Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures: A Paradigm Shift

Table 1

Comparison of effectiveness of B-FIT admission and discharge initiatives in subjects admitted with hip fragility fracture. (i) Admission initiative was introduced early in Year 1; (ii) admission initiative was modified early in Year 2 with a computer-assisted reminder; (iii) discharge initiative was introduced one year before Year 1 with computer-based directives.

	Year 1 cohort	Year 2 cohort	Year 3 cohort	Year 4 cohort
Number of subjects	57	41	42	41
Age (years, mean ± SD, median)	77.5±11.0	73.9±12.8	79.2±10.7	79.1±11.8
	81	74	82	81
Percent, number women	74%, 42	71%, 29	76%, 32	78%, 32
Effectiveness of admission initiative	33% (19/57)	41% (17/41)	57% (24/42)	68% (28/41)
Analysis of effectiveness of admission initiative; 𝑃-values		.524 versus Year 1	.024 versus Year 1	.001 versus Year 1
			.190 versus Year 2	.026 versus Year 2
			.040 versus Years 1 and 2	.366 versus Year 3
				.001 versus Years 1 and 2
Effectiveness of discharge initiative	67% (38/57)	82% (32/39)	83% (35/42)	80% (32/40)
Analysis of effectiveness of discharge initiative; 𝑃-values		.108 versus Year 1	.07 versus Year 1	.17 versus Year 1
			1.00 versus Year 2	1.00 versus Year 2
			1.00 versus Years 1 and 2	.78 versus Year 3
				.52 versus Years 1 and 2