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