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老年人群髋部骨折的管理。意大利老年骨科学会(GIOG)联合立场声明。

The management of hip fracture in the older population. Joint position statement by Gruppo Italiano Ortogeriatria (GIOG).

作者信息

Pioli Giulio, Barone A, Mussi C, Tafaro L, Bellelli G, Falaschi P, Trabucchi M, Paolisso G

机构信息

Geriatric Unit, Department of Neuromotor Physiology, ASMN-IRCCS Hospital, Via Risorgimento 80, 42100, Reggio Emilia, Italy,

出版信息

Aging Clin Exp Res. 2014 Oct;26(5):547-53. doi: 10.1007/s40520-014-0198-y. Epub 2014 Feb 25.

DOI:10.1007/s40520-014-0198-y
PMID:24566982
Abstract

This document is a Joint Position Statement by Gruppo Italiano di OrtoGeriatria (GIOG) supported by Società Italiana di Gerontologia e Geriatria (SIGG), and Associazione Italiana Psicogeriatria (AIP) on management of hip fracture older patients. Orthogeriatric care is at present the best model of care to improve results in older patients after hip fracture. The implementation of orthogeriatric model of care, based on the collaboration between orthopaedic surgeons and geriatricians, must take into account the local availability of resources and facilities and should be integrated into the local context. At the same time the programme must be based on the best available evidences and planned following accepted quality standards that ensure the efficacy of the intervention. The position paper focused on eight quality standards for the management of hip fracture older patients in orthogeriatric model of care. The GIOG promotes the development of a clinic database with the aim of obtaining a qualitative improvement in the management of hip fracture.

摘要

本文档是由意大利矫形老年医学组(GIOG)发布的联合立场声明,得到了意大利老年医学与老年病学会(SIGG)以及意大利老年精神病学协会(AIP)的支持,主题是老年髋部骨折患者的管理。目前,矫形老年医学护理是改善老年髋部骨折患者治疗效果的最佳护理模式。基于骨科医生和老年病医生之间合作的矫形老年医学护理模式的实施,必须考虑当地资源和设施的可利用情况,并应融入当地环境。同时,该项目必须基于最佳现有证据,并按照公认的质量标准进行规划,以确保干预措施的有效性。该立场文件聚焦于矫形老年医学护理模式下老年髋部骨折患者管理的八项质量标准。GIOG推动临床数据库的开发,旨在实现髋部骨折管理的质量提升。

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Aging Clin Exp Res. 2024 Oct 12;36(1):206. doi: 10.1007/s40520-024-02857-w.
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Caregivers' misperception of the severity of hip fractures.护理人员对髋部骨折严重程度的错误认知。
Patient Prefer Adherence. 2018 Sep 21;12:1889-1895. doi: 10.2147/PPA.S164380. eCollection 2018.
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Osteoporos Int. 2017 Apr;28(4):1157-1166. doi: 10.1007/s00198-016-3834-x. Epub 2016 Nov 21.
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Orthogeriatric care: improving patient outcomes.老年骨科护理:改善患者预后。
Clin Interv Aging. 2016 Jun 24;11:843-56. doi: 10.2147/CIA.S72436. eCollection 2016.
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Pre-hospital dietary intake correlates with muscle mass at the time of fracture in older hip-fractured patients.老年髋部骨折患者院前饮食摄入与骨折时的肌肉量相关。
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