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一项关于老年髋部骨折患者手术等待时间及随后住院时间的研究。

A study of waiting time for surgery in elderly patients with hip fracture and subsequent in-patient hospital stay.

作者信息

Thomas S, Ord J, Pailthorpe C

机构信息

Department of Orthopaedics and Trauma, Royal Berkshire Hospital, Reading, RG1 5AN, UK.

出版信息

Ann R Coll Surg Engl. 2001 Jan;83(1):37-9.

PMID:11212448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2503568/
Abstract

OBJECTIVE

To establish whether increased waiting time to operation in elderly patients with hip fracture significantly affects postoperative time to discharge.

METHODS

Combined prospective and retrospective analysis of theatre logbooks and in-patient data to determine the type, time and date of operation and subsequent in-patient stay.

SETTING

A busy district general hospital in the South East Thames Valley area with changing availability of a dedicated trauma list.

PATIENTS

441 elderly patients undergoing hip surgery between May 1995 and March 1997.

MAIN OUTCOME MEASURES

Waiting time from booking of operation to surgery and length of postoperative hospital stay.

RESULTS

Increased pre-operative wait for emergency hip surgery in elderly patients significantly increases postoperative stay. Roughly doubling pre-operative wait increases postoperative stay by 19% (P < 0.01).

摘要

目的

确定老年髋部骨折患者手术等待时间的延长是否会显著影响术后出院时间。

方法

对手术记录和住院患者数据进行前瞻性和回顾性联合分析,以确定手术类型、时间、日期以及随后的住院时间。

地点

泰晤士河谷地区东南部一家繁忙的区综合医院,专用创伤手术安排时间不定。

患者

1995年5月至1997年3月期间接受髋部手术的441例老年患者。

主要观察指标

从手术预约到手术的等待时间以及术后住院时间。

结果

老年患者急诊髋部手术术前等待时间的延长会显著增加术后住院时间。术前等待时间大致翻倍会使术后住院时间增加19%(P<0.01)。

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Ann R Coll Surg Engl. 2001 Jan;83(1):37-9.
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Postoperative complications and mortality associated with operative delay in older patients who have a fracture of the hip.老年髋部骨折患者手术延迟相关的术后并发症及死亡率。
J Bone Joint Surg Am. 1995 Oct;77(10):1551-6. doi: 10.2106/00004623-199510000-00010.
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Statistical prediction of rehabilitation in elderly patients with hip fractures.老年髋部骨折患者康复的统计学预测
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Hip fracture mortality. Relation to age, treatment, preoperative illness, time of surgery, and complications.髋部骨折死亡率。与年龄、治疗、术前疾病、手术时间及并发症的关系。
Clin Orthop Relat Res. 1984 Jun(186):45-56.
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Rate of mortality for elderly patients after fracture of the hip in the 1980's.20世纪80年代老年患者髋部骨折后的死亡率
J Bone Joint Surg Am. 1987 Dec;69(9):1335-40.
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The timing of surgery for intertrochanteric femoral fractures.股骨粗隆间骨折的手术时机
Injury. 1988 Jul;19(4):244-6. doi: 10.1016/0020-1383(88)90036-8.