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A cross-sectional design with a non-randomized control group evaluated an LVN trained as a transitional care coordinator, using standardized postoperative protocols and structured phone follow-ups at 7, 14, 30, and 90 days. The study compared 90-day ED visits, readmissions, and mortality plus 1-year mortality between contacted and non-contacted groups. Among 1569 patients, transitional care showed similar age and sex distributions, no significant differences in ED visits or readmissions, and lower 90-day and 1-year mortality.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/lvn-led-transitional-care-coordinator-program-for-hip-fractures-reduces-mortality/428372/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/lvn-led-transitional-care-coordinator-program-for-hip-fractures-reduces-mortality/428372.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",17,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the LVN-led transitional care program in the study?","Question",{"text":113,"@type":114},"An LVN was trained as a transitional care coordinator and supported standardized postoperative care protocols and structured phone follow-ups after discharge, escalating questions to clinicians when needed.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were patients followed after hip fracture surgery?",{"text":118,"@type":114},"Patients were contacted by phone at 7-, 14-, 30-, and 90-days post-discharge, with the coordinator answering directly or escalating to the orthopaedist or primary care provider.",{"name":120,"@type":111,"acceptedAnswer":121},"What outcomes improved with the transitional care coordinator program?",{"text":122,"@type":114},"The program was associated with lower 90-day and 1-year mortality rates. It did not show significant differences in 90-day ED visits or 90-day readmissions compared with controls.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},428372,1790740608,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Innovation in Aging, 2025, Vol. 9, No. S2 991  \nAbstract citation ID: igaf122.3343  \nLVN-LED TRANSITIONAL CARE COORDINATOR  \nPROGRAM FOR HIP FRACTURES REDUCES  \nMORTALITY  \nPeter Aldo Giammanco1, Veranika Mejbaryan2,  \nKathleen Breda3, Michelle Keller4, and Carol Lin3, 1. California University of Science and Medicine, Colton, California, United States, 2. Cedars-Sinai, Los Angeles, California, United States, 3. Cedars-Sinai Medical Center, Los Angeles, California, United States, 4. University of Southern California, Los Angeles, California, United States  \nHip fractures pose increased risk of morbidity and mortality in geriatric patients due to complex postoperative. This study analyzed the effects an LVN-led transitional care program had on outcomes of geriatric hip fracture patients in a large urban health system. A cross-sectional study with a non-randomized control group was performed from July 2018 to April 2024. An LVN was trained to be a transitional care coordinator (TCC) for the academic orthopaedic faculty, provided with postoperative protocols for pain, mobilization, DVT prophylaxis, and wound care following hip fracture surgery, and performed phone calls to patients at 7-, 14-, 30-, and 90-days post-discharge. The TCC either answered patient questions directly or escalated questions to the orthopaedist or PCP. The study and control groups included patients contacted by theTCC (TCC) and not contacted by theTCC (control). Bivariate analyses were conducted regarding 90-day ED visits, 90-day readmissions, 90-day mortality, and 1-year mortality. A total of 1569 patients underwent hip fracture care during the study period, 620 (39.5%) of which included TCC. The control and TCC group were similar in age (83.13±8.73 vs. 82.58±8.73 years, p = 0.182) and sex (67.0% vs. 71.1% female, p = 0.086). No differences were seen in 90-day ED visits between control and TCC (6.9% vs 8.7%, p = 0.175) or 90-day readmissions (23.7% vs.19.7%, p =0.06). TCC had lower 90-day (7.8% vs. 3.5%, p = 0.001) and 1-year mortality rates (11.6% vs. 7.1%, p = 0.003) . These findings highlight the benefits and importance of a TCC program as it reduced morality and potentially addressed gaps of post-discharge care.","cbCaijNmcIp4Byjk","https://ap.wps.com/l/cbCaijNmcIp4Byjk","pdf",47492,"English","# Abstract\n## Study design and intervention\n## Follow-up schedule and escalation pathways\n## Outcomes and results\n## Implications","[{\"question\":\"What was the LVN-led transitional care program in the study?\",\"answer\":\"An LVN was trained as a transitional care coordinator and supported standardized postoperative care protocols and structured phone follow-ups after discharge, escalating questions to clinicians when needed.\"},{\"question\":\"How were patients followed after hip fracture surgery?\",\"answer\":\"Patients were contacted by phone at 7-, 14-, 30-, and 90-days post-discharge, with the coordinator answering directly or escalating to the orthopaedist or primary care provider.\"},{\"question\":\"What outcomes improved with the transitional care coordinator program?\",\"answer\":\"The program was associated with lower 90-day and 1-year mortality rates. It did not show significant differences in 90-day ED visits or 90-day readmissions compared with controls.\"}]","LVN-LED TRANSITIONAL CARE COORDINATOR PROGRAM FOR HIP FRACTURES REDUCES MORTALITY | PDF",1790646516]