Multidisciplinary Approach to Reduce Postoperative Complications and Reduce Contralateral Hip Fracture.

Introduction: Multidisciplinary approaches such as fracture liaison services (FLS) have been reported to reduce medical complications and secondary fractures in patients with fragility hip fracture and in our institution, FLS similar to the previous study was introduce from 2018. The purpose was to investigate the outcomes of the patients with fragility hip fracture following the introduction of FLS. Methods: Patients >50 years old suffered from fragility hip fractures between June 1, 2017 and June 30, 2020 were enrolled, and divided as a control group (without FLS; 138 patients) and FLS group (209 patients). Results: We found that the time from injury to surgery decreased significantly from 2.50 to 1.84 days (P < 0.01), and the number of cases with complications, total cases, pulmonary disease, urological disease, and delirium after admission decreased significantly (P < 0.01) in the FLS group. Hospital stay was decrease 48.3 to 42.3 days (P < 0.05). The rate of osteoporosis medication was increase 18.8% to 71.2% at the time of their discharge, 29.4% to 83.6% at 6 months after discharge, 39.4% to 86.3% at 12 months after discharge, and 36.2% to 85.1% at 24 months after discharge. The mortality rate was decreased 1.4% to 0.5% within 1 month, 12.3% to 6.2% within 12 months, and 17.4% to 9.1% within 24 months from their first hip fracture. The rate of contralateral hip fracture was also decreased 2.9% to 1.4% within 12 months, and 5.8% to 2.4% within 24 months from their first hip fracture. Conclusion: Our FLS contributed to decrease complications after admission, hospital stay, secondary hip fracture rate, and mortality rate. [ABSTRACT FROM AUTHOR]