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面向医院临床医生的髋部骨折管理:证据与最佳实践综述

Hip fracture management for the hospital-based clinician: a review of the evidence and best practices.

作者信息

Hughson Jason, Newman Jonathan, Pendleton Robert C

机构信息

Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA.

出版信息

Hosp Pract (1995). 2011 Feb;39(1):52-61. doi: 10.3810/hp.2011.02.374.

Abstract

Hip fracture is an unfortunate and common health problem in the elderly that is associated with a 1-year mortality of 10% to 35%. Further, only 50% of these patients regain their pre-fracture level of mobility and functional status. Hospital-based clinicians are increasingly asked to comanage these patients. The purpose of this article is to summarize evidence-based clinical management practices that are relevant to hospitalist clinicians who manage hip fracture patients, and to highlight the current evidence for implementing a formal hospitalist and orthopedic comanagement care model.

摘要

髋部骨折是老年人中一个不幸且常见的健康问题,其1年死亡率为10%至35%。此外,这些患者中只有50%能恢复到骨折前的活动能力和功能状态水平。越来越多的医院临床医生被要求共同管理这些患者。本文的目的是总结与管理髋部骨折患者的医院医生相关的循证临床管理实践,并强调实施正式的医院医生与骨科共同管理护理模式的当前证据。

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