Khan R, Fernandez C, Kashifl F, Shedden R, Diggory P
Department of Orthopaedics, Mayday University Hospital, Thornton Heath, Surrey, UK.
Ann R Coll Surg Engl. 2002 Mar;84(2):122-4.
To evaluate the efficacy of combined care between orthopaedic surgeons and geriatricians in the management of patients with fractured necks of femur.
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.
No significant differences were noted in mortality, length of stay or discharge destination.
Combined orthogeriatric care according to our model did not have an impact on our chosen outcome measures.
评估骨科医生与老年病科医生联合治疗股骨颈骨折患者的疗效。
对一家地区综合医院5年内收治的髋部骨折患者进行前瞻性研究。在1992 - 1994年期间，该患者群体的医疗问题由仅提供会诊服务的团队处理。1994年底，任命了一位老年病科顾问医生与骨科医生共同管理这些患者，该研究随后持续至1996年底。使用表格前瞻性收集了在骨科与老年病科联合治疗前3年以及之后2年患者从入院到出院或死亡的信息。主要观察指标为死亡率、住院时间和出院去向。对骨科与老年病科联合治疗前后这两个时期的上述指标进行了比较。
在死亡率、住院时间或出院去向方面未发现显著差异。
按照我们的模式进行的骨科与老年病科联合治疗对我们选定的观察指标没有影响。
