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[卡斯蒂利亚-莱昂公立医院的老年骨科活动:文献描述与综述]

[Orthogeriatric activity in public hospitals of Castilla y León: description and review of the literature].

作者信息

Sáez López Pilar, Martín Perez Encarnación, González Ramírez Alfonso, Pablos Hernández Carmen, Jiménez Mola Sonia, Vuelta Calzada Esther, Cerón Fernández Ana, Guerrero Díaz Maria Teresa, del Pozo Tagarro Pilar, Andrés Sáinz Ana Isabel, Pereira de Castro Juez Nieves, Cervera Díaz Carmen, Muñoz Pascual Angélica, Idoate Gil Javier, Collado Díaz Teresa, Perez-Jara Carrera Javier, Vazquez Pedrezuela Carmen, Prado Esteban Florentino

机构信息

Unidad de Geriatría, Complejo Asistencial de Ávila, Ávila, España.

Servicio de Geriatría, Hospital San Juan de Dios, León, España.

出版信息

Rev Esp Geriatr Gerontol. 2014 May-Jun;49(3):137-44. doi: 10.1016/j.regg.2014.01.004. Epub 2014 Feb 22.

Abstract

The benefits of the collaboration between orthopaedics and geriatrics in the management and care of elderly patients admitted with hip fracture have been widely demonstrated. A questionnaire was sent to all hospital geriatricians of Castilla y León in order to determine the characteristics this collaboration between orthopaedics and geriatrics in the public hospitals of Castilla y León. They were asked about the type of collaboration with orthopaedics in the care of the elderly patient admitted with hip fracture and details of the treatment of the complications. Most of the hospitals maintain a high level of orthogeriatric collaboration with geriatricians, and the geriatrician attends to most of the medical complications of these patients. The average hospital stay is 10 days, with a surgical delay of 3 days. Management of the most frequent clinical problems in hospitals of Castilla y León are detailed in this article, comparing them with the latest articles and current recommendations from clinical practice guides.

摘要

骨科与老年医学在髋部骨折老年住院患者管理与护理方面合作的益处已得到广泛证实。为确定卡斯蒂利亚-莱昂自治区公立医院中骨科与老年医学之间这种合作的特点,向该自治区所有医院的老年医学专家发放了一份调查问卷。询问了他们在护理髋部骨折老年住院患者时与骨科的合作类型以及并发症治疗细节。大多数医院与老年医学专家保持着高度的骨科-老年医学合作,老年医学专家负责处理这些患者的大部分医疗并发症。平均住院时间为10天,手术延迟为3天。本文详细介绍了卡斯蒂利亚-莱昂自治区医院中最常见临床问题的管理情况,并将其与最新文章及临床实践指南的当前建议进行了比较。

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