outcomes of fracture hip patients are satisfactory. Further implementation and long term follow up are needed to evaluate its clinical use.
Co-location with:
