老年人下肢骨折后非负重管理的最佳护理：一项共识研究。
Optimal care for the management of older people non-weight bearing after lower limb fracture: a consensus study.
机构信息
Division of Rehabilitation, Ageing and Wellbeing, The Medical School, Queens Medical Centre, University of Nottingham, B109, Floor B, Derby Road, Nottingham, NG7 2UH, UK.
Division of Rehabilitation, Ageing and Wellbeing, NIHR Nottingham Biomedical Research Centre, Medical School, QMC, B111, Nottingham, NG7 2UH, UK.
出版信息
BMC Geriatr. 2021 May 24;21(1):332. doi: 10.1186/s12877-021-02265-z.
BACKGROUND
Older people who are non-weight-bearing after a lower limb fracture are at risk of poor outcomes but there are no clinical guidelines for this group of patients. Given the paucity of the research evidence base, we conducted a consensus exercise to ascertain expert opinion about the management of this group.
METHODS
A three-round e-Delphi technique was planned to use the online JISC survey tool with a multidisciplinary panel of health professionals. Panellists were invited by email via professional organisations and UK NHS Trusts. The initial statements for this study were prepared by the authors based upon the findings of their scoping review. Consensus required >/= 70% agreement with statements.
RESULTS
Only 2 survey rounds were required. Ninety panellists, representing seven clinical disciplines, reached consensus for 24 statements about general issues (osteoporosis detection and management, falls risk reduction and nutrition) and specific non-weight bearing issues (such as the need for activity to be promoted during this period).
CONCLUSIONS
These findings can be used in the generation of a clinical guideline for this group of patients.
背景
下肢骨折后非负重的老年人存在预后不良的风险，但针对这群患者尚无临床指南。鉴于研究证据基础薄弱，我们进行了一项共识性研究，以确定专家对这群患者的治疗意见。
方法
计划采用三轮电子 Delphi 技术，使用多学科卫生专业人员的 JISC 在线调查工具。通过专业组织和英国国民保健制度信托基金，向电子邮件邀请了小组成员。本研究的初始陈述由作者根据范围综述的结果编写。共识要求对陈述的> / = 70%的同意。
结果
仅需要两轮调查。90 名代表七个临床学科的小组成员就 24 个关于一般问题（骨质疏松症的检测和管理、降低跌倒风险和营养）和特定非负重问题（如在此期间需要促进活动）的陈述达成了共识。
结论
这些发现可用于为这群患者制定临床指南。
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