Murphy P J, Rai G S, Lowy M, Bielawska C
Department of Geriatric Medicine, Whittington Hospital, London.
Age Ageing. 1987 Sep;16(5):273-8. doi: 10.1093/ageing/16.5.273.
A London inner city Health District has had joint orthopaedic geriatric beds (RU) for rehabilitation of elderly orthopaedic patients since 1981. The effect of this on the orthopaedic department was studied by means of Hospital Activity Analysis data for 1980-85. The results showed that in patients greater than or equal to 60 years this approach leads to a significant reduction in length of stay for those with and without the diagnosis of fractured neck of femur and in the numbers staying 60+ days and 90+ days. The combined approach produced a saving of 46% in bed-days for fractured neck of femur alone. The relatively long duration of stay in the acute orthopaedic unit prior to admission to the RU suggests that intervention by the joint approach from the date of admission is required to maximize efficiency.
自1981年以来，伦敦市中心的一个健康区设有联合骨科老年病床（RU），用于老年骨科患者的康复治疗。通过1980 - 1985年医院活动分析数据，研究了这一举措对骨科的影响。结果显示，对于60岁及以上的患者，这种方法显著缩短了股骨颈骨折和非股骨颈骨折患者的住院时间，以及住院60天以上和90天以上的患者数量。仅股骨颈骨折患者，联合治疗方法就节省了46%的床位日。在入住RU之前，急性骨科病房的住院时间相对较长，这表明从入院之日起采用联合治疗方法进行干预，以实现效率最大化。
