Tarrant Seth M, Kim Ji Wan, Matsushita Takashi, Minehara Hiroaki, Noda Tomoyuki, Oh Jong-Keon, Park Ki Chul, Yamamoto Noriaki, Balogh Zsolt J
Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, Australia.
Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
OTA Int. 2022 Jun 9;5(3 Suppl):e195. doi: 10.1097/OI9.0000000000000195. eCollection 2022 Jun.
The incidence and burden of fragility fractures have reached the level where comprehensive systematic care is warranted to optimize the care of these patients. Hip fractures are the most frequently lethal and independence level changing fragility fractures, responsible for 30-day mortality comparable to high-energy trauma patients with injury severity scores over 12. It is a reasonable expectation that countries have a hip fracture treating system of care in place for this high-risk population. This review explores the systems of care from the Asia-Pacific Perspective.
From the International Orthopaedic Trauma Association's member societies, nations from the Asia-Pacific Region were requested to contribute with an overview of their fragility fracture management systems. The content or the review was standardized by a template of headings, which each country endeavored to cover.
Australia, Japan, and South Korea contributed voluntarily from the 5 member countries of the region. Each country has made considerable efforts and achievements with diverse approaches to standardize and improve the care of fragility fractures, particularly hip fractures. Beyond the individual nations' efforts there is also an existing Asia-Pacific Collaborative. The data collection and in some counties the existence of a registry is promising; funding and recognition of the problem among competing health care budget priorities are common.
Our review covers some of the countries with strongest economy and highest health care standards. The lack of a universal robust system for hip fracture care is apparent. The data collection from registry initiations is expected to drive system development further in these countries and hopefully fast track the development in other countries within the most populous geographical region of the Earth.
脆性骨折的发病率和负担已达到需要全面系统护理以优化这些患者治疗的程度。髋部骨折是最常导致死亡且会改变独立生活能力的脆性骨折，其30天死亡率与损伤严重程度评分超过12分的高能创伤患者相当。期望各国为这一高危人群建立髋部骨折治疗护理体系是合理的。本综述从亚太地区的视角探讨护理体系。
从国际矫形创伤协会的成员协会中，邀请亚太地区各国介绍其脆性骨折管理体系概况。综述内容通过标题模板进行标准化，每个国家都努力涵盖这些内容。
该地区5个成员国中的澳大利亚、日本和韩国自愿提供了资料。每个国家都做出了相当大的努力并取得了成果，采用了多种方法来规范和改善脆性骨折尤其是髋部骨折的护理。除了各国自身的努力，还有一个现有的亚太合作项目。数据收集工作以及在一些国家建立登记册的情况很有前景；在相互竞争的医疗保健预算优先事项中，对该问题的资金投入和认识也较为普遍。
我们的综述涵盖了一些经济实力最强且医疗保健标准最高的国家。髋部骨折护理缺乏通用的强大体系这一点很明显。预计从登记册启动中收集的数据将进一步推动这些国家的体系发展，并有望加快地球上人口最多的地理区域内其他国家的发展。
