Riemen Anna H K, Hutchison James D
Speciality Registrar in Trauma and Orthopaedics, STMTI-Wellcome Trust Clinical Fellow, Regenerative Medicine Group, Arthritis and Musculoskeletal Medicine Programme, University of Aberdeen, Institute of Medical Sciences, Foresterhill, UK. Conflict of interest: none declared.
Orthop Trauma. 2016 Apr;30(2):117-122. doi: 10.1016/j.mporth.2016.03.006.
Older patients presenting with hip fractures are some of the frailest and sickest patients in hospital. In addition to complex medical problems and comorbidities, they have to overcome the additional physiological challenges posed by the hip fracture itself, and subsequent surgery. Hip fracture associated morbidity and mortality at one year remains high. Published guidelines stress the need for a multidisciplinary approach and the importance of the care environment for good outcomes. A combined management approach identifies and addresses not only the surgical but also the complex analgesic, medical, cognitive, nutritional, social and rehabilitation needs of our patients, thereby improving outcome for our patients.
因髋部骨折前来就诊的老年患者是医院中最虚弱、病情最严重的患者群体之一。除了复杂的医疗问题和合并症外，他们还必须克服髋部骨折本身以及后续手术带来的额外生理挑战。髋部骨折相关的一年发病率和死亡率仍然很高。已发布的指南强调了多学科方法的必要性以及良好护理环境对取得良好治疗效果的重要性。综合管理方法不仅能识别并解决患者的手术需求，还能满足其复杂的镇痛、医疗、认知、营养、社会和康复需求，从而改善患者的治疗效果。
