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          Integrated hip-fracture model cuts mortality rates

          Tianjin center targets operating on patients within 48-hour 'golden window'

          By Yan Dongjie in Tianjin | China Daily | Updated: 2026-01-23 08:57
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          Doctors check the recovery of a patient. [Photo provided to CHINA DAILY]

          "If an elderly hip patient has diabetes, an endocrinologist is asked to give a treatment plan. The follow-up treatment effect is unknown to doctors in other departments," said Cheng. "However, with the multidisciplinary team model, the Tianjin Elderly Hip Fracture Center will make a comprehensive adjustment, and relevant departments will track the treatment effect throughout the process and adjust the treatment plan accordingly. Therefore, the center has the ability to receive patients with more severe and complex conditions."

          Since its establishment in 2024, led by Tianjin Hospital, the center has expanded to cover 18 comprehensive hospitals in the city, integrating the Tianjin Emergency Center and Blood Center and enabling the comprehensive linkage of relevant medical resources in Tianjin to facilitate treatment. At present, the "Tianjin Model" for the treatment of hip fractures in the elderly has gradually been promoted in Beijing, Hebei, Henan, Guangxi, Jiangxi, Hubei, Guangdong, and other provinces and cities.

          Under this treatment model, rescue personnel from Tianjin's "120" emergency system have become more proficient in carrying out the treatment of elderly hip fractures. After the patient dials the medical emergency number 120, the staff can quickly assess the condition and share patient information through the pre-hospital information platform to ensure timely transfer to the relevant hospital.

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