一项骨科老年住院服务的前瞻性随机研究。
Prospective randomised study of an orthopaedic geriatric inpatient service.
作者信息
Gilchrist W J, Newman R J, Hamblen D L, Williams B O
机构信息
Department of Geriatric Medicine, Gartnavel General Hospital, Glasgow.
出版信息
BMJ. 1988 Oct 29;297(6656):1116-8. doi: 10.1136/bmj.297.6656.1116.
Abstract
A randomised controlled trial of two management regimens was carried out in women patients over 65 years of age with hip fractures. Ninety seven patients were admitted to a designated orthopaedic geriatric unit and 125 to orthopaedic wards. No difference was observed in mortality, length of stay, or placement of patients between the two groups. More medical conditions were recognised and treated in patients in the orthopaedic geriatric unit group. It is concluded that designated orthopaedic geriatric units can provide medical care to these patients and should be administered without additional cost.
摘要
对65岁以上髋部骨折女性患者进行了两种治疗方案的随机对照试验。97名患者入住指定的骨科老年病房，125名患者入住骨科病房。两组在死亡率、住院时间或患者安置方面未观察到差异。骨科老年病房组的患者被识别并治疗的内科疾病更多。得出的结论是，指定的骨科老年病房可以为这些患者提供医疗护理，且应免费提供。
相似文献
1
Prospective randomised study of an orthopaedic geriatric inpatient service.一项骨科老年住院服务的前瞻性随机研究。
BMJ. 1988 Oct 29;297(6656):1116-8. doi: 10.1136/bmj.297.6656.1116.
2
Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: a randomised clinical trial.老年女性股骨近端骨折后老年康复护理的有效性：一项随机临床试验。
BMJ. 1988 Oct 29;297(6656):1083-6. doi: 10.1136/bmj.297.6656.1083.
3
Orthopaedic geriatric care--is it effective? A prospective population-based comparison of outcome in fractured neck of femur.骨科老年护理——有效吗？基于人群的股骨颈骨折结局前瞻性比较。
J R Coll Physicians Lond. 1990 Jan;24(1):47-50.
4
Orthopaedic-geriatric models of care and their effectiveness.骨科-老年护理模式及其有效性。
Australas J Ageing. 2009 Dec;28(4):171-6. doi: 10.1111/j.1741-6612.2009.00368.x.
5
Geriatric rehabilitative care after fractures of the proximal femur: one year follow up of a randomised clinical trial.股骨近端骨折后的老年康复护理：一项随机临床试验的一年随访
BMJ. 1989 Jul 1;299(6690):25-6. doi: 10.1136/bmj.299.6690.25-a.
6
Auckland City Hospital's ortho-geriatric service: an audit of patients aged over 65 with fractured neck of femur.奥克兰市医院的老年骨科服务：对65岁以上股骨颈骨折患者的审计
N Z Med J. 2011 Jun 24;124(1337):40-54.
7
The effectiveness of implementing a care pathway for femoral neck fracture in older people: a prospective controlled before and after study.实施老年股骨颈骨折护理路径的有效性：一项前瞻性前后对照研究。
Age Ageing. 2004 Mar;33(2):178-84. doi: 10.1093/ageing/afh063.
8
Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial.髋部骨折患者的综合老年医学护理：一项前瞻性、随机、对照试验。
Lancet. 2015 Apr 25;385(9978):1623-33. doi: 10.1016/S0140-6736(14)62409-0. Epub 2015 Feb 5.
9
Selective conservatism in hip fractures.髋部骨折的选择性保守治疗
Surgery. 1967 Apr;61(4):524-7.
10
Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures.谵妄与接受股骨颈骨折治疗的老年患者康复效果不佳有关。
Scand J Caring Sci. 2005 Jun;19(2):119-27. doi: 10.1111/j.1471-6712.2005.00324.x.
引用本文的文献
1
Preoperative Indicators for 1-year Mortality in Elderly Individuals Following Hip Fracture Surgery Under A Multidisciplinary Team Co-Management Model: A Single-Centre Retrospective Observational Study.多学科团队共同管理模式下老年髋部骨折手术后1年死亡率的术前指标：一项单中心回顾性观察研究
Geriatr Orthop Surg Rehabil. 2025 Jun 25;16:21514593251356135. doi: 10.1177/21514593251356135. eCollection 2025.
2
Efficacy of a multidisciplinary care protocol for the treatment of operated hip fracture patients.多学科护理方案治疗手术髋部骨折患者的疗效。
Sci Rep. 2021 Dec 16;11(1):24082. doi: 10.1038/s41598-021-03415-4.
