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髋部骨折治疗方案:它们有效吗?

Hip fracture programs: are they effective?

作者信息

Kates Stephen L

机构信息

Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA.

出版信息

Injury. 2016 Jan;47 Suppl 1:S25-7. doi: 10.1016/S0020-1383(16)30006-7.

DOI:10.1016/S0020-1383(16)30006-7
PMID:26768285
Abstract

This manuscript will evaluate the published evidence on efficacy of organized hip fracture programs to determine if they improve patient outcomes. A detailed literature search was conducted to find manuscripts published in the past 20 years about organized hip fracture care programs. Seventeen programs with published results were identified from this detailed search and these were evaluated and synthesized in the following manuscript. Organized hip fracture programs offer significant benefits to patients, care providers and health systems. The more complex program designs have a more profound effect on improvement in outcomes for hip fracture patients. Most programs have reported reduced length of stay, reduced in-hospital mortality rates, and reduced complications. Some programs have reported reduced costs and reduced readmission rates after implementing an organized hip fracture program.

摘要

本手稿将评估已发表的有关有组织的髋部骨折治疗方案疗效的证据,以确定它们是否能改善患者预后。进行了详细的文献检索,以查找过去20年中发表的关于有组织的髋部骨折护理方案的手稿。通过这次详细检索,确定了17个有已发表结果的方案,并在以下手稿中对这些方案进行了评估和综合分析。有组织的髋部骨折治疗方案为患者、护理人员和卫生系统带来了显著益处。越复杂的方案设计对髋部骨折患者预后的改善效果越显著。大多数方案报告称住院时间缩短、院内死亡率降低以及并发症减少。一些方案报告称,实施有组织的髋部骨折治疗方案后成本降低且再入院率降低。

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