Clinical application of optimized fast-track program for elder patients with intertrochanteric fractures

Objective To investigate the clinical application of optimized fast-track program for elder patients with intertrochanteric fractures.Methods Total 301 elder patients with intertrochanteric fractures were randomly divided into the traditional group (not using the optimized fast-track program,n =150) and the optimized fast-track group (using the optimized fast-track program,n =151) for comparative study in our hospital from June 2013 to October 2015.Surgical delay,length of stay,in-hospital complications and patient satisfaction were observed.Harris score was used to evaluate the hip function.Results Surgical delay and length of stay were significantly shorter in the optimized fast-track group than in the traditional group (P ＜0.05).Compared with the traditional group,the satisfaction rate of inpatients in the optimized fast-track group was significantly higher than that in the traditional group (P ＜0.05).All cases were followed up for 12～40 months (mean 15.6 months).The Harris scores of the fast-track group were higher than those of the traditional group (P ＜0.05).Conclusion The treatment of optimized fast-track program for elder patients with intertrochanteric fractures can shorten surgical delay,length of stay,reduce in-hospital complications,improve the patient satisfaction during hospitalization,and regain basic mobility.It is worthy to be popularized in clinical practice.