3
Multidisciplinary rehabilitation for older people with hip fractures.老年人髋部骨折的多学科康复。
Cochrane Database Syst Rev. 2021 Nov 12;11(11):CD007125. doi: 10.1002/14651858.CD007125.pub3.
4
Evaluation of the implementation of multidisciplinary fast-track program for acute geriatric hip fractures at a University Hospital in resource-limited settings.资源有限环境下，对某大学附属医院老年髋部骨折多学科快速通道方案实施情况的评估。
BMC Geriatr. 2021 Oct 12;21(1):548. doi: 10.1186/s12877-021-02509-y.
5
Effects of Orthogeriatric Care Models on Outcomes of Hip Fracture Patients: A Systematic Review and Meta-Analysis.老年骨科护理模式对髋部骨折患者结局的影响：系统评价和荟萃分析。
Calcif Tissue Int. 2022 Feb;110(2):162-184. doi: 10.1007/s00223-021-00913-5. Epub 2021 Sep 30.
6
Care of Geriatric Patients with Lumbar Spine, Pelvic, and Acetabular Fractures before and after Certification as a Geriatric Trauma Center DGU: A Retrospective Cohort Study.老年创伤中心认证前后老年腰椎、骨盆和髋臼骨折患者的护理：一项回顾性队列研究。
Medicina (Kaunas). 2021 Jul 31;57(8):794. doi: 10.3390/medicina57080794.
7
A bibliometric analysis of orthogeriatric care: top 50 articles.骨科老年病护理的文献计量学分析：前 50 篇文章。
Eur J Trauma Emerg Surg. 2022 Jun;48(3):1673-1682. doi: 10.1007/s00068-021-01715-y. Epub 2021 Jun 11.
8
Orthogeriatric co-management for proximal femoral fractures. Can two additions make a big difference?老年骨科联合管理治疗股骨近端骨折。两个附加条件能否带来显著差异？
BMC Musculoskelet Disord. 2020 Jun 11;21(1):371. doi: 10.1186/s12891-020-03392-1.
9
[Research progress of multidisciplinary team co-management models for geriatric hip fracture treatment].老年髋部骨折治疗多学科团队共同管理模式的研究进展
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Jan 15;34(1):132-138. doi: 10.7507/1002-1892.201904133.
10
The orthogeriatric comanagement improves clinical outcomes of hip fracture in older adults.骨科老年病学联合管理可改善老年髋部骨折患者的临床转归。
Osteoporos Int. 2019 Apr;30(4):907-916. doi: 10.1007/s00198-019-04858-2. Epub 2019 Feb 4.
本文引用的文献
1
Mini-object test: a new brief clinical assessment for aphasia-apraxia-agnosia.
South Med J. 1983 Jan;76(1):52-4.
2
The Joint Geriatric Orthopaedic Service in South Edinburgh: November 1979-October 1980.爱丁堡南部联合老年骨科服务：1979年11月至1980年10月
Health Bull (Edinb). 1984 May;42(3):133-40.
3
The Nottingham orthogeriatric unit after 1000 admissions.诺丁汉老年骨科病房在收治1000名患者之后。
Injury. 1983 Nov;15(3):193-6. doi: 10.1016/0020-1383(83)90013-x.
4
The beneficial effects of joint orthopaedic-geriatric rehabilitation.关节骨科-老年康复的有益效果。
Age Ageing. 1987 Sep;16(5):273-8. doi: 10.1093/ageing/16.5.273.
5
Keeping up with orthopaedic epidemics.紧跟骨科领域的流行趋势。
Br Med J (Clin Res Ed). 1987 Aug 29;295(6597):514. doi: 10.1136/bmj.295.6597.514.
6
Combined orthopaedic-geriatric care.骨科与老年医学联合护理。
Lancet. 1985 Feb 9;1(8424):349-50.
7
Rising incidence of fracture of the proximal femur.
Lancet. 1985 Jan 19;1(8421):150-1. doi: 10.1016/s0140-6736(85)91915-4.
8
The effects of age, sex, and smoking on erythrocytes and leukocytes.年龄、性别和吸烟对红细胞和白细胞的影响。
Am J Clin Pathol. 1975 Jan;63(1):35-44. doi: 10.1093/ajcp/63.3.35.
9
Haematologic profile of natural populations: red cell parameters.自然人群的血液学概况：红细胞参数
Br J Haematol. 1977 Jan;35(1):153-60. doi: 10.1111/j.1365-2141.1977.tb00570.x.
Zotero 插件