Abstract:Abstract: OBJECTIVE To evaluate the effect of a target-oriented multidisciplinary collaborative model with a goal of operating within 48 hours in the treatment of elderly hip fractures. METHODS 339 elderly patients with hip fractures were divided into two groups according to the implementation of the target-oriented multidisciplinary collaborative model with a goal of operating within 48 hours before and after. The waiting time before surgery, the proportion of operations performed within 48 hours, perioperative complication rate, and hospital stay were collected and compared between the two groups. RESULTS The average age, gender distribution, ASA grade, fracture type, and comorbidities of the patients in the two groups were comparable. Compared with the traditional model group, the average preoperative waiting time in the target-oriented multidisciplinary collaborative model group was shortened from 62 hours before implementation to 41 hours after implementation, and the proportion of operations performed within 48 hours was increased from 56.0% to 80.7%, with statistically significant differences (P<0.05). Except for the incidence of deep vein thrombosis of the lower extremities, which showed no statistically significant difference (P>0.05), the incidence of cardiovascular and cerebrovascular complications, pulmonary infection and delirium in the study group was lower than that in the control group under the multi-disciplinary collaborative model, and the differences were statistically significant (P<0.05). The hospital stay in the target-oriented multidisciplinary collaborative model group was significantly shorter than that in the traditional model group (7.98 ± 4.14 VS 9.73 ± 7.03, P<0.05). CONCLUSION The target-oriented multidisciplinary collaborative model with a goal of operating within 48 hours significantly shortens the preoperative waiting time, increases the proportion of operations performed within 48 hours, and reduces the incidence of perioperative complications to some extent, thereby shortening the hospital stay, which is worth promoting in the treatment of elderly hip fractures.