Lohmann R, Haid K, Stöckle U, Raschke M
Lohmann & Birkner Health Care Consulting GmbH, Holzhauser Strasse 175, 13509 Berlin.
Unfallchirurg. 2007 Jun;110(6):553-60; quiz 561-2. doi: 10.1007/s00113-007-1286-7.
Corresponding to the demographic development, fractures of the humerus, wrist, or hip will occur noticeably more often during the next four decades. The number of patients with hip fractures will increase to 170% of present-day numbers, and in the age group >80 years to 250%. Trauma surgical departments should train their staff as well as adapt their workflows and ambient conditions to this demanding clientele to be prepared for these changes. For the elderly, a fracture may lead to need for permanent home care, which is why postoperative transfer to ambulatory care is especially important. The expected cost progression in traumatology of the elderly may be moderated by the conjunction of inpatient and ambulatory care, the utilization of synergies among the different service types, and by implementation of prophylaxis for osteoporosis and falls.
与人口发展趋势相对应，在未来四十年中，肱骨、手腕或髋部骨折的发生率将显著增加。髋部骨折患者的数量将增至目前数量的170%，而在80岁以上年龄组中将增至250%。创伤外科科室应培训其工作人员，并调整工作流程和环境条件，以适应这类需求高的患者群体，为这些变化做好准备。对于老年人而言，骨折可能导致需要长期居家护理，这就是术后转至门诊护理尤为重要的原因。通过住院护理和门诊护理相结合、利用不同服务类型之间的协同作用以及实施骨质疏松症和跌倒预防措施，有望缓和老年创伤学方面预期的费用增长。
