Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-06T14:37:45 RDF description of Low-energy pelvic ring fractures: a care conundrum - http://repository.healthpartners.com/individual/document-rn23844 18075 Rehabilitation Fractures 10.1177/2151459320985406 Economics public Osteoporosis 2022-02-21T22:48:57.408-06:00 document-rn23844 Orthopedics Prevention Low-energy pelvic ring fractures: a care conundrum <p>INTRODUCTION: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services' (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. RESULTS: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. CONCLUSIONS: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary.<p> Geriatric orthopaedic surgery & rehabilitation 12 30490