Department of Nursing, Taichung Hospital, Ministry of Health and Welfare, Taichung City, Taiwan, ROC.
Department of Nursing, National Taichung University of Science and Technology, Taichung City, Taiwan, ROC.
West J Nurs Res. 2020 Apr;42(4):293-305. doi: 10.1177/0193945919858715. Epub 2019 Jul 17.
Hip fractures may increase mortality and decrease mobility in elderly patients. Effectiveness of comprehensive geriatric care (CGC) has not been verified. A systematic review and a meta-analysis were conducted by searching full-text databases (1988-2018) of Cochrane Library, Clinical Key, Embase, MEDLINE, CINAHL, and ProQuest for randomized controlled trials (RCTs) of CGC following hip fractures. Outcome measures were mortality, activities of daily living, hospital stay, and discharge to institutional setting. Cochrane RoB 2.0, Jadad Quality Score, and Group Reading Assessment were used for analysis. Of the 11 studies included, 8 examined mortality (effect size Z = 2.51, = 0.01), 5 examined daily activities (effect size Z = 3.31, = 0.0009), 7 examined length of hospital stay (effect size Z = 0.18, = 0.85), and 5 examined discharged to an institutional setting (effect size Z = 0.81, = 0.42). Results showed that CGC decreased mortality and improved daily living activities.
髋部骨折可能会增加老年患者的死亡率并降低其活动能力。综合老年护理（CGC）的有效性尚未得到验证。通过对 Cochrane 图书馆、ClinicalKey、Embase、MEDLINE、CINAHL 和 ProQuest 的全文数据库（1988-2018 年）进行检索，对髋部骨折后接受 CGC 的随机对照试验（RCT）进行了系统评价和荟萃分析。主要结局指标为死亡率、日常生活活动能力、住院时间和出院至机构设置。采用 Cochrane RoB 2.0、Jadad 质量评分和 Group Reading Assessment 进行分析。纳入的 11 项研究中，有 8 项研究评估了死亡率（效应大小 Z = 2.51， = 0.01），5 项研究评估了日常生活活动能力（效应大小 Z = 3.31， = 0.0009），7 项研究评估了住院时间（效应大小 Z = 0.18， = 0.85），5 项研究评估了出院至机构设置（效应大小 Z = 0.81， = 0.42）。结果表明，CGC 可降低死亡率并改善日常生活活动能力。
