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髋部骨折术后患者出院后的并发症

Post-discharge complications in postoperative patients with hip fracture.

作者信息

Istianah Umi, Nurjannah Intansari, Magetsari Rahadyan

机构信息

Doctorate Program Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Jln. Farmako Sekip Utara, Yogyakarta, 55281, Indonesia.

Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Jln. Farmako Sekip Utara, Yogyakarta, 55281, Indonesia.

出版信息

J Clin Orthop Trauma. 2020 Oct 24;14:8-13. doi: 10.1016/j.jcot.2020.10.045. eCollection 2021 Mar.

Abstract

Hip fractures often occur in elderly people and are a major global health challenge causing many consequences, both in health and socioeconomic costs. This review aimed to identify complications that occur in patients with postoperative hip fracture between 30 days and 60 months after discharge. This review was conducted on articles published from 2005 to 2017 obtained from the EBSCO, PubMed, ProQuest and Google Scholar databases. The literature search followed PRISMA Guidelines. Key search words included the terms: , , , , and . Articles were considered eligible if discussed the complications of hip fracture with surgical treatment, occurring post hospital discharge and the patient was in the community. In this review, 23 articles were included that met the inclusion criteria. There were 16 articles that cohort studies, 3 were retrospective studies, 3 were randomized control trials and 1 article was an observational study. The time of observation varied from 30 days to the longest of 5 years. Quality assessment of the levels of evidence used the Oxford CEBM recommendations. The review results found that postoperative hip fracture patients after discharge still experienced various complications after 30 days and up to 1-3 years post-operation.

摘要

髋部骨折常发生于老年人,是一项重大的全球健康挑战,在健康和社会经济成本方面都会引发诸多后果。本综述旨在确定出院后30天至60个月内髋部骨折术后患者出现的并发症。本综述针对2005年至2017年发表的文章展开,这些文章来自EBSCO、PubMed、ProQuest和谷歌学术数据库。文献检索遵循PRISMA指南。关键检索词包括: , , , ,以及 。如果文章讨论了手术治疗髋部骨折的并发症、出院后发生且患者处于社区环境,则被视为符合条件。本综述纳入了23篇符合纳入标准的文章。其中有16篇队列研究、3篇回顾性研究、3篇随机对照试验,1篇为观察性研究。观察时间从30天到最长5年不等。证据水平的质量评估采用牛津循证医学中心的建议。综述结果发现,髋部骨折术后出院患者在术后30天及术后1至3年内仍会出现各种并发症。

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