Zetterberg C, Gneib C, Mellström D, Sundh V, Zidén L
Ortopediska kliniken, Varbergs lasarett, vid studiens genomförande klinisk lärare, ortopediska kliniken, Sahlgrenska sjukhuset, Göteborg.
Lakartidningen. 1990 Jun 6;87(23):2040-5.
All 441 cases of hip fracture admitted to Sahlgrenska sjukhuset, Göteborg, during a one-year period were followed in accordance with a form developed by the Swedish Medical Research Council. Osteosynthesis was the method used in over 97 per cent of the cases. There were 336 women, mean age 80.0 (+/- 9.9) years, and 105 men, mean age 77.1 (+/- 11.8). A rehabilitation programme for non-institutionalised patients (68 per cent of the total of 441) reduced the length of stay at the orthopaedic department from 22 days to an average of 15 days in 1986, and the proportion of patients able to return home was increased from 81 per cent in 1982 to 90 per cent in 1987-88. Thus, the use of rehabilitation or nursing home facilities was reduced, and the length of stay there was reduced. The findings of the study also showed the rehabilitation to be time-consuming, and that few hip fracture patients ever regain complete pre-fracture function. Therefore it is suggested that the follow-up should be extended to cover a longer period than four months. Otherwise, the form is well designed, and its use improves the comparability of different studies.
在一年时间里，哥德堡萨尔格伦斯卡大学医院收治的441例髋部骨折患者均按照瑞典医学研究委员会制定的表格进行随访。超过97%的病例采用了骨固定术。其中有336名女性，平均年龄80.0（±9.9）岁，105名男性，平均年龄77.1（±11.8）岁。针对非住院患者（占441例总数的68%）的康复计划，使1986年骨科住院时间从22天缩短至平均15天，能够回家的患者比例从1982年的81%提高到1987 - 1988年的90%。因此，康复或养老院设施的使用减少，且在那里的停留时间缩短。该研究结果还表明康复过程耗时，很少有髋部骨折患者能恢复到骨折前的完全功能。因此建议随访期应延长至超过四个月。否则，该表格设计良好，使用它可提高不同研究的可比性。
