Khan Shehzaad A, Asokan Ajay, Handford Charles, Logan Peter, Moores Thomas
Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, UK.
Basildon & Thurrock University, Basildon, Essex, UK.
Bone Jt Open. 2020 Nov 1;1(11):683-690. doi: 10.1302/2633-1462.111.BJO-2020-0107.R1.
Due to the overwhelming demand for trauma services, resulting from increasing emergency department attendances over the past decade, virtual fracture clinics (VFCs) have become the fashion to keep up with the demand and help comply with the BOA Standards for Trauma and Orthopaedics (BOAST) guidelines. In this article, we perform a systematic review asking, "How useful are VFCs?", and what injuries and conditions can be treated safely and effectively, to help decrease patient face to face consultations. Our primary outcomes were patient satisfaction, clinical efficiency and cost analysis, and clinical outcomes.
We performed a systematic literature search of all papers pertaining to VFCs, using the search engines PubMed, MEDLINE, and the Cochrane Database, according to the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) checklist. Searches were carried out and screened by two authors, with final study eligibility confirmed by the senior author.
In total, 21 records were relevant to our research question. Six orthopaedic injuries were identified as suitable for VFC review, with a further four discussed in detail. A reduction of face to face appointments of up to 50% was reported with greater compliance to BOAST guidelines (46.4%) and cost saving (up to £212,000).
This systematic review demonstrates that the VFC model can help deliver a safe, more cost-effective, and more efficient arm of the trauma service to patients.Cite this article: 2020;1-11:683-690.
由于过去十年急诊科就诊人数增加，对创伤服务的需求激增，虚拟骨折诊所（VFC）已成为满足需求并帮助遵守英国骨科协会创伤与矫形外科标准（BOAST）指南的流行方式。在本文中，我们进行了一项系统评价，探讨“VFC有多有用？”以及哪些损伤和病症可以安全有效地治疗，以帮助减少患者的面对面会诊。我们的主要结果是患者满意度、临床效率和成本分析以及临床结果。
我们根据系统评价和Meta分析的首选报告项目（PRISMA）清单，使用搜索引擎PubMed、MEDLINE和Cochrane数据库，对所有与VFC相关的论文进行了系统的文献检索。检索由两位作者进行并筛选，最终的研究资格由资深作者确认。
总共21条记录与我们的研究问题相关。确定了六种骨科损伤适合VFC评估，另外详细讨论了四种。据报道，面对面预约减少了多达50%，对BOAST指南的依从性更高（46.4%），成本节约（高达212,000英镑）。
这项系统评价表明，VFC模式可以为患者提供一个安全、更具成本效益和更高效的创伤服务部门。引用本文：2020；1 - 11：683 - 690。
