Effects of a hospitalist model on elderly patients with hip fracture
Effects of a hospitalist model on elderly patients with hip fracture
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DOI：
10.1001/archinte.165.7.796
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发表时间：
2005-04-11
影响因子：
--
通讯作者：
Huddleston, JM
中科院分区：
文献类型：
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作者：
Phy, MP;Vanness, DJ;Huddleston, JM
背景：住院医生在围手术期医学中日益重要的作用使得他们对手术患者的影响得以检验。本研究考察了为老年髋部骨折患者提供医疗管理的医院服务的效果。方法：在一项为期2年的历史队列研究中，我们对466名65岁及以上接受髋部骨折手术修复的患者进行了研究，检查了从标准模型到住院模型改变前后1年的结果。结果：平均（SD）手术时间（38 [47]vs 25[53]小时）
Background: Hospitalists' increased role in perioperative medicine allows for examination of their effects on surgical patients. This study examined the effects of a hospitalist service created to medically manage elderly patients with hip fracture.Methods: During a 2-year historical cohort study of 466 patients 65 years or older admitted for surgical repair of hip fracture, we examined outcomes 1 year prior to and subsequent to the change from the standard to the hospitalist model.Results: The mean (SD) time to surgery (38 [47] vs 25 [53] hours; P