Coutaz Martial, Morisod Jérôme
Centre Hospitalier du Chablais, Département de gériatrie, Réseau Santé Valais, 1890 St-Maurice.
Rev Med Suisse. 2010 Nov 3;6(269):2094, 2096-9.
Hip fracture in the elderly can be associated with dramatic issues like death in the year or severe handicap requiring admission in a nursing home. Implementation of a close cooperation between orthopaedic surgeon and geriatrician materialize in the creation of unit, known as orthogeriatric unit where the roles of each member are precisely defined from admission to discharge, with coordinated care protocols and standardized orders. Benefits of the orthogeriatric ward are clarified in this paper, referring to literature, with description of an improvement of functional score after 3 months, reduction of in-hospital mortality and post-operative complications.
老年人髋部骨折可能会引发一些严重问题,比如在一年内死亡,或者导致严重残疾而需要入住养老院。骨科医生和老年病科医生密切合作的一个具体体现是设立了一个单元,即骨科-老年病科单元,在这个单元中,从入院到出院,每个成员的职责都有明确界定,同时还有协调一致的护理方案和标准化医嘱。本文参考相关文献,阐述了骨科-老年病科病房的益处,包括3个月后功能评分的改善、住院死亡率的降低以及术后并发症的减少。