Pearse M, Woolf A
Royal Cornwall Hospital, Truro, England.
Health Trends. 1992;24(4):134-6.
This survey was designed to compare the clinical management of elderly patients admitted to hospitals with a hip fracture, with the recommendations in the recent Royal College of Physicians report "Fractured Neck of Femur". The results highlight large discrepancies between the 'ideal' clinical management as recommended, and that which occurs in practice. Particular concerns include the lack of experienced medical supervision provided for patients perioperatively, the high proportion of junior anaesthetic and surgical staff performing the operation, and the widespread poor rehabilitation facilities. These findings suggest that, unless the quality of clinical care for such patients is vastly improved, the predicted exponential rise in the number of elderly people sustaining a hip fracture will create a heavy burden on scarce National Health Service resources.
本次调查旨在比较髋部骨折入院老年患者的临床管理情况与皇家内科医师学院近期报告《股骨颈骨折》中的建议。结果凸显了推荐的“理想”临床管理与实际发生情况之间的巨大差异。特别令人担忧的是，患者围手术期缺乏经验丰富的医疗监督，进行手术的初级麻醉和外科工作人员比例较高，以及普遍存在的康复设施不足问题。这些发现表明，除非大幅改善此类患者的临床护理质量，否则预计髋部骨折老年人数的指数级增长将给稀缺的国民医疗服务资源带来沉重负担。
