Combined orthogeriatric care in the management of hip fractures: a prospective study.
Combined orthogeriatric care in the management of hip fractures: a prospective study.
复制标题
髋部骨折治疗中的联合骨科护理：一项前瞻性研究。
DOI：
--
复制
发表时间：
2002
影响因子：
1.4
通讯作者：
P. Diggory
中科院分区：
文献类型：
--
作者：
R. Khan;C. Fernández;F. Kashifl;R. Shedden;P. Diggory
目标管理系统
评估骨科医生和老年科医生联合护理治疗股骨颈骨折患者的效果。
患者和方法
对地区综合医院因髋部骨折入院的情况进行了为期 5 年的前瞻性研究。 1992 年至 1994 年间，该患者群体的医疗问题仅通过咨询服务来解决。 1994年底，任命了一名老年病专家顾问与骨科医生共同管理这些患者，研究一直持续到1996年底。使用形式前瞻性收集了患者在接受骨科护理之前3年和之后2年从入院到出院或死亡的信息。主要结果指标是死亡率、住院时间和出院目的地。这些数据针对两个时期——骨科护理前和术后护理进行了比较。
结果
死亡率、住院时间或出院目的地没有显着差异。
结论
根据我们的模型，联合骨科护理对我们选择的结果指标没有影响。
AIMS
To evaluate the efficacy of combined care between orthopaedic surgeons and geriatricians in the management of patients with fractured necks of femur.
PATIENTS AND METHODS
A prospective study of the admissions to a district general hospital with hip fractures was carried out over a 5-year period. In the years 1992-1994, medical problems in this patient group were managed by a consultation-only service. At the end of 1994, a consultant geriatrician was appointed to manage these patients jointly with the orthopaedic surgeons, and the study was then carried through until the end of 1996. Information about the patients from admission to discharge or death was gathered prospectively using a proforma for the 3 years prior to orthogeriatric care, and the 2 years after. Main outcome measures were mortality, length of stay and discharge destination. These were compared for the two periods--pre- and post-orthogeriatric care.
RESULTS
No significant differences were noted in mortality, length of stay or discharge destination.
CONCLUSIONS
Combined orthogeriatric care according to our model did not have an impact on our chosen outcome measures.