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美国骨科学会临床实践指南摘要:老年髋部骨折的管理

AAOS Clinical Practice Guideline Summary: Management of Hip Fractures in Older Adults.

作者信息

O'Connor Mary I, Switzer Julie A

机构信息

From Vori Health, Jacksonville Beach, FL (O'Connor), and TRIA Department of Orthopedics, Park Nicollet Methodist Hospital, St. Louis Park, MN (Switzer).

出版信息

J Am Acad Orthop Surg. 2022 Oct 15;30(20):e1291-e1296. doi: 10.5435/JAAOS-D-22-00125. Epub 2022 Jun 17.

Abstract

Fragility hip fractures are a major public health problem with a notable effect on quality of life for patients and their families. Management of Hip Fractures in Older Adults: Evidence-Based Clinical Practice Guideline serves as current evidence-based practice guidelines for orthopaedic surgeons in the management of this common fracture and is based on a systematic review of published studies examining the surgical treatment of hip fractures in adults aged 55 years and older (older adults). The lower age limit for the patient population was set at 55 years but was also required to have a median age of 65 years. All aspects of care for older patients at risk of hip fracture or who have sustained a hip fracture could not be addressed within the scope of this guideline, including important topics of prevention of primary or secondary hip fractures or posthospital rehabilitation. This guideline contains 16 recommendations and three options to assist orthopaedic surgeons and all qualified physicians managing patients older than 55 years with hip fractures based on the best current available evidence. It is also intended to serve as an information resource for professional healthcare practitioners and developers of practice guidelines and recommendations. In addition to providing pragmatic practice recommendations, this guideline also highlights gaps in the literature and informs areas for future research and quality measure development.

摘要

髋部脆性骨折是一个重大的公共卫生问题,对患者及其家庭的生活质量有显著影响。《老年人髋部骨折管理:循证临床实践指南》是骨科医生目前在处理这种常见骨折时基于循证的实践指南,它基于对已发表研究的系统综述,这些研究考察了55岁及以上成年人(老年人)髋部骨折的手术治疗。患者人群的年龄下限设定为55岁,但还要求年龄中位数为65岁。本指南范围无法涵盖髋部骨折高危或已发生髋部骨折的老年患者护理的所有方面,包括原发性或继发性髋部骨折预防或出院后康复等重要主题。本指南包含16条推荐意见和三种选择,以帮助骨科医生和所有合格医生根据当前可得的最佳证据,处理55岁以上髋部骨折患者。它还旨在为专业医疗从业者以及实践指南和推荐意见的制定者提供信息资源。除了提供实用的实践建议外,本指南还突出了文献中的空白,并为未来研究和质量指标制定指明了方向。

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