Bonifatius Hospital Lingen, Medizinische Klinik, Fachbereich Unfallchirurgie, Akademisches Lehrkrankenhaus der Westfälischen Wilhelms-Universität Münster, Wilhelmstraße 13, 49808, Lingen, Germany.
Bonifatius Hospital Lingen, Medizinische Klinik, Fachbereich Geriatrie, Akademisches Lehrkrankenhaus der Westfälischen Wilhelms-Universität Münster, Wilhelmstraße 13, 49808, Lingen, Germany.
Z Gerontol Geriatr. 2022 Oct;55(6):513-518. doi: 10.1007/s00391-021-01935-2. Epub 2021 Jul 16.
This article reporting the view of an early career physician focuses on the diverse components of orthogeriatric co-management in a clinical setting. Geriatric trauma patients require a multimodal and interdisciplinary management, which includes individual and age-specific aspects, such as intensified physiotherapy, trauma surgery and geriatric expertise as well as social support. In Germany this surgical and geriatric co-treatment is provided by the program geriatric traumatology (Alterstraumatologie), which is implemented and certified at special institutions called geriatric trauma centers (Alters-Trauma-Zentrum). This special care is accomplished by an orthogeriatric co-management, which combines the efforts of both modern state of the art trauma surgery and geriatric medicine, preferable by using the procedure of the so-called geriatric early rehabilitative complex treatment (geriatrische frührehabilitative Komplexbehandlung) according to the diagnosis-related group (DRG) procedure OPS 8550. This is administered in 3 periods: the preoperative period, perioperative period and postoperative period and if indicated followed and completed by a geriatric rehabilitation. According to recent studies this approach has proved to be beneficial especially with respect to a reduction of posttraumatic morbidity rates and avoiding loss of function.
本文由一位初出茅庐的医生撰写,主要介绍了临床环境中骨科老年共管理的各个组成部分。老年创伤患者需要多模式和跨学科的管理,包括个体化和年龄特异性的方面,如强化物理治疗、创伤外科和老年医学专业知识以及社会支持。在德国,这种手术和老年共治疗是由老年创伤学(Alterstraumatologie)项目提供的,该项目在称为老年创伤中心(Alters-Trauma-Zentrum)的特殊机构中实施和认证。这种特殊护理是通过骨科老年共管理来实现的,它结合了现代先进的创伤外科和老年医学的努力,最好是通过使用所谓的老年早期康复综合治疗(geriatrische frührehabilitative Komplexbehandlung)的程序,根据诊断相关组(DRG)程序 OPS 8550。这分为 3 个阶段:术前、围手术期和术后,如果需要,还可以进行老年康复。根据最近的研究,这种方法已被证明是有益的,特别是在降低创伤后发病率和避免功能丧失方面。