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老年骨科医生共同管理髋部骨折老年患者:一种新兴标准。

Geriatric orthopedic co-management of older adults with hip fracture: an emerging standard.

机构信息

1 Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, NY 10029, USA ; 2 Geriatric Research, Education and Clinical Center, James J. Peters Veteran Affairs Medical Center, Bronx, NY 10468, USA.

出版信息

Ann Transl Med. 2015 Sep;3(16):224. doi: 10.3978/j.issn.2305-5839.2015.07.13.

Abstract

Hip fracture, a common complication of fall injuries in older adults, often results in high rate of mortality, increased debility, functional loss, and worse quality of life. The value of geriatric teams and model of care for the hip fracture patients have been examined in a number of studies, and even though most studies have demonstrated potential impact in improving outcomes for the hip fracture patients, they are often observational or quasi-experimental designs that are prone to bias. In this editorial, we review the Lancet article by Prestmo and colleagues, a randomized controlled trial that demonstrated improved outcomes for hip fracture patients managed in a geriatric unit.

摘要

髋部骨折是老年人跌倒损伤的常见并发症,常导致高死亡率、身体虚弱加剧、功能丧失和生活质量下降。老年医学团队和髋部骨折患者护理模式的价值已经在许多研究中进行了检验,尽管大多数研究表明对改善髋部骨折患者的结局具有潜在影响,但这些研究往往是观察性或准实验性设计,容易存在偏倚。在这篇社论中,我们回顾了 Prestmo 及其同事在《柳叶刀》杂志上发表的文章,这是一项随机对照试验,表明在老年医学病房管理的髋部骨折患者的结局得到了改善。

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本文引用的文献

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Predictors of long-term mortality in older people with hip fracture.老年髋部骨折患者长期死亡率的预测因素
Arch Phys Med Rehabil. 2015 Jul;96(7):1215-21. doi: 10.1016/j.apmr.2015.01.023. Epub 2015 Feb 18.
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Cognitive trajectories after postoperative delirium.术后谵妄后的认知轨迹。
N Engl J Med. 2012 Jul 5;367(1):30-9. doi: 10.1056/NEJMoa1112923.

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