Chong Carol P, Savige Judy, Lim Wen Kwang
Department of Medicine, Austin and Northern Health, The University of Melbourne, Melbourne, Victoria, Australia.
Australas J Ageing. 2009 Dec;28(4):171-6. doi: 10.1111/j.1741-6612.2009.00368.x.
Different types of orthopaedic geriatric units have been established. This review evaluates the effectiveness of this model of care. A computerised literature search was undertaken using Medline (January 1966-February 2009), Cochrane and CINAHL with the search terms orthopaedics, geriatrics, aged, orthopaedic procedures and fractures. Relevant articles were evaluated and appraised with particular focus on randomised controlled trials. Orthopaedic-geriatric models can be divided according to the setting of care (i) acute inpatient orthopaedic-geriatric care; (ii) subacute rehabilitation; and (iii) community-based rehabilitation. Studies have been heterogenous in nature and outcomes measured have differed making pooled data analysis difficult. In general, there is a trend to effectiveness in outcomes such as functional recovery, length of stay, complications and mortality and importantly studies have not shown detrimental consequences. However, because of the varied types of interventions and models of care, it is difficult to draw firm conclusions about the effectiveness of these programs.
已经建立了不同类型的骨科老年护理单元。本综述评估了这种护理模式的有效性。利用Medline（1966年1月至2009年2月）、Cochrane和CINAHL进行了计算机文献检索，检索词为骨科、老年医学、老年人、骨科手术和骨折。对相关文章进行了评估和评价，特别关注随机对照试验。骨科-老年护理模式可根据护理环境分为：（i）急性住院骨科-老年护理；（ii）亚急性康复；以及（iii）社区康复。研究性质各异，所测量的结果也不同，因此很难进行汇总数据分析。总体而言，在功能恢复、住院时间、并发症和死亡率等结果方面有成效的趋势，重要的是研究并未显示出有害后果。然而，由于干预措施和护理模式的类型多样，很难就这些项目的有效性得出确凿结论。
