Effectiveness of optimised care chain for hip fractures in elderly Chinese

Zhaofu Wang, Meixue Chen, Xiaohai Luo, Xianghua Xiong and Feng Ma

International Journal of Health Planning and Management, 2021, vol. 36, issue 5, 1445-1464

Abstract: Background Studies have found that optimised care chain (OCC) can promote the recovery of hip fracture patients. Fast track (FT) has been widely proven to play a good role, but there is no systematic review report. Methods We conducted a comprehensive search and obtained search data as of April 2020. These included randomised controlled trials (RCTs) and cohort trials (CTs). We applied the research input Review Manager 5.3 for data synthesis, and used Stata 12.0 for meta‐ regression analysis. Results This review reported 2200 hip fractures. Our analysis showed that OCC can reduce complications and 1‐year mortality, and shorten the length of stay (LOS). After dividing the complications into bed‐related complications and other complications, OCC has advantages in reducing bed‐related complications, but has no significant effect on other complications. For the conventional care group, the secondary outcome of the OCC group showed there was no significant difference in duration of surgery, and the rest were significantly improved. Subgroup analysis between green channel (GC) and FT showed a shorter LOS for GC. Conclusions This meta‐analysis suggests that the use of OCC in China promotes rehabilitation in elderly patients with hip fractures, that FT and GC are similar in effect in China, and that GC shows a greater advantage in reducing LOS.

Date: 2021
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