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Optimizing Drug Therapy Safety of Geriatric Orthopedic Patients by Providing Integrated Geriatric Care

Optimizing Drug Therapy Safety of Geriatric Orthopedic Patients by Providing Integrated Geriatric Care

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DOI	10.20900/agmr20250004
刊名	Advances in Geriatric Medicine and Research AGMR
年，卷(期)	2025, 7(1)
作者	Marcel Hoellger,Michael Kehrer,Dieter Christian Wirtz,Hendrik Kohlhof*,
作者单位	Clinic for Orthopedics and Trauma Surgery, University Bonn, Bonn 53127, Germany ; St. Antonius Hospital Cologne, Cologne 50968, Germany ;
摘要	Demographic change, accompanied by its complex requirements, represents a major challenge for today’s orthopedics and traumatology departments. The “geriatric patient”, is moving into focus, and increasingly requires geriatric-internal co-treatment in addition to orthopedic-injury surgery expertise. This retrospective case–control study investigated how the co-treatment by a geriatrician in orthopedic patients influences drug prescriptions, and whether and how an improvement in drug safety and more adequate pharmacotherapy can be achieved. The FORTA list established for the German-speaking region was used as the evaluation standard. Therefore, FORTA AB resulted from the total sum of the respective admissions or discharge medications, minus the FORTA-C and D hits. For the study, the FORTA categories C and D listed medications were considered particularly relevant because they are high-risk, and they were statistically reviewed during the study. A total of 54 patients in the study group (GOKM group) were treated according to the integrated geriatric orthopedic concept, compared to 59 patients in the reference group (OM group). In order to precisely test for an analysis of variance was performed with a mixed-design analysis of variance (ANOVA).
Abstract	Demographic change, accompanied by its complex requirements, represents a major challenge for today’s orthopedics and traumatology departments. The “geriatric patient”, is moving into focus, and increasingly requires geriatric-internal co-treatment in addition to orthopedic-injury surgery expertise. This retrospective case–control study investigated how the co-treatment by a geriatrician in orthopedic patients influences drug prescriptions, and whether and how an improvement in drug safety and more adequate pharmacotherapy can be achieved. The FORTA list established for the German-speaking region was used as the evaluation standard. Therefore, FORTA AB resulted from the total sum of the respective admissions or discharge medications, minus the FORTA-C and D hits. For the study, the FORTA categories C and D listed medications were considered particularly relevant because they are high-risk, and they were statistically reviewed during the study. A total of 54 patients in the study group (GOKM group) were treated according to the integrated geriatric orthopedic concept, compared to 59 patients in the reference group (OM group). In order to precisely test for an analysis of variance was performed with a mixed-design analysis of variance (ANOVA).
关键词	comanagement; geriatric medicine; orthopedic surgery; polypharmacy; potential inappropriate medication; clinical pharmacology; geriatric patient
KeyWord	comanagement; geriatric medicine; orthopedic surgery; polypharmacy; potential inappropriate medication; clinical pharmacology; geriatric patient
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引用本文

Marcel Hoellger,Michael Kehrer,Dieter Christian Wirtz,Hendrik Kohlhof*. Optimizing Drug Therapy Safety of Geriatric Orthopedic Patients by Providing Integrated Geriatric Care [J]. Advances in Geriatric Medicine and Research. 2025; 7; (1). - .

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