Jensen Pia Søe, Holm MayBritt, Christensen Finn Tang, Foss Nicolai Bang, Kehlet Henrik
Hvidovre Hospital, Ortopaedkirurgisk Afdeling, Hvidovre.
Ugeskr Laeger. 2007 Feb 26;169(9):808-12.
The traditional admission protocol for hip fracture patients often results in long waiting hours in the A&E. The aim of this study was to investigate the effect of an optimised admission protocol on the time spent in the A&E in an already established multimodal rehabilitation program.
Descriptive, prospective intervention study in two groups of 150 hip fracture patients admitted before and after the implementation of an optimised admission protocol, which included nurse requested x-ray and opioid-free analgesic.
The median waiting time in the control group was 251 min (83-632 min.) compared to 185 min (58-522 min, p < 0,001)) in the intervention group. The median waiting time for operation was 18-19 hours in both groups.
An optimised admission protocol, including nurse requested X-ray for hip fracture patients, led to a reduction in the time spent in the A&E.
髋部骨折患者的传统入院流程常常导致在急诊室长时间等待。本研究的目的是调查在已建立的多模式康复项目中，优化后的入院流程对患者在急诊室停留时间的影响。
对两组各150例髋部骨折患者进行描述性前瞻性干预研究，一组在优化入院流程实施前入院，另一组在实施后入院，优化后的入院流程包括护士要求进行X光检查和使用非阿片类镇痛药。
对照组的中位等待时间为251分钟（83 - 632分钟），而干预组为185分钟（58 - 522分钟，p < 0.001）。两组的中位手术等待时间均为18 - 19小时。
优化后的入院流程，包括为髋部骨折患者安排护士要求的X光检查，可减少患者在急诊室的停留时间。
